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Published in: Systematic Reviews 1/2021

Open Access 01-12-2021 | Research

The state of population health research performance in the Middle East and North Africa: a meta-research study

Authors: Karima Chaabna, Sohaila Cheema, Amit Abraham, Patrick Maisonneuve, Albert B. Lowenfels, Ravinder Mamtani

Published in: Systematic Reviews | Issue 1/2021

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Abstract

Background

Population health (PH) research capacity and performance are essential pillars of evidence-based practice to help address health inequalities. Best evidence is provided by systematic reviews (SRs). None of the published bibliometric analysis specifically assess the production of SRs on PH in the Middle East and North Africa (MENA). The aim of our study is to investigate publication patterns and time trends of SRs reporting PH in the MENA region to evaluate the state of PH research performance in the region.

Method

The study protocol was developed a priori (protocol registration number: CRD42017076736). PubMed was searched. Two independent reviewers screened 5747 identified articles. We investigated author affiliation and collaboration, yearly citations of the SRs and journal information. Joinpoint regression was used to explore these characteristics overtime.

Results

Our meta-research included 387 SRs published between 2008 and 2016 which reported data on PH in 20 MENA countries. Publication of SRs increased over time in journals with impact factor < 4 and in the categories of yearly number of citations < 50 (p values ≤ 0.0024). Authors belonging to the region published increasingly (p value = 0.0001) over time. Thirty percent of the SRs were from authors solely from the region, while an additional 30% were from the region collaborating with Western country authors. Of these collaborative reviews, 79% were led by authors from the region. However, collaboration in the region (with the exclusion of collaboration with Western country authors) was rare (0.8%). These authors from the region published more in open-access journals while authors from Western countries collaborating or not with authors from the region published more in hybrid or non-open-access journals (p value < 0.0001). Collaboration between authors from MENA and Western countries led to published SRs in journals with impact factor ≥ 10. Systematic reviews with global coverage were published more by authors from Western countries, while SRs with country-level coverage were published by authors from the region (p value < 0.0001).

Conclusion

The incremental trend of PH SR publications on MENA likely reflects the ongoing improvement in research performance in the region. Authors from the region appear to be taking a lead role in conducting and disseminating MENA PH research. Open-access journals are a major contributor in facilitating MENA research dissemination.

