Department of Critical Care Medicine, University of Calgary, Calgary, AB, Canada.
Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada.
Can J Anaesth. 2024 Sep;71(9):1209-1218. doi: 10.1007/s12630-024-02824-z. Epub 2024 Sep 6.
Equity, Diversity, and Inclusion (EDI) initiatives within critical care research are limited by a lack of resources and inconsistent and rapidly changing language. The Canadian Critical Care Trials Group (CCCTG) is committed to modelling EDI for the critical care community through its programming, communications, protocols, and policies. The objective of developing the EDI glossary of sociodemographic determinants of health described here was to provide a resource for critical care professionals to support broader equity initiatives and to promote education and awareness about inclusive language.
Through literature review, we identified EDI-related sociodemographic determinants of health, defined as sociodemographic factors that are associated with disparities in health care and health outcomes, with a focus on critical care medicine. For each sociodemographic determinant of health, we identified umbrella terms (defined as domains) and subterms/constructs that are related to these domains. We designed the glossary collaboratively with the CCCTG EDI working group, patient and family partnerships committee, and executive committee, which included diverse knowledge users such as researchers, clinicians, and patient and family partners.
We report on 12 sociodemographic determinants of health domains including age, sex, gender, sexuality, race and ethnicity, income, education, employment status, marital status, language, disability, and migration status. Each domain (e.g., sex) contains relevant subterms such as male, female, intersex. For each domain, we provide examples of disparities in health care and health outcomes with a focus on critical care medicine.
This EDI glossary of sociodemographic determinants of health serves as a nonexhaustive resource that may be referenced by critical care researchers, research coordinators, clinicians, and patient and family partners. The glossary is an essential step to raising awareness about inclusive terminology and to fostering and advancing equity in critical care medicine.
危重病研究中的公平、多样性和包容性（EDI）计划受到资源有限以及语言不一致且快速变化的限制。加拿大危重病临床试验组（CCCTG）致力于通过其计划、沟通、协议和政策为危重病社区树立 EDI 模型。本研究旨在制定健康的社会人口决定因素 EDI 词汇表，为危重病专业人员提供资源，以支持更广泛的公平倡议，并促进关于包容性语言的教育和认识。
通过文献回顾，我们确定了与 EDI 相关的健康社会人口决定因素，这些决定因素定义为与医疗保健和健康结果差异相关的社会人口因素，重点是危重病医学。对于每个健康的社会人口决定因素，我们确定了伞状术语（定义为域）和与这些域相关的子术语/结构。我们与 CCCTG EDI 工作组、患者和家庭伙伴关系委员会以及执行委员会合作设计了词汇表，其中包括研究人员、临床医生和患者和家庭伙伴等不同知识用户。
我们报告了 12 个健康社会人口决定因素领域，包括年龄、性别、性别、性取向、种族和民族、收入、教育、就业状况、婚姻状况、语言、残疾和移民状况。每个领域（例如，性别）都包含相关的子术语，如男性、女性、两性人。对于每个领域，我们提供了医疗保健和健康结果差异的示例，重点是危重病医学。
这个健康的社会人口决定因素 EDI 词汇表是一个非详尽的资源，可以由危重病研究人员、研究协调员、临床医生和患者和家庭伙伴参考。词汇表是提高对包容性术语的认识以及促进和推进危重病医学中的公平性的重要步骤。
