Gonsalves Gregg S
Department of Epidemiology of Microbial Diseases, Public Health Modeling Unit, Yale School of Public Health, 350 George Street, Ste 3rd Floor, New Haven, CT, 06511, USA.
Int J Equity Health. 2025 Jun 10;24(1):167. doi: 10.1186/s12939-025-02537-9.
This is a commentary on Reisner et al's Analyzing multiple types of discrimination using implicit and explicit measures, comparing target vs. Dominant groups, in a study of smoking/vaping among community health center members in Boston, Massachusetts (2020-2022). This manuscript is a study of the intersection of multiple forms of discrimination-racism, sexism, heterosexism, cissexism, ageism, and sizeism-and measures of implicit and explicit bias in the context of current smoking and vaping behavior among patients from targeted versus dominant groups at community health centers in Boston, Massachusetts (USA) from 2020 to 2022. The authors used logistic regression to assess smoking and vaping behavior with each type of discrimination, and then extended this analysis employing a meta-regression approach to better understand relationships across all types of discrimination under consideration in their study. Recently, the grant from the US National Institutes of Health, which supported this research was terminated in progress for ideological reasons by the current US administration under President Donald J. Trump for simply focusing on discrimination. While this study was among the first to be terminated by the Trump administration, hundreds of grants from the NIH and other US research funders have been cancelled in the first half of 2025. Reisner et al's paper is an important piece of research, but it represents the start of a sophisticated inquiry into discrimination and bias, and future work by this team and in this area of research is necessary and sadly, now impossible to do with federal scientific funding. Work on discrimination and bias has always faced obstacles, but the scope and scale of attacks on science in the US require all scientists to push back against this censorship and political interference in the funding and conduct of research.
这是一篇对赖斯纳等人所著《在马萨诸塞州波士顿社区卫生中心成员吸烟/吸电子烟研究中使用隐性和显性测量方法分析多种歧视类型,比较目标群体与优势群体》(2020 - 2022年)的评论。该手稿研究了多种形式的歧视——种族主义、性别歧视、异性恋歧视、顺性别歧视、年龄歧视和体型歧视——与隐性和显性偏见测量之间的交叉情况,研究背景是2020年至2022年美国马萨诸塞州波士顿社区卫生中心目标群体与优势群体患者当前的吸烟和吸电子烟行为。作者使用逻辑回归评估每种歧视类型与吸烟和吸电子烟行为的关系,然后采用元回归方法扩展该分析,以更好地理解其研究中所考虑的所有歧视类型之间的关系。最近,支持这项研究的美国国立卫生研究院的资助因意识形态原因在进行过程中被现任美国总统唐纳德·J·特朗普领导的美国政府终止,仅仅因为该研究关注了歧视问题。虽然这项研究是特朗普政府最早终止的研究之一,但在2025年上半年,美国国立卫生研究院和其他美国研究资助者的数百项资助已被取消。赖斯纳等人的论文是一项重要的研究,但它只是对歧视和偏见进行深入探究的开端,该团队以及这一研究领域的未来工作是必要的,然而遗憾的是,现在无法通过联邦科学资助来开展了。关于歧视和偏见的研究一直面临障碍,但美国对科学攻击的范围和规模要求所有科学家抵制这种对研究资助和开展的审查及政治干预。