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Words matter: The language of difference in human genetics
Mildred K Cho1, Maria Laura Duque Lasio2, Ina Amarillo3
1Stanford Center for Biomedical Ethics, Stanford University, Stanford, CA; Departments of Medicine and Pediatrics, Stanford University, Stanford, CA.
Genetic research must update terminology for human differences to be more inclusive and ethically sound. Reassessing terms for disability, sex, gender, race, ethnicity, and ancestry prevents harm and promotes rigorous, equitable science.
Area of Science:
- Human genetics
- Bioethics
- Scientific communication
Background:
- Academic diversity, equity, and inclusion initiatives prompt reevaluation of scientific terminology.
- Language used in human genetics can perpetuate historical inaccuracies and cause harm.
- Existing guidance highlights the need to address problematic terms in research and clinical practice.
Purpose of the Study:
- To critique current terminology for human differences in genetics.
- To recommend inclusive and ethically sound language alternatives.
- To emphasize the responsibility of genetics professionals in language use.
Main Methods:
- Summarizing critiques of terminology related to disability, sex, gender, race, ethnicity, and ancestry.
- Reviewing current practices in research publications, laboratory reports, diagnostic codes, and pedigrees.
- Highlighting recommendations for alternative language.
Main Results:
- Identified critiques of terminology used to describe human variation in genetics.
- Presented recommendations for more inclusive and accurate language.
- Emphasized the potential harm caused by outdated or biased terms.
Conclusions:
- Genetics professionals must actively reassess and update terminology to ensure ethical and rigorous scientific practice.
- Adopting inclusive language is crucial for mitigating harm to patients and advancing health equity.
- Continuous reevaluation of language is necessary as societal norms evolve.
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