Evidence map›Paper›PMID 41267106›Full record

SynthesisInternational journal for equity in health2025

Overcoming health misinformation in marginalized groups: a systematic review.

Charles Senteio, Sheldon D Fields, Ranjit Kaur Pritam Singh, Regina Mariam Namata Kamoga, Emma Andrews, Dana Gandsman, Candida Halton, Veronika Rysinova, Sally Snow

Abstract readSystematic Review
In one paragraph

Synthesis in International journal for equity in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Community participation in responding to health misinformation.International journal for equity in health · 2026
    Article
  3. Article
  4. 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

9 authors.

Charles SenteioDepartment of Library and Information Science, School of Communication and Information, Rutgers University, New Brunswick, NJ, USA.ORCID 0000-0002-0254-3127
Sheldon D FieldsRoss and Carol Nese College of Nursing, The Pennsylvania State University, University Park, Pennsylvania, PA, USA.ORCID 0000-0002-5657-7920
Ranjit Kaur Pritam SinghAsia Pacific Oncology Alliance, Kuala Lumpur, Malaysia.ORCID 0000-0002-7498-8934
Regina Mariam Namata KamogaCommunity Health and Information Network (CHAIN), Kampala, Uganda.
Emma AndrewsPfizer Inc., New York, NY, USA.
Dana GandsmanPfizer Inc., New York, NY, USA.
Candida HaltonStudio Health, London, UK.ORCID 0009-0000-0298-0186
Veronika RysinovaStudio Health, London, UK.ORCID 0009-0006-8838-9517
Sally SnowStudio Health, London, UK. sally@studio-health.com.ORCID 0009-0008-2190-8188

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMarginalized populations experience persistent health disparities that may be exacerbated by exposure to health misinformation. This systematic review aimed to identify interventions designed to address health misinformation in marginalized populations and characterize their effectiveness for changing health beliefs, intentions or behaviors.

methodsMedline, Embase, PsycINFO and Web of Science Core Collection were searched from inception to January 2025, with additional hand-searching of journals and citations. All studies were assessed for eligibility by two reviewers. Quantitative, qualitative, or mixed-method studies were eligible if they aimed to address health misinformation in a marginalized population and reported an outcome relating to health beliefs, intentions or behaviors. Studies that focused only on program design or engagement, and those lacking outcome data, were excluded. The Effective Public Health Practice Project Quality Assessment Tool and the National Institute for Health and Care Excellence Quality Appraisal Checklist were used to assess study quality and risk of bias. Findings were described through narrative synthesis.

resultsThirty-two studies met eligibility criteria; seven were assessed as moderate quality, 25 as weak. Studies were classified based on intervention components: message-focused (n = 17); capacity- or trust-building (n = 6); or both (n = 9). Studies of message-focused interventions provided moderate-to-low quality evidence for use of pre/debunking to change misinformation beliefs and to increase intentions to comply with recommended health behaviors. Sixteen studies included community engagement in design, and 14 were delivered by community members; early community participation in ideation, design or delivery was reported to improve engagement and trust in health information, contributing to intervention efficacy. However, most studies had limitations in randomization, blinding, and outcome measurement.

conclusionEvidence on interventions to overcome health misinformation in marginalized populations remains limited and generally weak. Debunking and prebunking approaches show promise in changing health beliefs and intentions in some marginalized groups. Representatives from marginalized populations should be routinely involved in design, delivery and evaluation of such interventions. REGISTRATION: The protocol and search strategy were registered and published in the PROSPERO International Prospective Register of Systematic Reviews (CRD42024550534).

Indexed as

CommunicationSocial MarginalizationHumansCommunity-based participatory researchLow-income populationMarginalized populationMisinformationSystematic review

Identifiers

PMID41267106
PMCPMC12636185

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.