Lack of Representation in Psychiatric Research: A Data-Driven Example From Scientific Articles Published in 2019 and 2020 in the American Journal of Psychiatry.

Lack of Representation in Psychiatric Research: A Data-Driven Example From Scientific Articles Published in 2019 and 2020 in the American Journal of Psychiatry.
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DOI:
10.1176/appi.ajp.21070758
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发表时间:
2022-05
影响因子:
17.7
通讯作者:
Escobar-Viera, Cesar
Escobar-Viera, Cesar
中科院分区:
医学1区
文献类型:
--
作者:
Pedersen, Sarah L.;Lindstrom, Rachel;Powe, Paula M.;Louie, Kelly;Escobar-Viera, Cesar

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作者通过量化最近发表的一篇高影响力的精神病学杂志文章中包含的数据,检查了精神病学研究中社会人口特征描述的代表性和准确性。社会人口统计学数据来自文章(即,提供个体样本信息的研究)发表在2019年和2020年的《美国精神病学杂志》上(N=125)。文章由两名评分员进行编码,用于社会人口学数据,承认缺乏代表性是一种限制,并关注健康差异或不公平。虽然90%的研究提供了参与者的年龄,84%提供了参与者的性别/性别信息,但只有43%提供了参与者的种族或民族身份信息。一项研究报告了参与者的性别认同。与2019年美国人口普查数据相比,多个种族群体、拉丁裔/西班牙裔个体和女性(仅遗传研究)缺乏代表性。只有25%的研究承认缺乏代表性是一个限制,两项研究侧重于健康差距或不公平。这些发现强调了需要增加精神病学研究的代表性,并在描述参与者的社会人口特征时提高语言的准确性。
The authors examined representation and accuracy of descriptions of sociodemographic identities in psychiatric research through quantifying data contained in recently published articles from a high-impact psychiatry journal. Sociodemographic data were aggregated from articles (i.e., studies that provide information on individual samples) published in the American Journal of Psychiatry in 2019 and 2020 (N=125). Articles were coded by two raters for sociodemographic data, acknowledgment of lack of representation as a limitation, and focus on health disparities or inequities. While 90% of studies provided the age of participants and 84% provided information about the sex/gender of participants, only 43% presented information about the racial or ethnicity identities of participants. One study reported the sexual identity of participants. Lack of representation relative to 2019 U.S. Census data was found for multiple racial groups, Latino/Hispanic individuals, and women (genetic studies only). Only 25% of studies acknowledged lack of representation as a limitation, and two studies focused on health disparities or inequities. These findings highlight a need to increase representation in psychiatric research and improve accuracy of language when describing the sociodemographic characteristics of participants.
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