Corbie-Smith Giselle, Henderson Gail, Blumenthal Connie, Dorrance Jessica, Estroff Sue
Department of Social Medicine, School of Medicine, University of North Carolina at Chapel Hill, 27599, USA.
J Natl Med Assoc. 2008 Oct;100(10):1235-43. doi: 10.1016/s0027-9684(15)31470-x.
The use of race as a variable in research continues to spark debate about whether it should be used, as well as the implications it has for research on health differences. Given this continued controversy, we examined how investigators interpret the concept of "race" and whether their views of race are reflected in their published work.
Thirty-three semistructured interviews were conducted with investigators from 3 southeastern universities to discuss recruitment of participants, the use of race as a variable in research and analyses, and their assessment of the National Institutes of Health mandate on the inclusion of women and minorities. The interview data were analyzed using the principles of constant comparative method, theme identification and pattern investigation. Up to 2 publications for each respondent were also used to assess the use of race in their research.
Results reflect a spectrum of views on the definition of race, from biological to social. Findings also suggest that investigators think critically about the use and implications of using race in their research, although this is not consistently reflected in their published work.
In our view, authors, journal editors and peer reviewers have an important role in moving this debate forward, and advocate that they engage more directly in shaping the process. When reporting results by race, investigators should provide a statement on the theory or conceptual framework underlying the hypothesized racial differences in health examined in the study. They should be also cautious in invoking either biological or social constructions of race, thus demonstrating an appreciation of the nuances and implications of using this variable.
在研究中使用种族作为一个变量,持续引发了关于是否应该使用它的争论,以及它对健康差异研究的影响。鉴于这种持续的争议,我们研究了研究人员如何解释“种族”的概念,以及他们对种族的看法是否反映在他们发表的作品中。
对来自三所东南部大学的研究人员进行了33次半结构化访谈,讨论参与者的招募、在研究和分析中使用种族作为变量,以及他们对美国国立卫生研究院关于纳入女性和少数群体的指令的评估。访谈数据采用持续比较法、主题识别和模式调查的原则进行分析。还使用了每位受访者最多两篇的出版物来评估他们研究中对种族的使用情况。
结果反映了对种族定义的一系列观点,从生物学观点到社会观点。研究结果还表明,研究人员会批判性地思考在他们的研究中使用种族的情况及其影响,尽管这在他们发表的作品中并未始终得到体现。
在我们看来,作者、期刊编辑和同行评审员在推动这场辩论方面发挥着重要作用,并主张他们更直接地参与塑造这一过程。当按种族报告结果时,研究人员应该就研究中所考察的健康方面假设的种族差异背后的理论或概念框架发表一份声明。他们在援引种族的生物学或社会建构时也应该谨慎,从而表明对使用这个变量的细微差别和影响的理解。