Systematic review registration

PROSPERO registration number CRD42017076736
Appendix
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Literature
2.
go back to reference Nchinda TC. Research capacity strengthening in the South. Soc Sci Med (1982). 2002;54(11):1699–711.CrossRef Nchinda TC. Research capacity strengthening in the South. Soc Sci Med (1982). 2002;54(11):1699–711.CrossRef
3.
go back to reference Badenhorst A, Mansoori P, Chan KY. Assessing global, regional, national and sub-national capacity for public health research: a bibliometric analysis of the Web of Science(TM) in 1996-2010. J Glob Health. 2016;6(1):010504.PubMedPubMedCentralCrossRef Badenhorst A, Mansoori P, Chan KY. Assessing global, regional, national and sub-national capacity for public health research: a bibliometric analysis of the Web of Science(TM) in 1996-2010. J Glob Health. 2016;6(1):010504.PubMedPubMedCentralCrossRef
4.
go back to reference McGregor S, Henderson KJ, Kaldor JM. Capacity building in longitudinal HIV research. Lancet Glob Health. 2015;3(1):e18–9.PubMedCrossRef McGregor S, Henderson KJ, Kaldor JM. Capacity building in longitudinal HIV research. Lancet Glob Health. 2015;3(1):e18–9.PubMedCrossRef
5.
go back to reference Nafade V, Nash M, Huddart S, Pande T, Gebreselassie N, Lienhardt C, et al. A bibliometric analysis of tuberculosis research, 2007-2016. PLoS One. 2018;13(6):e0199706.PubMedPubMedCentralCrossRef Nafade V, Nash M, Huddart S, Pande T, Gebreselassie N, Lienhardt C, et al. A bibliometric analysis of tuberculosis research, 2007-2016. PLoS One. 2018;13(6):e0199706.PubMedPubMedCentralCrossRef
6.
go back to reference Rezaee-Zavareh MS, Salamati P, Alavian SM. Iran's research needs to be more noticed - Authors' reply. Lancet. 2017;389(10068):504.PubMedCrossRef Rezaee-Zavareh MS, Salamati P, Alavian SM. Iran's research needs to be more noticed - Authors' reply. Lancet. 2017;389(10068):504.PubMedCrossRef
7.
go back to reference Chaabna K, Cheema S, Abraham A, Alrouh H, Mamtani R, Sheikh JI. Gray literature in systematic reviews on population health in the Middle East and North Africa: protocol of an overview of systematic reviews and evidence mapping. Syst Rev. 2018;7(1):94.PubMedPubMedCentralCrossRef Chaabna K, Cheema S, Abraham A, Alrouh H, Mamtani R, Sheikh JI. Gray literature in systematic reviews on population health in the Middle East and North Africa: protocol of an overview of systematic reviews and evidence mapping. Syst Rev. 2018;7(1):94.PubMedPubMedCentralCrossRef
8.
go back to reference Chaabna K, Cheema S, Abraham A, Mamtani R. Strengthening literature search strategies for systematic reviews reporting population health in the Middle East and North Africa: a meta-research study. J Evid Based Med. 2020;13(3):192–8. https://doi.org/10.1111/jebm.12394. Chaabna K, Cheema S, Abraham A, Mamtani R. Strengthening literature search strategies for systematic reviews reporting population health in the Middle East and North Africa: a meta-research study. J Evid Based Med. 2020;13(3):192–8. https://​doi.​org/​10.​1111/​jebm.​12394.
9.
go back to reference Chaabane S, Chaabna K, Abraham A, Mamtani R, Cheema S. Physical activity and sedentary behaviour in the Middle East and North Africa: An overview of systematic reviews and meta-analysis. Sci Rep. 2020;10(1):9363.PubMedPubMedCentralCrossRef Chaabane S, Chaabna K, Abraham A, Mamtani R, Cheema S. Physical activity and sedentary behaviour in the Middle East and North Africa: An overview of systematic reviews and meta-analysis. Sci Rep. 2020;10(1):9363.PubMedPubMedCentralCrossRef
10.
go back to reference Chaabna K, Cheema S, Abraham A, Alrouh H, Lowenfels AB, Maisonneuve P, et al. Systematic overview of hepatitis C infection in the Middle East and North Africa. World J Gastroenterol. 2018;24(27):3038–54.PubMedPubMedCentralCrossRef Chaabna K, Cheema S, Abraham A, Alrouh H, Lowenfels AB, Maisonneuve P, et al. Systematic overview of hepatitis C infection in the Middle East and North Africa. World J Gastroenterol. 2018;24(27):3038–54.PubMedPubMedCentralCrossRef
11.
12.
