医学图形抽象画廊中的种族,性别和尺寸偏见:内容分析
Jessica P Cerdeña1,2,3, Jennifer W Tsai4, Chloe Warpinski5,6
1Department of Family Medicine, Middlesex Health, Middletown, Connecticut, USA.
Health equity
|October 3, 2023
概括
"内科医学杂志" (Journal of Internal Medicine) 的图形摘要显示了偏见,过度强调男性和肤浅个体以及遗传因素. 这可能会扭曲疾病的理解,并伤害少数群体的患者.
科学领域:
- 医学研究传播 医学研究传播
- 科学沟通科学沟通
- 健康 公平 卫生 公平
背景情况:
- 图形摘要旨在改善科学和医学研究的传播.
- 然而,图形摘要可能容易出现缩小主义和偏见.
- 评估图形摘要中的偏见对于准确的科学传播至关重要.
研究的目的:
- 从内部医学杂志 (JIM) 的图形摘要系统地分析偏见的证据.
- 评估人口因素和疾病因果关系在图形摘要中的表现.
主要方法:
- 从JIM (2019年2月 - 2020年5月) 的140个图形摘要进行了系统的内容分析.
- 使用一种混合方法方法,使用归纳和演编码.
- 制定了特定的代码和定义,以确定主题元素和偏见.
主要成果:
- 图形摘要中不成比例地出现了男性 (59.5%) 和肤浅 (91.3%) 个体.
- 身体大小被污名化,疾病的遗传/行为原因被夸大了.
- 遗传因素占图形表面积的50.7%,而社会环境仅占0.4%.
结论:
- 结果表明JIM图形摘要存在偏见,促进规范性的白人男性身体,过度强调遗传学而不是环境因素.
- 这种偏见可能会扭曲疾病的理解,伤害少数群体的患者群体,并阻碍解决健康不平等问题的努力.
- 建议包括制定各种代表性的期刊标准,减轻体重偏差,避免种族本质主义,并承认社会结构性疾病贡献者.
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