Addressing sex and gender inequities in health research: sex and gender-based analysis and reporting (SGBAR)

2021 ◽  
Vol 37 (2) ◽  
pp. e4
Author(s):  
S. Menezes ◽  
S. Lawrence
2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L James ◽  
S Menezes ◽  
S Lawrence

Abstract Issue For decades, research has been male dominated: research led by men with male participants. Two-thirds of heart disease and stroke clinical research is based on men. When research is led by women, sex and gender are more likely to be incorporated into the research itself, and the levels of sex reporting also increases. Unfortunately, the low involvement of women in research around the world - as both researchers and participants - has led to findings that are not always applicable to women, resulting in gaps in treatment, care and recovery. The results are worse health outcomes for women in most countries. Background Applying sex and gender methods and analysis in research leads to higher quality results. A review of the literature and research landscape showed that sex and gender analysis was more common in public health, but not in clinical, biomedical or health systems research. Results The Heart and Stroke Foundation (Heart & Stroke), as both a funder of research and advocate for systems change recognized the research system perpetuated the inequities in women's health. The solution was to restructure the organization's research funding enterprise and also push for change among the health community. H&S put SGBAR requirements into its research funding program. To build on the change, H&S is now working across all levels of government and research institutions to secure SGBAR as a standard of practice. To date, this advocacy pursuit has created substantial systems change. Lessons Due to the complex research landscape, making SGBAR a priority across all research institutions is a massive undertaking. There is a need for both top down and bottom up approaches to ensure wide scale change. Key messages Incorporating sex and gender-based analysis and reporting in health research will improve health equity. Health research Funding agencies have an opportunity to raise the bar and shift the research environment.


Author(s):  
C. Z. Kalenga ◽  
J. Parsons Leigh ◽  
J. Griffith ◽  
D. C. Wolf ◽  
S. M. Dumanski ◽  
...  

AbstractThe first step in precision health is the incorporation of sex and gender-based considerations and increasingly, a number of national organizations have instituted policies to support and encourage this practice. However, perspectives of trainees and allied research personnel on incorporation of sex and gender into research is lacking. We assessed trainee (undergraduate and graduate students, post-doctoral fellows, clinical trainees) and allied research personnel (study nurses, laboratory managers) perspectives on the barriers to incorporating sex and gender into their own university-based health research and recommendations to improve the process. Two separate focus groups were completed, and a qualitative analysis was employed to derive themes within perceived barriers and solutions. Participants described three overarching themes consistent with barriers including, lack of knowledge and skill, lack of applicability and feasibility, and lack of funding agency and institutional culture. Participants recommended: (1) increasing awareness and skill of incorporation of sex and gender considerations into health research; (2) implementing practical education curricula to facilitate understanding; and (3) fostering greater transparency and accountability by funding organizations and journal editors. Sex and gender considerations in research contribute to precision health, drive innovation and foster breakthroughs in science and medicine.


2021 ◽  
pp. 001458582199184
Author(s):  
Danila Cannamela

In her debut book Dolore minimo, Giovanna Cristina Vivinetto engages in a reflection on motherhood to recount an autobiographical story of gender self-determination and male to female transition. This article explores Vivinetto’s poetry as the retelling of transformative moments in two mother–daughter relationships, which generate a reshaping of life and language. In the book, these two storylines intersect, blur, and even overlap, creating a poetic discourse in which the maternal acts simultaneously as powerful catalyzer and producer of meanings. In discussing how, in Dolore minimo, the relationship of two atypical mothers becomes the creative site of a new possible symbolic order, my analysis engages an atypical approach: it reads Vivinetto’s queer representation of motherhood via the theorization developed by the women of Diotima—including, in particular, Luisa Muraro, Chiara Zamboni, Diana Sartori, and Ida Dominijanni. These feminist thinkers have been generally criticized for reinforcing binary understandings of sex and gender, based on an essentialist view of the category of woman. Yet, what if the feminism forwarded by Diotima, by positioning the feminine as a creative producer and first-person narrator of change, could still offer a productive avenue for dialogue? The article begins with a discussion of Diotima’s key theorizations, which lays the groundwork for interpreting the maternal poetics of Dolore minimo. The subsequent sections examine in more depth how Vivinetto’s poetry has reinvented the figure of the mother as a teacher and learner of new words, and how, through this reinvention, she has crafted a maternal language that knits together new relations of contiguity and change. Ultimately, by redeploying the figure of the mother beyond cisgender norms, Vivinetto’s poetry is revealing the inexhaustible vitality of this character.


Author(s):  
Callaghan Walter

LAY SUMMARY Taking as a starting point that sex and gender are not the same thing, a principal understanding of Gender-Based Analysis Plus (GBA+), this article reviews research published in 2020 on the health and well-being of Veterans and currently serving members of the Canadian Armed Forces. The purpose of this review was to see how sex and gender were referred to in this published literature. The published research tended not to differentiate between sex and gender, often using the two terms as though they referred to the same thing. Possible reasons for why this has happened are explored, as is the importance of treating sex and gender as fundamentally different things.


2020 ◽  
Vol 61 (1) ◽  
pp. 109-119
Author(s):  
Lisanne Jeannine van Hagen ◽  
Maaike Muntinga ◽  
Yolande Appelman ◽  
Petra Verdonk

Author(s):  
Lorraine Greaves

Substance use and misuse is a significant global health issue that requires a sex- and gender-based analysis. Substance use patterns and trends are gendered: that is, women and men, girls and boys, and gender-diverse people often exhibit different rates of use of substances, reasons for use, modes of administration, and effects of use. Sex-specific effects and responses to substances are also important, with various substances affecting females and males differentially. Nevertheless, much research and practice in responding to substance use and misuse remains gender blind, ignoring the impacts of sex and gender on this important health issue. This special issue identifies how various aspects of sex and gender matter in substance use, illustrates the application of sex- and gender-based analyses to a range of substances, populations and settings, and assists in progressing sex and gender science in relation to substance use.


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