Salami Bukola, Bharwani Aleem, Johnson Nicole, Ladha Tehseen, Hart Michael, Dixit Jaya, Benseler Susanne
Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta.
Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta.
Paediatr Child Health. 2024 Jun 28;30(2):73-77. doi: 10.1093/pch/pxae033. eCollection 2025 May.
Child health inequities persist in Canada, particularly among sovereignty-deserving First Nations, Métis and Inuit groups and equity-deserving communities. We argue for a fundamental shift in research to remedy these inequities, via an intersectional lens that highlights how social identities and systems of power contribute to disparities. Specifically, we suggest (a) integrating intersectionality, from research conceptualization to results dissemination; (b) respectfully and reciprocally engaging with communities; (c) respectfully collecting and reporting data; (d) recognizing and explicating the diversity within social categories; (e) applying intersectional analytical approaches, and (f) using diverse, participatory and inclusive dissemination strategies. We further underscore the importance of researchers acknowledging their positionalities and their role in promoting reflexivity, as well as using equity, diversity and inclusion principles throughout the research process. We call for a collective commitment to adopt intersectional and EDI approaches in paediatric research, paving the way towards a more equitable health landscape for all children.
加拿大儿童健康不平等现象依然存在,尤其是在应享有主权的第一民族、梅蒂斯人和因纽特群体以及应享有公平待遇的社区中。我们主张通过一个交叉视角来实现研究的根本转变,以纠正这些不平等现象,该视角突出了社会身份和权力体系如何导致差异。具体而言,我们建议:(a) 从研究概念化到结果传播,整合交叉性;(b) 以尊重和互惠的方式与社区互动;(c) 以尊重的态度收集和报告数据;(d) 认识并阐明社会类别中的多样性;(e) 应用交叉性分析方法;以及(f) 使用多样化、参与性和包容性的传播策略。我们进一步强调研究人员认识到自己的立场及其在促进反思性方面的作用的重要性,以及在整个研究过程中运用公平、多样性和包容性原则的重要性。我们呼吁集体承诺在儿科研究中采用交叉性和公平、多样性与包容性方法,为所有儿童创造更公平的健康环境铺平道路。