Evidence map›Paper›PMID 39154171›Full record

SynthesisBMC public health2024

Direct and indirect effects of economic sanctions on health: a systematic narrative literature review.

Vahid Yazdi-Feyzabadi, Atefeh Zolfagharnasab, Soheila Naghavi, Anahita Behzadi, Maysam Yousefi, Mohammad Bazyar

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Sanctions and sovereignty: Venezuela's human health crisis.Annals of medicine and surgery (2012) · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Nuclear Medicine in IRAQ: From a Pioneering Past to Future Progress.Journal of multidisciplinary healthcare · 2026
    Review
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Vahid Yazdi-FeyzabadiHealth Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman City, Iran.
Atefeh ZolfagharnasabFaculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman City, Iran.
Soheila NaghaviHealth Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman City, Iran.
Anahita BehzadiHealth Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman City, Iran.
Maysam YousefiResearch Center of Tropical and Infectious Diseases, Kerman University of medical sciences, Kerman, Iran.
Mohammad BazyarFaculty of Health, Health Management and Economics Department, Ilam University of Medical Sciences, Ilam City, Iran. bazyar.mohamad@gmail.com.ORCID 0000-0003-2543-1862

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEconomic sanctions are defined as restrictions imposed by other countries against individuals, groups, or governments of other countries. These sanctions have a detrimental impact on the economies of countries and can also limit access to healthcare services for people as a secondary consequence. This study aims to systematically review the literature to examine the direct and indirect effects of economic sanctions on health through a narrative synthesis.

methodsThis systematic literature review was limited to papers published between January 1990 and July 2023. Relevant documents published in English and Persian were searched for in databases including Cochrane Library, PubMed, Embase, Scopus, Web of Science, SID, Magiran, and Irandoc. The direct and indirect effects of sanctions on health were classified using two frameworks proposed by the World Health Organization (WHO): the Health System Building Blocks and "Social Determinants of Health".

resultsOut of a total of 18,219 articles, 59 were selected based on inclusion criteria. The effects of sanctions were divided into direct and indirect groups. Direct effects encompassed seven main themes: access to essential medicine, medical products, vaccines and technologies; financing; health workforce; service delivery; research and health information systems; health outcomes; and financial risk protection. Indirect effects also were classified into six main themes: socioeconomic status; food and agricultural products; stress; early life conditions; high-risk behaviors and addiction; and transport. Most studies focused on the access to medicines, food, economic and social status.

conclusionsEconomic sanctions have had profoundly negative impacts on all aspects of the healthcare system. The international community must address these effects on health and take necessary measures to prevent or mitigate them, particularly in ensuring the provision of basic and essential healthcare needs for individuals and communities.

Indexed as

Health Services AccessibilityDelivery of Health CareHumansSocial Determinants of HealthEconomic sanctionsHealth systemSocial determinants of healthSystematic review

Identifiers

PMID39154171
PMCPMC11330615

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.