go back to reference Higgins J, Green S. Cochrane handbook for systematic reviews of interventions Version 5.1.0 The Cochrane Collaboration; 2011. Higgins J, Green S. Cochrane handbook for systematic reviews of interventions Version 5.1.0 The Cochrane Collaboration; 2011.
13.
go back to reference Iftikhar PM, Ali F, Faisaluddin M, Khayyat A, De Gouvia De Sa M, Rao T. A bibliometric analysis of the top 30 most-cited articles in gestational diabetes mellitus literature (1946-2019). Cureus. 2019;11(2):e4131.PubMedPubMedCentral Iftikhar PM, Ali F, Faisaluddin M, Khayyat A, De Gouvia De Sa M, Rao T. A bibliometric analysis of the top 30 most-cited articles in gestational diabetes mellitus literature (1946-2019). Cureus. 2019;11(2):e4131.PubMedPubMedCentral
14.
go back to reference Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4:1.PubMedPubMedCentralCrossRef Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4:1.PubMedPubMedCentralCrossRef
17.
go back to reference Masic I, Milinovic K. On-line biomedical databases-the best source for quick search of the scientific information in the biomedicine. Acta Inform Med. 2012;20(2):72–84.PubMedPubMedCentralCrossRef Masic I, Milinovic K. On-line biomedical databases-the best source for quick search of the scientific information in the biomedicine. Acta Inform Med. 2012;20(2):72–84.PubMedPubMedCentralCrossRef
20.
go back to reference Chaabna K, Kouyoumjian SP, Abu-Raddad LJ. Hepatitis C virus epidemiology in Djibouti, Somalia, Sudan, and Yemen: systematic review and meta-analysis. PLoS One. 2016;11(2):e0149966.PubMedPubMedCentralCrossRef Chaabna K, Kouyoumjian SP, Abu-Raddad LJ. Hepatitis C virus epidemiology in Djibouti, Somalia, Sudan, and Yemen: systematic review and meta-analysis. PLoS One. 2016;11(2):e0149966.PubMedPubMedCentralCrossRef
21.
go back to reference Chaabna K, Mohamoud YA, Chemaitelly H, Mumtaz GR, Abu-Raddad LJ. Protocol for a systematic review and meta-analysis of hepatitis C virus (HCV) prevalence and incidence in the Horn of Africa sub-region of the Middle East and North Africa. Syst Rev. 2014;3:146.PubMedPubMedCentralCrossRef Chaabna K, Mohamoud YA, Chemaitelly H, Mumtaz GR, Abu-Raddad LJ. Protocol for a systematic review and meta-analysis of hepatitis C virus (HCV) prevalence and incidence in the Horn of Africa sub-region of the Middle East and North Africa. Syst Rev. 2014;3:146.PubMedPubMedCentralCrossRef
22.
go back to reference Chemaitelly H, Chaabna K, Abu-Raddad LJ. The Epidemiology of Hepatitis C Virus in the Fertile Crescent: Systematic Review and Meta-Analysis. PLoS One. 2015;10(8):e0135281.PubMedPubMedCentralCrossRef Chemaitelly H, Chaabna K, Abu-Raddad LJ. The Epidemiology of Hepatitis C Virus in the Fertile Crescent: Systematic Review and Meta-Analysis. PLoS One. 2015;10(8):e0135281.PubMedPubMedCentralCrossRef
23.
go back to reference Chaabna K, Alali W. Enteric Salmonella in humans and food in the Middle East and North Africa: protocol of a systematic review. BMJ Open. 2017;7(7):e017399.PubMedPubMedCentralCrossRef Chaabna K, Alali W. Enteric Salmonella in humans and food in the Middle East and North Africa: protocol of a systematic review. BMJ Open. 2017;7(7):e017399.PubMedPubMedCentralCrossRef
28.
go back to reference Kulkarni AV, Aziz B, Shams I, Busse JW. Comparisons of citations in Web of Science, Scopus, and Google Scholar for articles published in general medical journals. JAMA. 2009;302(10):1092–6.PubMedCrossRef Kulkarni AV, Aziz B, Shams I, Busse JW. Comparisons of citations in Web of Science, Scopus, and Google Scholar for articles published in general medical journals. JAMA. 2009;302(10):1092–6.PubMedCrossRef
31.
go back to reference Hanney SR, Gonzalez-Block MA. Health research improves healthcare: now we have the evidence and the chance to help the WHO spread such benefits globally. Health Res Policy Syst. 2015;13:12.PubMedPubMedCentralCrossRef Hanney SR, Gonzalez-Block MA. Health research improves healthcare: now we have the evidence and the chance to help the WHO spread such benefits globally. Health Res Policy Syst. 2015;13:12.PubMedPubMedCentralCrossRef
