Words Do Matter: Improving Surgical Research Through Appropriate Use of Sex, Gender, Race, and Ethnicity Terminology.

Words Do Matter: Improving Surgical Research Through Appropriate Use of Sex, Gender, Race, and Ethnicity Terminology.
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词语确实很重要:通过适当使用性、性别、种族和民族术语来改进外科研究。

DOI:
10.1016/j.jamcollsurg.2021.05.022
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发表时间:
2021
影响因子:
5.2
通讯作者:
Pitt,SusanC
Pitt,SusanC
中科院分区:
医学2区
文献类型:
--
作者:
Pitt,SusanC

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研究是一个收集和分析数据以发现新知识的系统过程。无论使用哪种方法,数据收集都必须结构化、有条不紊、有组织、有计划,以确保有效、可靠的结果,其他研究人员可以复制,最终用户可以依靠,做出有意义的改变。在《关于外科研究中性别、种族和民族分类的行动呼吁》中,Nahmias博士和来自东部创伤外科协会(EAST)的同事强调了准确和系统地测量性别、性别、种族和民族的至关重要,以改进外科文献中的报告。1在外科和跨研究领域,这些术语经常互换使用,定义不明确,或者根本没有定义。作者引用了“缺乏按性别和性别分层的高质量数据”,以及缺乏任何区分性别和性别的外科数据库。简而言之,性并不等同于性别。种族不等同于种族。这就是那么简单。还是真的是这样?在一个性别流动的现代文化中,性别符号象形文字已经从两个符号(女性用圆圈和十字,男性用圆圈和箭头)变成了30多个不同的符号,只是不再那么简单或容易了。为了改进性别、性别、种族和民族的测量和报告,作者对外科研究人员提出了几点建议:
Research is a systematic process that collects and analyzes data to discover new knowledge. Regardless of the methodology used, data collection must be structured, methodical, organized, and well-planned to ensure valid, reliable results that other researchers can replicate and end-users can rely on to make meaningful change. In “A call to action on the categorization of sex, gender, race and ethnicity in surgical research,” Dr Nahmias and colleagues from the Eastern Association for the Surgery of Trauma (EAST) highlight the vital importance of accurately and methodically measuring sex, gender, race, and ethnicity to improve reporting in the surgical literature. 1 In surgery and across research fields, these terms are often used interchangeably, are ill-defined, or are not defined at all. The authors cite the “paucity of high-quality data stratified by sex and gender” and the lack of any surgical database that differentiates sex from gender. Put simply, sex is not the same as gender. Race is not the same as ethnicity. It is just that easy. Or is it? In a modern culture, where gender fluidity exists and the gender symbol pictogram has gone from 2 symbols (with a circle and cross for female and circle and arrow for male) to over 30 different symbols, it is just not that simple or easy anymore. In order to improve the measurement and reporting of sex, gender, race, and ethnicity, the authors make several suggestions for surgical researchers: