Ruiz-Cantero María Teresa, Vives-Cases Carmen, Artazcoz Lucía, Delgado Ana, García Calvente Maria Mar, Miqueo Consuelo, Montero Isabel, Ortiz Rocío, Ronda Elena, Ruiz Isabel, Valls Carme
Area de Medicina Preventiva y Salud Pública, Departamento de Salud Pública, Universidad de Alicante, Apdo 99, 03080-Alicante, Spain.
J Epidemiol Community Health. 2007 Dec;61 Suppl 2(Suppl 2):ii46-53. doi: 10.1136/jech.2007.062034.
The design and analysis of research may cause systematic gender dependent errors to be produced in results because of gender insensitivity or androcentrism. Gender bias in research could be defined as a systematically erroneous gender dependent approach related to social construct, which incorrectly regards women and men as similar/different. Most gender bias can be found in the context of discovery (development of hypotheses), but it has also been found in the context of justification (methodological process), which must be improved. In fact, one of the main effects of gender bias in research is partial or incorrect knowledge in the results, which are systematically different from the real values. This paper discusses some forms of conceptual and methodological bias that may affect women's health. It proposes a framework to analyse gender bias in the design and analysis of research carried out on women's and men's health problems, and on specific women's health issues. Using examples, the framework aims to show the different theoretical perspectives in a social or clinical research context where forms of selection, measurement and confounding bias are produced as a result of gender insensitivity. Finally, this paper underlines the importance of re-examining results so that they may be reinterpreted to produce new gender based knowledge.
由于对性别不敏感或男性中心主义,研究的设计和分析可能会导致结果中出现系统性的性别相关误差。研究中的性别偏见可定义为一种与社会建构相关的系统性错误的性别相关方法,该方法错误地将女性和男性视为相似/不同。大多数性别偏见存在于发现阶段(假设的形成),但在论证阶段(方法学过程)也有发现,这一点必须改进。事实上,研究中性别偏见的主要影响之一是结果中的部分或错误知识,这些结果与实际值存在系统性差异。本文讨论了一些可能影响女性健康的概念和方法学偏见形式。它提出了一个框架,用于分析在针对女性和男性健康问题以及特定女性健康问题开展的研究的设计和分析中的性别偏见。通过实例,该框架旨在展示社会或临床研究背景下的不同理论视角,在这种背景下,由于对性别不敏感会产生选择、测量和混杂偏倚等形式。最后,本文强调了重新审视结果的重要性,以便对其进行重新解释以产生基于性别的新知识。