Accountability in promoting representation of historically marginalized racial and ethnic populations in the eating disorders field: A call to action.

Accountability in promoting representation of historically marginalized racial and ethnic populations in the eating disorders field: A call to action.
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DOI:
10.1002/eat.23682
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发表时间:
2022-04
影响因子:
5.5
通讯作者:
Graham, Andrea K.
Graham, Andrea K.
中科院分区:
医学2区
文献类型:
--
作者:
Goel, Neha J.;Jennings Mathis, Karen;Egbert, Amy H.;Petterway, Felicia;Breithaupt, Lauren;Eddy, Kamryn T.;Franko, Debra L.;Graham, Andrea K.

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促进历史上被边缘化的种族和民族人口在饮食失调(ED)领域的专业人员和研究和服务的人口的代表性已经讨论了很久,进展有限。这可能是由于一个强化的反馈回路,其中来自主流文化的个人进行研究和提供治疗,参与研究,并接受诊断和治疗。这种孤立性维持了代表性不足:在历史上被边缘化的人群中,ED研究不足,未被发现,治疗不足。早期职业调查员研讨会提出了一些改革建议,这些建议本身并不新颖,但显然缺乏问责制。本文件呼吁采取行动,在艾德领域率先实现从平等到公平的范式转变。我们提供了一个理论框架,建议如何破坏反馈回路,并总结了可操作的步骤,以增加问责制的艾德领导和研究,以提高种族/民族正义,公平,多样性和包容性(JEDI)。这些可操作的步骤概述了挑战我们的领域,以反映我们全球社会的多样性。我们必须制定和实施可衡量的指标,以评估我们在增加代表性不足的种族/民族群体的多样性方面取得的进展,并解决我们的供应商,患者和研究参与者的JEDI问题。
Promoting representation of historically marginalized racial and ethnic populations in the eating disorders (EDs) field among professionals and the populations studied and served has long been discussed, with limited progress. This may be due to a reinforcing feedback loop in which individuals from dominant cultures conduct research and deliver treatment, participate in research, and receive diagnoses and treatment. This insularity maintains underrepresentation: EDs in historically marginalized populations are understudied, undetected, and undertreated. An Early Career Investigators Workshop generated recommendations for change that were not inherently novel but made apparent that accountability is missing. This paper serves as a call to action to spearhead a paradigm shift from equality to equity in the ED field. We provide a theoretical framework, suggest ways to disrupt the feedback loop, and summarize actionable steps to increase accountability in ED leadership and research toward enhancing racial/ethnic justice, equity, diversity, and inclusion (JEDI). These actionable steps are outlined in the service of challenging our field to reflect the diversity of our global community. We must develop and implement measurable metrics to assess our progress toward increasing diversity of underrepresented racial/ethnic groups and to address JEDI issues in our providers, patients, and research participants.
DOI: 10.1002/eat.23371
发表时间: 2020-10
期刊: The International journal of eating disorders
影响因子: --
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