Medical Anthropology Research Center, Rovira i Virgili University, Tarragona, Spain
Medical Anthropology Research Center, Rovira i Virgili University, Tarragona, Spain.
BMJ Glob Health. 2021 Apr;6(4). doi: 10.1136/bmjgh-2021-005237.
Structural and intercultural competence approaches have been widely applied to fields such as medical training, healthcare practice, healthcare policies and health promotion. Nevertheless, their systematic implementation in epidemiological research is absent. Based on a scoping review and a qualitative analysis, in this article we propose a checklist to assess cultural and structural competence in epidemiological research: the Structural and Intercultural Competence for Epidemiological Studies guidelines. These guidelines are organised as a checklist of 22 items and consider four dimensions of competence (awareness and reflexivity, cultural and structural validation, cultural and structural sensitivity, and cultural and structural representativeness), which are applied to the different stages of epidemiological research: (1) research team building and research questions; (2) study design, participant recruitment, data collection and data analysis; and (3) dissemination. These are the first guidelines addressing structural and cultural competence in epidemiological inquiry.
结构和跨文化能力方法已广泛应用于医学培训、医疗实践、医疗政策和健康促进等领域。然而，它们在流行病学研究中的系统实施尚不存在。基于范围综述和定性分析，本文提出了一个用于评估流行病学研究中文化和结构能力的检查表：流行病学研究的结构和跨文化能力指南。这些指南以 22 项检查表的形式组织，并考虑了能力的四个维度（意识和反思、文化和结构验证、文化和结构敏感性以及文化和结构代表性），适用于流行病学研究的不同阶段：（1）研究团队建设和研究问题；（2）研究设计、参与者招募、数据收集和数据分析；（3）传播。这些是首批针对流行病学探究中的结构和文化能力的指南。
