健康研究中的性别与性取向：交叉性至关重要。

Sex and gender in health research: intersectionality matters.

作者信息

Subramaniapillai Sivaniya, Am Galea Liisa, Einstein Gillian, de Lange Ann-Marie

机构信息

LREN, Centre for Research in Neurosciences, Department of Clinical Neurosciences, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland; Department of Psychology, University of Oslo, Oslo, Norway.

Centre for Addiction and Mental Health, Toronto, ON, Canada; University of British Columbia, Vancouver, BC, Canada; Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, BC, Canada.

出版信息

Front Neuroendocrinol. 2023 Oct 28:101104. doi: 10.1016/j.yfrne.2023.101104.

DOI:10.1016/j.yfrne.2023.101104

PMID:39492521

Abstract

Research policies aiming to integrate sex and gender in scientific studies are receiving increased attention in academia. Incorporating these policies into health research is essential for improving targeted and equitable healthcare outcomes, by considering both disparities and similarities between individuals relating to sex and gender. Although these efforts are both urgent and critical, only an intersectional approach, which considers broad and multidimensional aspects of an individual's identity, can provide a complete understanding of the factors that impact health. In this commentary, we emphasize that it is crucial to examine how sex and gender intersect with factors such as culture, ethnicity, minority status, and socioeconomic conditions to influence health outcomes. To approach health equity, we must consider disparities linked to both biological and environmental factors, in order to facilitate evidence-based health interventions with tangible impact.

摘要

旨在将性别因素纳入科学研究的政策在学术界正受到越来越多的关注。将这些政策纳入健康研究对于改善有针对性的、公平的医疗保健结果至关重要，因为这需要考虑到个体在性别方面的差异和相似之处。尽管这些努力既紧迫又关键，但只有采用一种交叉性方法，即考虑个体身份的广泛和多维度方面，才能全面理解影响健康的因素。在这篇评论中，我们强调，审视性别因素如何与文化、种族、少数群体地位和社会经济状况等因素相互交织以影响健康结果至关重要。为了实现健康公平，我们必须考虑与生物和环境因素相关的差异，以便推动具有切实影响的循证健康干预措施。