Table 2.
Risk of bias assessment.
| Analytical cross-sectional studies | Quiroz-Vergara JC, et al.29 | Andrade DL, et al.23 | Kurizky PS, et al.24 | Lopes N, et al.30 | Ferreira CN, et al.31 | Kivelevitch DN, et al.28 | DiBonaventura M, et al.15 | Mazzuoccoloa LD, et al.32 |
|---|---|---|---|---|---|---|---|---|
| Were the criteria for inclusion in the sample clearly defined? | ![]() |
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| Were the study subjects and the setting described in detail? | ![]() |
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| Was the exposure measured in a valid and reliable way? | ![]() |
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| Were objective, standard criteria used for measurement of the condition? | ![]() |
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| Were confounding factors identified? | ![]() |
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| Were strategies to deal with confounding factors stated? | ![]() |
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| Were the outcomes measured in a valid and reliable way? | ![]() |
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| Was appropriate statistical analysis used? | ![]() |
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| Descriptive cross-sectional studies | Rada JR, et al.18 | Figueroa P, et al.19 | Úsuga F, et al.14 | Lopes N, et al.6 | Lopes LC, et al.17 | Silveira MSN, et al.33 | Gonçalves LMT, et al.21 | Lopes N, et al.16 |
|---|---|---|---|---|---|---|---|---|
| Was the sample frame appropriate to address the target population? | ![]() |
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| Were study participants sampled in an appropriate way? | ![]() |
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| Was the sample size adequate? | ![]() |
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| Were the study subjects and the setting described in detail? | ![]() |
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| Was the data analysis conducted with sufficient coverage of the identified sample? | ![]() |
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| Were valid methods used for the identification of the condition? | ![]() |
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| Was the condition measured in a standard, reliable way for all participants? | ![]() |
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| Was there appropriate statistical analysis? | ![]() |
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| Was the response rate adequate, and if not, was the low response rate managed appropriately? | ![]() |
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| Cohort studies | Araujo KM, et al.26 | Cataño J, et al.20 |
|---|---|---|
| Were the two groups similar and recruited from the same population? | ![]() |
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| Were the exposures measured similarly to assign people to both exposed and unexposed groups? | ![]() |
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| Was the exposure measured in a valid and reliable way? | ![]() |
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| Were confounding factors identified? | ![]() |
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| Were strategies to deal with confounding factors stated? | ![]() |
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| Were the groups/participants free of the outcome at the start of the study (or at the moment of exposure)? | ![]() |
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| Were the outcomes measured in a valid and reliable way? | ![]() |
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| Was the follow up time reported and sufficient to be long enough for outcomes to occur? | ![]() |
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| Was follow up complete, and if not, were the reasons to loss to follow up described and explored? | ![]() |
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| Were strategies to address incomplete follow up utilized? | ![]() |
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| Was appropriate statistical analysis used? | ![]() |
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| Meta-analysis | Maza, RGC.7 |
|---|---|
| Is the review question clearly and explicitly stated? | ![]() |
| Were the inclusion criteria appropriate for the review question? | ![]() |
| Was the search strategy appropriate? | ![]() |
| Were the sources and resources used to search for studies adequate? | ![]() |
| Were the criteria for appraising studies appropriate? | ![]() |
| Was critical appraisal conducted by two or more reviewers independently? | ![]() |
| Were there methods to minimize errors in data extraction? | ![]() |
| Were the methods used to combine studies appropriate? | ![]() |
| Was the likelihood of publication bias assessed? | ![]() |
| Were recommendations for policy and/or practice supported by the reported data? | ![]() |
| Were the specific directives for new research appropriate? | ![]() |



