数据,歧视和伤害:被遗弃的LGBTQI人群
Anna-Leila Williams1, Rose Lassalle-Klein2
1Department of Medical Sciences, Frank H. Netter MD School of Medicine at Quinnipiac University, Hamden, Connecticut, USA.
Teaching and learning in medicine
|August 21, 2024
概括
在研究中对性取向和性别认同数据的不充分收集扭曲了健康观念,并伤害了LGBTQI个人. 改善数据收集和包容性对于公平的医疗保健和政策至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 临床环境中对性取向和性别认同 (SO/GI) 数据有新兴的指导方针.
- 流行病学研究缺乏收集,分析和传播LGBTQI数据的一致指南.
- 目前的LGBTQI数据集不足,扭曲了对社区健康需求和疾病负担的看法.
研究的目的:
- 突出在流行病学研究中LGBTQI数据集不足所带来的挑战.
- 为个人,部门和机构提出可行的步骤,以减轻现有数据的危害.
- 倡导全面,准确和包容性的国家数据,用于医疗保健和政策.
主要方法:
- 从医学教育者和学生的角度对挑战进行定性分析.
- 审查现有的文献和联邦机构关于LGBTQI数据收集的努力.
- 制定改善数据质量和包容性的建议.
主要成果:
- 不充分的LGBTQI数据收集导致对健康负担的扭曲理解,并可能对LGBTQI个人和学员造成伤害.
- 建议采取五项关键行动:承认数据的局限性,使用包容性语言,将SO/GI纳入审查,与实习生合作,并促进社会变革代理人.
- 需要在系统层面做出改变,包括扩大研究准则和期刊采用报告标准.
结论:
- 迫切需要具备包容性和准确的数据,以支持LGBTQI社区的优质护理.
- 改善数据收集和传播对于健康公平和明智的政策决策至关重要.
- 解决数据缺口对于整个国家的健康至关重要.
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