对抗药物耐药性研究中的性别和公平考虑:系统的范围审查
Ingrid Lynch1, Lorenza Fluks1, Lenore Manderson2
1Human Sciences Research Council, Cape Town, South Africa.
Monash bioethics review
|April 27, 2024
概括
将性别和交叉因素纳入抗菌素耐药性 (AMR) 研究对于有效,公平的解决方案至关重要. 了解这些联系可以确保抗菌素耐药性干预措施不会不成比例地影响弱势群体.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 性别研究是性别研究.
背景情况:
- 除了生物因素之外,关于性别和抗菌素耐药性 (AMR) 的研究有限.
- 性别和公平的镜头对于有效的,可持续的抗菌药物抵抗解决方案至关重要.
- 伦理和社会正义要求在抗药性研究中纳入性别和交叉问题.
研究的目的:
- 对抗药物耐药性,性别和社会行为特征之间的相互联系进行系统的范围审查.
- 确定低收入和中等收入国家 (LMICs) 人类和动物健康方面的知识差距.
- 为在抗菌药物耐药性研究,政策和实践中整合跨部门的性别视角提供建议.
主要方法:
- 对同行评审和灰色文献进行系统范围审查.
- 文学搜索侧重于2017年至2022年的出版物.
- 对抗药物耐药性,性别和社会行为特征之间的相互联系的分析.
主要成果:
- 确定了三个关键主题:性别分化的护理角色,决策中的性别权力动态,以及影响健康寻求行为的性别规范.
- 强调性别,社会经济地位,种族,残疾,年龄和性取向对抗药物耐药性风险和脆弱性的增强作用.
- 强调,忽视性别和交叉性的研究可能会无关紧要,对抗药物耐药性传播的影响有限.
结论:
- 跨界性别镜头对于理解和解决AMR至关重要.
- 未能纳入性别和交叉性导致无效和不公平的抗药性干预措施.
- 建议将性别和交叉性纳入AMR研究,政策和实践,以促进性别平等和有效打击AMR.
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