Centre of Excellence for Women's Health, Vancouver, BC V6H 3N1, Canada.
School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.
Int J Environ Res Public Health. 2022 Feb 23;19(5):2563. doi: 10.3390/ijerph19052563.
Including sex and gender considerations in health research is considered essential by many funders and is very useful for policy makers, program developers, clinicians, consumers and other end users. While longstanding confusions and conflations of terminology in the sex and gender field are well documented, newer conceptual confusions and conflations continue to emerge. Contemporary social demands for improved health and equity, as well as increased interest in precision healthcare and medicine, have made obvious the need for sex and gender science, sex and gender-based analyses (SGBA+), considerations of intersectionality, and equity, diversity and inclusion initiatives (EDI) to broaden representation among participants and diversify research agendas. But without a shared and precise understanding of these conceptual areas, fields of study, and approaches and their inter-relationships, more conflation and confusion can occur. This article sets out these areas and argues for more precise operationalization of sex- and gender-related factors in health research and policy initiatives in order to advance these varied agendas in mutually supportive ways.
将性别因素纳入健康研究被许多资助者视为至关重要的,并且对于政策制定者、项目开发者、临床医生、消费者和其他最终用户都非常有用。尽管在性别领域中长期存在术语混淆和混淆的情况,但新的概念混淆和混淆仍在不断出现。当代社会对改善健康和公平的需求,以及对精准医疗和医学的兴趣增加,使得性和性别科学、基于性和性别的分析(SGBA+)、交叉性考虑以及公平、多样性和包容性倡议(EDI)的必要性变得显而易见,这些倡议旨在扩大参与者的代表性并使研究议程多样化。但是,如果没有对这些概念领域、研究领域以及方法及其相互关系的共同和准确理解,就可能会出现更多的混淆和混乱。本文阐述了这些领域,并主张在健康研究和政策举措中更精确地操作与性和性别相关的因素,以便以相互支持的方式推进这些多样化的议程。