Women of Color and Intersectionality Initiative: A Workgroup Report on the Continued Need to Support and Retain Women of Color.

IF 3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Toi Blakley Harris, Raquel Hernández Givens, AnaMaría López, Sara Tariq, NaShieka Knight, Jamila M Hackworth, Erika T Brown, LaConda G Fanning, Ana Núñez, Kenya McNeal-Trice
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引用次数: 0

Abstract

Background: Unprecedented stressors have significantly impacted our nation. These occurrences compounded the prepandemic structural factors that disproportionately affect historically, economically, and socially marginalized communities of color and women as highlighted by the National Academies of Sciences, Engineering, and Medicine. In response, health care organizations and regulatory bodies have shifted from the quadruple aim to the quintuple aim to conceptualize health care improvement by adding to the prioritizing of the health workforce's well-being and advancing health equity (Nundy, Cooper, & Mate, 2022). The literature presents limited and conflicting information regarding workforce well-being based on demographic background. A 2021 report by the National Academies of Sciences, Engineering, and Medicine described the potential for race, ethnicity, gender identity, sexual orientation, age, and disability status to alter or amplify the career impacts of COVID-19 (National Academies of Sciences, Engineering, and Medicine, 2021). Methods: In 2020, the Association of American Medical Colleges (AAMC) convened a Women of Color and Intersectionality Initiative ("Initiative") to understand better and address factors contributing to the well-being challenges encountered in health systems by women of color (WOC). Results: Based on a rigorous review of existing data and national trends, the group concluded that WOC continue to exist and work at the margins and that the threat of "not belonging" is a key factor impacting their well-being. The authors, who are members of this AAMC WOC Intersectionality Initiative, identified key strategies in the domains of intersectionality and equity, work-life boundaries, gendered divisions of labor, and mental health and well-being for implementation and evaluation in future studies. Conclusion: Over the last 4 years, the health and scientific workforces have encountered staffing shortages, increased attrition rates, and an overall decline of wellness. Authors and thought leaders in this space have postulated the need to refine tools and methodologies to capture intersectional differences to inform strategy. This article presents recommendations from the Initiative that include solutions that prioritize intersectionality, which can be adopted by academic health systems to support the well-being of WOC.

有色人种妇女和交叉性倡议:关于继续需要支持和保留有色人种妇女的工作组报告。
背景:前所未有的压力极大地影响了我们的国家。正如美国国家科学院、工程院和医学院所强调的那样,这些事件加剧了流行病前的结构性因素,这些因素对历史、经济和社会边缘化的有色人种和妇女群体产生了不成比例的影响。作为回应,卫生保健组织和监管机构已经从四重目标转变为五重目标,通过增加卫生工作者福祉的优先级和促进卫生公平来概念化卫生保健改善(Nundy, Cooper, & Mate, 2022)。文献提出了有限的和相互矛盾的信息关于劳动力福利基于人口背景。美国国家科学院、工程院和医学院2021年的一份报告描述了种族、民族、性别认同、性取向、年龄和残疾状况改变或放大COVID-19对职业影响的可能性(美国国家科学院、工程院和医学院,2021年)。方法:2020年,美国医学院协会(AAMC)召集了有色人种女性和交叉性倡议(“倡议”),以更好地了解和解决导致有色人种女性(WOC)在卫生系统中遇到的福祉挑战的因素。结果:基于对现有数据和国家趋势的严格审查,该小组得出结论,WOC继续存在并在边缘工作,“不属于”的威胁是影响他们福祉的关键因素。作者是AAMC WOC交叉性倡议的成员,他们确定了交叉性和公平、工作-生活界限、性别分工、心理健康和福祉等领域的关键策略,以便在未来的研究中实施和评估。结论:在过去的4年里,卫生和科学工作人员遇到了人员短缺,人员流失率上升,整体健康水平下降。这个领域的作者和思想领袖已经假设需要改进工具和方法,以捕获交叉差异,从而为战略提供信息。本文提出了该倡议的建议,其中包括优先考虑交叉性的解决方案,这些解决方案可被学术卫生系统采用,以支持WOC的福祉。
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来源期刊
Journal of women's health
Journal of women's health 医学-妇产科学
CiteScore
6.60
自引率
5.70%
发文量
197
审稿时长
2 months
期刊介绍: Journal of Women''s Health is the primary source of information for meeting the challenges of providing optimal health care for women throughout their lifespan. The Journal delivers cutting-edge advancements in diagnostic procedures, therapeutic protocols for the management of diseases, and innovative research in gender-based biology that impacts patient care and treatment. Journal of Women’s Health coverage includes: -Internal Medicine Endocrinology- Cardiology- Oncology- Obstetrics/Gynecology- Urogynecology- Psychiatry- Neurology- Nutrition- Sex-Based Biology- Complementary Medicine- Sports Medicine- Surgery- Medical Education- Public Policy.
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