Chukwueke Ugonma N, Vera Elizabeth, Acquaye Alvina, Hervey-Jumper Shawn L, Odia Yazmin, Klesse Laura J, Dunbar Erin, Sharma Akanksha, Fonkem Ekokobe, Thomas Alissa A, Werbowetski-Ogilvie Tamra E, Camelo-Piragua Sandra, Gatson Na Tosha N, de la Fuente Macarena I, Armstrong Terri S, Porter Alyx B, Jackson Sadhana
Division of Neuro-Oncology, Dana-Farber Cancer Institute, Department of Neurology, Harvard Medical School, Boston, Massachusetts, USA.
Neuro-Oncology Branch, National Cancer Institute, National Institute of Health, Bethesda, Maryland, USA.
Neuro Oncol. 2021 Nov 2;23(11):1845-1858. doi: 10.1093/neuonc/noab172.
Neuro-oncology has grown tremendously since 2010, marked by increasing society membership, specialized clinical expertise, and new journals. Yet, modest improvement in racial/ethnic diversity amongst clinical trial participants, researchers, and clinicians led us to conduct a survey to identify opportunities to enhance diversity and inclusiveness amongst neuro-oncology professionals.
In summer 2020, the Women and Diversity Committee of the Society for Neuro-Oncology (SNO) distributed an anonymous online survey to members and affiliates including the European Association of Neuro-Oncology (EANO), Asian Society for Neuro-Oncology (ASNO), Society for Neuro-Oncology Latin America (SNOLA) and Society for Neuro-Oncology Sub-Saharan Africa (SNOSSA). The survey captured personal and professional characteristics, biases, effective mentorship qualities, career service metrics, and suggested field/society changes. Results were analyzed by geography, profession, age, racial/ethnic, and sexual identity. Standard descriptive statistics characterized the study population.
The 386 respondents were predominantly female (58%) with a median age range of 40-49 years (31%), White (65%), and SNO members (97%). Most worked in North America (77%) in a research profession (67%). A majority of White respondents reported never experiencing biases (64%), while the majority of non-White respondents reported unconscious biases/microaggressions, followed by a lack of/limited mentorship. Qualitative assessments showcased that personal/professional success metrics were linked to needed improvements in diversity and inclusion efforts within the neuro-oncology field.
The prevalence of racial/ethnic biases and poor mentorship rates amongst underrepresented groups in neuro-oncology is high and potentially linked to the limited diverse representation amongst members and affiliates. These findings warrant a swift implementation of equity and inclusion practices within the neuro-oncology field.
自2010年以来,神经肿瘤学发展迅速,表现为学会会员增加、专业临床专业知识涌现以及新期刊的出现。然而,临床试验参与者、研究人员和临床医生的种族/民族多样性改善有限,这促使我们开展一项调查,以确定增强神经肿瘤学专业人员多样性和包容性的机会。
2020年夏季,神经肿瘤学会(SNO)的女性与多样性委员会向包括欧洲神经肿瘤协会(EANO)、亚洲神经肿瘤协会(ASNO)、拉丁美洲神经肿瘤学会(SNOLA)和撒哈拉以南非洲神经肿瘤学会(SNOSSA)在内的会员和附属机构分发了一份匿名在线调查问卷。该调查收集了个人和职业特征、偏见、有效的指导品质、职业服务指标,并征求了对该领域/学会变革的建议。结果按地理区域、职业、年龄、种族/民族和性取向进行了分析。标准描述性统计描述了研究人群的特征。
386名受访者中女性占多数(58%),年龄中位数在40 - 49岁之间(31%),白人占65%,SNO会员占97%。大多数人在北美工作(77%),从事研究职业(67%)。大多数白人受访者表示从未经历过偏见(64%),而大多数非白人受访者表示存在无意识偏见/微侵犯行为,其次是缺乏/有限的指导。定性评估表明,个人/职业成功指标与神经肿瘤学领域在多样性和包容性方面所需的改进相关。
神经肿瘤学领域中代表性不足群体的种族/民族偏见普遍存在,指导率较低,这可能与会员和附属机构中有限的多元化代表性有关。这些发现促使神经肿瘤学领域迅速实施公平和包容措施。