Mosley Elizabeth A, Ayala Sequoia, Jah Zainab, Hailstorks Tiffany, Dixon Diallo Dázon, Hernandez Natalie, Jackson Kwajelyn, Hairston Indya, Hall Kelli S
Center for Reproductive Health Research in the Southeast (RISE), Emory University School of Public Health, Atlanta, GA, United States.
SisterLove, Inc., Atlanta, GA, United States.
Front Glob Womens Health. 2022 Aug 12;3:969182. doi: 10.3389/fgwh.2022.969182. eCollection 2022.
While reproductive injustice indicators are improving globally, they are worsening in the United States particularly for Black and other marginalized communities. Eugenics and obstetric violence against low-income and communities of color create well-founded distrust of sexual and reproductive health (SRH). Transformational, reparative ways of conducting SRH research are needed.
PROPOSED PRINCIPLES OF COMMUNITY-LED RESEARCH FOR REPRODUCTIVE JUSTICE: Drawing on our collective experience as reproductive justice leaders, SRH researchers, and clinicians, we propose the following principles of community-led research for reproductive justice: 1) Center the marginalized community members most affected by SRH inequities as leaders of research; 2) Facilitate equitable, collaborative partnership through all phases of SRH research; 3) Honor multiple ways of knowing (experiential, cultural, empirical) for knowledge justice and cross-directional learning across the team; 4) Build on strengths (not deficits) within the community; 5) Implement the tenets of reproductive justice including structural-level analysis and the human rights framework; 6) Prioritize disseminating useful findings to community members first then to other audiences; 7) Take action to address social and reproductive injustices.
SISTERLOVE'S COMMUNITY-LED GEORGIA MEDICATION ABORTION PROJECT: We offer the community-led Georgia Medication Abortion (GAMA) Project by reproductive justice organization SisterLove from 2018-2022 as a case study to demonstrate these principles along with the strengths and challenges of reproductive justice research.
Community-led reproductive justice research offers innovative and transformational methods for truly advancing SRH in an era of increasing policy restrictions and decreasing access to care. Yet existing funding, research administrative, and publishing systems will require structural change.
虽然全球范围内生殖不公正指标正在改善，但在美国却在恶化，尤其是对黑人和其他边缘化社区而言。优生学以及针对低收入和有色人种社区的产科暴力导致对性健康和生殖健康（SRH）产生了有充分根据的不信任。需要采用变革性、修复性的方式开展性健康和生殖健康研究。
借鉴我们作为生殖正义领导者、性健康和生殖健康研究人员及临床医生的集体经验，我们提出以下生殖正义社区主导研究的原则：1）将受性健康和生殖健康不平等影响最大的边缘化社区成员作为研究的领导者；2）在性健康和生殖健康研究的各个阶段促进公平、协作的伙伴关系；3）尊重多种认知方式（经验性、文化性、实证性）以实现知识正义并促进团队内部的交叉学习；4）基于社区的优势（而非不足）开展研究；5）贯彻生殖正义的原则，包括结构性层面分析和人权框架；6）优先向社区成员传播有用的研究结果，然后再向其他受众传播；7）采取行动解决社会和生殖不公正问题。
我们提供由生殖正义组织姐妹之爱于2018年至2022年开展的社区主导的佐治亚州药物流产（GAMA）项目作为案例研究，以展示这些原则以及生殖正义研究的优势和挑战。
在政策限制日益增加且获得医疗服务机会减少的时代，社区主导的生殖正义研究为真正推进性健康和生殖健康提供了创新和变革性方法。然而，现有的资金、研究管理和出版系统需要进行结构性变革。
