Gibbons Agatha Elizabeth, Pedlar Charles, Varner Hemi Keakaokawai, Bruinvels Georgie, Hamilton Bruce, Thorpe Holly
Te Huataki Waiora - School of Health, Division of Health, Engineering, Computing & Science, Department of Social Physical and Health Education, The University of Waikato, Hamilton, New Zealand
St Mary's University Twickenham Faculty of Sport Allied Health and Performance Sciences, Twickenham, UK.
Br J Sports Med. 2024 Apr 2;58(8):435-443. doi: 10.1136/bjsports-2023-107449.
This study aims to investigate how athlete ethnicity is discussed in the inclusion and exclusion criteria, methodology, findings, and conclusions of research focused on menstrual health in sports science and medicine.
A scoping review of sports-based research conducted on athletes related to (1) menstrual health and ethnicity, (2) how researchers include/exclude participants based on ethnicity and (3) how ethnicity is discussed.
Electronic search of PubMed and ProQuest.
Articles were included if they met the following criteria: (1) published before September 2023, (2) published in peer-reviewed journals, (3) participants were women athletes, (4) published in English and (5) relating to menstrual health. Articles were assessed as good, fair or poor quality using the Inclusion of Participant Ethnicity Quality Assessment Criteria.
From the 1089 studies available from the initial database search, 55 studies considered ethnicity. Nine studies met the inclusion criteria and were assessed as either good (22%), fair (44%) or poor (33%) in quality in their consideration of athlete ethnicity. 81% of research articles on menstrual health in sports do not consider athlete ethnicity, and when ethnicity is discussed, it rarely meets the criteria for cultural safety in the research process. Most studies did not factor ethnicity into the analysis and lacked cultural considerations in the research design and interventions.
More careful inclusion of ethnicity in sports menstrual health-related research and recognition of social and cultural influences on health and research outcomes for indigenous and other ethnic minority groups is needed. Such research is required to support coaches, medical personnel and support staff in designing culturally safe environments for sportswomen from diverse cultural and ethnic backgrounds.
本研究旨在探讨在体育科学与医学领域中，聚焦于月经健康的研究的纳入与排除标准、方法、研究结果及结论中，是如何讨论运动员种族问题的。
对基于运动员开展的与（1）月经健康和种族、（2）研究人员如何基于种族纳入/排除参与者以及（3）如何讨论种族相关的体育研究进行范围综述。
对PubMed和ProQuest进行电子检索。
符合以下标准的文章被纳入：（1）2023年9月之前发表；（2）发表于同行评审期刊；（3）参与者为女性运动员；（4）以英文发表；（5）与月经健康相关。使用参与者种族纳入质量评估标准将文章评定为高质量、中等质量或低质量。
从初始数据库搜索得到的1089项研究中，55项研究考虑了种族因素。9项研究符合纳入标准，在对运动员种族的考量方面，质量评定为高质量（22%）、中等质量（44%）或低质量（33%）。81%关于体育领域月经健康的研究文章未考虑运动员种族，且在讨论种族问题时，在研究过程中很少符合文化安全标准。大多数研究在分析中未将种族因素纳入考量，在研究设计和干预措施中缺乏文化方面的考虑。
在与体育月经健康相关的研究中，需要更谨慎地纳入种族因素，并认识到社会和文化对本土及其他少数民族群体健康及研究结果的影响。此类研究对于支持教练、医务人员和辅助人员为来自不同文化和种族背景的女运动员设计文化安全的环境是必要的。
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