Aggarwal Monica, Wong Sabrina T
Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
University of British Columbia, Centre for Health Services and Policy Research and School of Nursing, Vancouver, Canada.
Lancet Reg Health Am. 2024 Aug 12;38:100848. doi: 10.1016/j.lana.2024.100848. eCollection 2024 Oct.
Existing literature overlooks the role of gender and race on research productivity, particularly in the context of primary care research. This study examines how gender and race influence the research productivity of primary care researchers in Canada, addressing a gap in existing literature.
Qualitative, descriptive methods were used, involving 60-min interviews with 23 Canadian primary care researchers. 13 participants were female (57%) and 10 participants (43%) were male. Fourteen participants were White (non-racialized; 61%), 8 were racialized (35%) and 1 did not comment on race (4%). Reflexive thematic analysis captured participant perceptions of factors influencing research productivity, including individual, professional, institutional, and systemic aspects.
Systemic bias and institutional culture, including racism, sexism, and unconscious biases against racialized women, emerge as key barriers to research productivity. The parenting life stage further compounds these biases. Barriers include lack of representation in faculty roles, toxic work environments, research productivity metrics, and exclusion by colleagues. Participants indicated that institutional reforms and systemic interventions are needed to foster a diverse, equitable, and inclusive environment. Strategies include recruiting equity-focused leaders, increasing representation of racialized female faculty, diversity training, mentorship programs, providing meaningful support, flexible work arrangements, and protected research time. Sponsors can offer more targeted grants for female and racialized researchers. Adjusting metrics for gender, race, parenthood, and collaborative metrics is proposed to enhance diversity and inclusion among researchers.
This study underscores the importance of addressing systemic bias at institutional and systemic levels to create a fair and supportive environment for primary care researchers. A multitude of strategies are needed including increasing representation of racialized female faculty, creating supportive and psychologically safe work environments, and public reporting of data on faculty composition for accreditation and funding decisions. Together, these strategies can alleviate the triple whammy and free these researchers from the - the absurdity of being asked to climb a hill while pushing a boulder with no hope of reaching the top.
College of Family Physicians of Canada.
现有文献忽视了性别和种族对研究生产力的影响，尤其是在初级保健研究的背景下。本研究探讨性别和种族如何影响加拿大初级保健研究人员的研究生产力，填补现有文献中的空白。
采用定性、描述性方法，对23名加拿大初级保健研究人员进行了60分钟的访谈。13名参与者为女性（57%），10名参与者（43%）为男性。14名参与者为白人（非种族化；61%），8名是种族化的（35%），1名未对种族发表评论（4%）。反思性主题分析捕捉了参与者对影响研究生产力因素的看法，包括个人、专业、机构和系统层面。
系统性偏见和机构文化，包括种族主义、性别歧视以及对种族化女性的无意识偏见，成为研究生产力的关键障碍。育儿生活阶段进一步加剧了这些偏见。障碍包括在教师角色中缺乏代表性、恶劣的工作环境、研究生产力指标以及被同事排斥。参与者表示，需要进行机构改革和系统性干预，以营造一个多元化、公平和包容的环境。策略包括招聘注重公平的领导者、增加种族化女性教师的代表性、开展多样性培训、建立指导计划、提供有意义的支持、灵活的工作安排以及受保护的研究时间。资助者可以为女性和种族化研究人员提供更有针对性的资助。建议调整针对性别、种族、育儿状况和合作情况的指标，以提高研究人员的多样性和包容性。
本研究强调了在机构和系统层面解决系统性偏见的重要性，以便为初级保健研究人员创造一个公平且支持性的环境。需要多种策略，包括增加种族化女性教师的代表性、营造支持性和心理安全的工作环境，以及公开报告教师构成数据以供认证和资助决策参考。这些策略共同作用，可以减轻这三重打击，使这些研究人员摆脱那种——被要求一边推着巨石爬山一边却毫无登顶希望的荒谬处境。
加拿大家庭医生学院。