33.
go back to reference Muldoon KA, Birungi J, Berry NS, Ngolobe MH, Mwesigwa R, Shannon K, et al. Supporting southern-led research: implications for North-South research partnerships. Can J Public Health. 2012;103(2):128–31.PubMedPubMedCentralCrossRef Muldoon KA, Birungi J, Berry NS, Ngolobe MH, Mwesigwa R, Shannon K, et al. Supporting southern-led research: implications for North-South research partnerships. Can J Public Health. 2012;103(2):128–31.PubMedPubMedCentralCrossRef
34.
go back to reference de Graft Aikins A, Arhinful DK, Pitchforth E, Ogedegbe G, Allotey P, Agyemang C. Establishing and sustaining research partnerships in Africa: a case study of the UK-Africa Academic Partnership on Chronic Disease. Glob Health. 2012;8:29.CrossRef de Graft Aikins A, Arhinful DK, Pitchforth E, Ogedegbe G, Allotey P, Agyemang C. Establishing and sustaining research partnerships in Africa: a case study of the UK-Africa Academic Partnership on Chronic Disease. Glob Health. 2012;8:29.CrossRef
35.
go back to reference Reddy P, Desai R, Sifunda S, Chalkidou K, Hongoro C, Macharia W, et al. "You Travel Faster Alone, but Further Together": Learning from a cross country research collaboration from a British Council Newton Fund Grant. Int J Health Policy Manag. 2018;7(11):977–81.PubMedPubMedCentralCrossRef Reddy P, Desai R, Sifunda S, Chalkidou K, Hongoro C, Macharia W, et al. "You Travel Faster Alone, but Further Together": Learning from a cross country research collaboration from a British Council Newton Fund Grant. Int J Health Policy Manag. 2018;7(11):977–81.PubMedPubMedCentralCrossRef
36.
go back to reference Walsh A, Brugha R, Byrne E. "The way the country has been carved up by researchers": ethics and power in north-south public health research. Int J Equity Health. 2016;15(1):204.PubMedPubMedCentralCrossRef Walsh A, Brugha R, Byrne E. "The way the country has been carved up by researchers": ethics and power in north-south public health research. Int J Equity Health. 2016;15(1):204.PubMedPubMedCentralCrossRef
37.
go back to reference Crane JY. Unequal ‘Partners’. AIDS, Academia, and the Rise of Global Health. Behemoth. 2010;3(3):78–97.CrossRef Crane JY. Unequal ‘Partners’. AIDS, Academia, and the Rise of Global Health. Behemoth. 2010;3(3):78–97.CrossRef
38.
go back to reference Gautier L, Sieleunou I, Kalolo A. Deconstructing the notion of "global health research partnerships" across Northern and African contexts. BMC Med Ethics. 2018;19(Suppl 1):49.PubMedPubMedCentralCrossRef Gautier L, Sieleunou I, Kalolo A. Deconstructing the notion of "global health research partnerships" across Northern and African contexts. BMC Med Ethics. 2018;19(Suppl 1):49.PubMedPubMedCentralCrossRef
39.
go back to reference Van der Veken K, Belaid L, Delvaux T, De Brouwere V. Research capacity building through North-South-South networking: towards true partnership? An exploratory study of a network for scientific support in the field of sexual and reproductive health. Health Res Policy Syst. 2017;15(1):39.PubMedPubMedCentralCrossRef Van der Veken K, Belaid L, Delvaux T, De Brouwere V. Research capacity building through North-South-South networking: towards true partnership? An exploratory study of a network for scientific support in the field of sexual and reproductive health. Health Res Policy Syst. 2017;15(1):39.PubMedPubMedCentralCrossRef
40.
go back to reference Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol. 2009;62(10):1006–12.CrossRefPubMed Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol. 2009;62(10):1006–12.CrossRefPubMed
41.
go back to reference Institute of Medicine. Finding what works in health care: standards for systematic reviews. Washington, DC: The National Academies Press; 2011. Institute of Medicine. Finding what works in health care: standards for systematic reviews. Washington, DC: The National Academies Press; 2011.
43.
