{"title":"AMR 研究中的性别和公平考虑因素:系统性范围界定审查。","authors":"Ingrid Lynch, Lorenza Fluks, Lenore Manderson, Nazeema Isaacs, Roshin Essop, Ravikanya Praphasawat, Lyn Middleton, Bhensri Naemiratch","doi":"10.1007/s40592-024-00194-2","DOIUrl":null,"url":null,"abstract":"<p><p>Research on gender and antimicrobial resistance (AMR) beyond women's biological susceptibility is limited. A gender and equity lens in AMR research is necessary to promote gender equality and support the effectiveness, uptake, and sustainability of real-world AMR solutions. We argue that it is an ethical and social justice imperative to include gender and related intersectional issues in AMR research and implementation. An intersectional exploration of the interplay between people's diverse identities and experiences, including their gender, socio-economic status, race, disability, age, and sexuality, may help us understand how these factors reinforce AMR risk and vulnerability and ensure that interventions to reduce the risk of AMR do not impact unevenly. This paper reports on the findings of a systematic scoping review on the interlinkages between AMR, gender and other socio-behavioural characteristics to identify priority knowledge gaps in human and animal health in LMICs. The review focused on peer-reviewed and grey literature published between 2017 and 2022. Three overarching themes were gendered division of caregiving roles and responsibilities, gender power relations in decision-making, and interactions between gender norms and health-seeking behaviours. Research that fails to account for gender and its intersections with other lines of disadvantage, such as race, class and ability, risks being irrelevant and will have little impact on the continued and dangerous spread of AMR. We provide recommendations for integrating an intersectional gender lens in AMR research, policy and practice.</p>","PeriodicalId":43628,"journal":{"name":"Monash Bioethics Review","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Gender and equity considerations in AMR research: a systematic scoping review.\",\"authors\":\"Ingrid Lynch, Lorenza Fluks, Lenore Manderson, Nazeema Isaacs, Roshin Essop, Ravikanya Praphasawat, Lyn Middleton, Bhensri Naemiratch\",\"doi\":\"10.1007/s40592-024-00194-2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Research on gender and antimicrobial resistance (AMR) beyond women's biological susceptibility is limited. 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Three overarching themes were gendered division of caregiving roles and responsibilities, gender power relations in decision-making, and interactions between gender norms and health-seeking behaviours. Research that fails to account for gender and its intersections with other lines of disadvantage, such as race, class and ability, risks being irrelevant and will have little impact on the continued and dangerous spread of AMR. 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引用次数: 0
摘要
除了女性的生理易感性之外,有关性别和抗菌药物耐药性(AMR)的研究还很有限。AMR 研究中的性别和公平视角对于促进性别平等和支持现实世界中 AMR 解决方案的有效性、吸收和可持续性是必要的。我们认为,在 AMR 研究和实施中纳入性别和相关交叉问题是伦理和社会正义的当务之急。对人们的不同身份和经历(包括性别、社会经济地位、种族、残疾、年龄和性取向)之间的相互作用进行交叉探讨,有助于我们了解这些因素是如何强化 AMR 风险和脆弱性的,并确保降低 AMR 风险的干预措施不会产生不均衡的影响。本文报告了一项关于 AMR、性别和其他社会行为特征之间相互联系的系统性范围审查结果,以确定低收入国家人类和动物健康方面的优先知识缺口。综述重点关注 2017 年至 2022 年间发表的同行评审文献和灰色文献。三个首要主题是:护理角色和责任的性别分工、决策中的性别权力关系以及性别规范与寻求健康行为之间的相互作用。如果研究未能考虑性别因素及其与种族、阶级和能力等其他不利因素的交叉关系,就有可能失去意义,对急性呼吸道感染的持续和危险蔓延影响甚微。我们建议在 AMR 研究、政策和实践中纳入性别交叉视角。
Gender and equity considerations in AMR research: a systematic scoping review.
Research on gender and antimicrobial resistance (AMR) beyond women's biological susceptibility is limited. A gender and equity lens in AMR research is necessary to promote gender equality and support the effectiveness, uptake, and sustainability of real-world AMR solutions. We argue that it is an ethical and social justice imperative to include gender and related intersectional issues in AMR research and implementation. An intersectional exploration of the interplay between people's diverse identities and experiences, including their gender, socio-economic status, race, disability, age, and sexuality, may help us understand how these factors reinforce AMR risk and vulnerability and ensure that interventions to reduce the risk of AMR do not impact unevenly. This paper reports on the findings of a systematic scoping review on the interlinkages between AMR, gender and other socio-behavioural characteristics to identify priority knowledge gaps in human and animal health in LMICs. The review focused on peer-reviewed and grey literature published between 2017 and 2022. Three overarching themes were gendered division of caregiving roles and responsibilities, gender power relations in decision-making, and interactions between gender norms and health-seeking behaviours. Research that fails to account for gender and its intersections with other lines of disadvantage, such as race, class and ability, risks being irrelevant and will have little impact on the continued and dangerous spread of AMR. We provide recommendations for integrating an intersectional gender lens in AMR research, policy and practice.
期刊介绍:
Monash Bioethics Review provides comprehensive coverage of traditional topics and emerging issues in bioethics. The Journal is especially concerned with empirically-informed philosophical bioethical analysis with policy relevance. Monash Bioethics Review also regularly publishes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. Produced by the Monash University Centre for Human Bioethics since 1981 (originally as Bioethics News), Monash Bioethics Review is the oldest peer reviewed bioethics journal based in Australia–and one of the oldest bioethics journals in the world.
An international forum for empirically-informed philosophical bioethical analysis with policy relevance.
Includes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications.
One of the oldest bioethics journals, produced by a world-leading bioethics centre.
Publishes papers up to 13,000 words in length.
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