go back to reference Sheikh JI, Cheema S, Chaabna K, Lowenfels AB, Mamtani R. Capacity building in health care professions within the Gulf cooperation council countries: paving the way forward. BMC Med Educ. 2019;19(1):83.PubMedPubMedCentralCrossRef Sheikh JI, Cheema S, Chaabna K, Lowenfels AB, Mamtani R. Capacity building in health care professions within the Gulf cooperation council countries: paving the way forward. BMC Med Educ. 2019;19(1):83.PubMedPubMedCentralCrossRef
45.
go back to reference Harris M, Macinko J, Jimenez G, Mullachery P. Measuring the bias against low-income country research: an Implicit Association Test. Glob Health. 2017;13(1):80.CrossRef Harris M, Macinko J, Jimenez G, Mullachery P. Measuring the bias against low-income country research: an Implicit Association Test. Glob Health. 2017;13(1):80.CrossRef
46.
go back to reference Yousefi-Nooraie R, Shakiba B, Mortaz-Hejri S. Country development and manuscript selection bias: a review of published studies. BMC Med Res Methodol. 2006;6:37.PubMedPubMedCentralCrossRef Yousefi-Nooraie R, Shakiba B, Mortaz-Hejri S. Country development and manuscript selection bias: a review of published studies. BMC Med Res Methodol. 2006;6:37.PubMedPubMedCentralCrossRef
47.
48.
go back to reference Ross JS, Gross CP, Desai MM, Hong Y, Grant AO, Daniels SR, et al. Effect of blinded peer review on abstract acceptance. Jama. 2006;295(14):1675–80.PubMedCrossRef Ross JS, Gross CP, Desai MM, Hong Y, Grant AO, Daniels SR, et al. Effect of blinded peer review on abstract acceptance. Jama. 2006;295(14):1675–80.PubMedCrossRef
50.
go back to reference Ofori-Adjei D, Antes G, Tharyan P, Slade E, Tamber PS. Have online international medical journals made local journals obsolete? PLoS Med. 2006;3(8):e359.PubMedPubMedCentralCrossRef Ofori-Adjei D, Antes G, Tharyan P, Slade E, Tamber PS. Have online international medical journals made local journals obsolete? PLoS Med. 2006;3(8):e359.PubMedPubMedCentralCrossRef
52.
go back to reference Horton R. Medical journals: evidence of bias against the diseases of poverty. Lancet. 2003;361(9359):712–3.PubMedCrossRef Horton R. Medical journals: evidence of bias against the diseases of poverty. Lancet. 2003;361(9359):712–3.PubMedCrossRef
53.
go back to reference Langer A, Diaz-Olavarrieta C, Berdichevsky K, Villar J. Why is research from developing countries underrepresented in international health literature, and what can be done about it? Bull World Health Organ. 2004;82(10):802–3.PubMedPubMedCentral Langer A, Diaz-Olavarrieta C, Berdichevsky K, Villar J. Why is research from developing countries underrepresented in international health literature, and what can be done about it? Bull World Health Organ. 2004;82(10):802–3.PubMedPubMedCentral
58.
go back to reference Supreme Council of Health. WHO Qatar STEPWISE Report 2012 chronic disease risk factor surveillance Doha, Qatar; 2013. Supreme Council of Health. WHO Qatar STEPWISE Report 2012 chronic disease risk factor surveillance Doha, Qatar; 2013.
59.
go back to reference Ogden CL, Carroll MD, Fryar CD, Flegal KM. Prevalence of obesity among adults and youth: United States, 2011-2014. NCHS Data Brief. 2015(219):1–8. Ogden CL, Carroll MD, Fryar CD, Flegal KM. Prevalence of obesity among adults and youth: United States, 2011-2014. NCHS Data Brief. 2015(219):1–8.
62.
go back to reference Page MJ, Shamseer L, Altman DG, Tetzlaff J, Sampson M, Tricco AC, et al. Epidemiology and reporting characteristics of systematic reviews of biomedical research: a cross-sectional study. PLoS Med. 2016;13(5):e1002028.PubMedPubMedCentralCrossRef Page MJ, Shamseer L, Altman DG, Tetzlaff J, Sampson M, Tricco AC, et al. Epidemiology and reporting characteristics of systematic reviews of biomedical research: a cross-sectional study. PLoS Med. 2016;13(5):e1002028.PubMedPubMedCentralCrossRef
Metadata
Title
The state of population health research performance in the Middle East and North Africa: a meta-research study
Authors
Karima Chaabna
Sohaila Cheema
Amit Abraham
Patrick Maisonneuve
Albert B. Lowenfels
Ravinder Mamtani
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2021
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-020-01552-x

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