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ARIE: A Health Equity Framework for Public Health Interventions Informed by Critical Race Theory and Critical Gerontology. 基于关键种族理论和关键老年学的公共卫生干预卫生公平框架。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2024-12-18 DOI: 10.1080/15265161.2024.2433419
Lester Darryl Geneviève, Tenzin Wangmo, Helene Seaward, Mohamed Amine Bouchlaghem, Sarah Blacker, Félix Pageau
{"title":"ARIE: A Health Equity Framework for Public Health Interventions Informed by Critical Race Theory and Critical Gerontology.","authors":"Lester Darryl Geneviève, Tenzin Wangmo, Helene Seaward, Mohamed Amine Bouchlaghem, Sarah Blacker, Félix Pageau","doi":"10.1080/15265161.2024.2433419","DOIUrl":"10.1080/15265161.2024.2433419","url":null,"abstract":"<p><p>Older racialized minorities were particularly vulnerable during the last pandemic due to the interlocking influences of structural racism and ageism, which are often disregarded in public health planning. This oversight not only compromises the social justice and health equity goals of public health efforts but it also calls for a more inclusive approach that systematically addresses these deficiencies at every stage of a public health response. To achieve this, we propose <i>Age- and Race-conscious Interventions done Equitably</i> (ARIE), a novel analytical framework grounded in critical race theory and critical gerontology. ARIE is based on a four-step approach, which aligns with different stages of public health interventions. It will help ensure that structural discrimination influencing access to healthcare resources during a biological event is not ignored, and that public health authorities work actively toward identifying and addressing ageist and racist biases in their response plans and interventions.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"95-110"},"PeriodicalIF":17.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Courageous Providers, Principled Institutions, and Threats to Gender-Affirming Care. 勇敢的提供者，有原则的机构，以及对性别确认护理的威胁。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2504275
Julia F Taylor, Craig Konnoth, Mary Faith Marshall
{"title":"Courageous Providers, Principled Institutions, and Threats to Gender-Affirming Care.","authors":"Julia F Taylor, Craig Konnoth, Mary Faith Marshall","doi":"10.1080/15265161.2025.2504275","DOIUrl":"https://doi.org/10.1080/15265161.2025.2504275","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 6","pages":"1-4"},"PeriodicalIF":17.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Just Knowledge and Treatment: Formal and Epistemic Injustice in Pediatric Gender-Affirming Care. 公正的知识和治疗：儿童性别确认护理的形式和认识上的不公正。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2497988
Grayson R Jackson, Jacob D Moses, Lisa Campo-Engelstein
{"title":"Just Knowledge and Treatment: Formal and Epistemic Injustice in Pediatric Gender-Affirming Care.","authors":"Grayson R Jackson, Jacob D Moses, Lisa Campo-Engelstein","doi":"10.1080/15265161.2025.2497988","DOIUrl":"https://doi.org/10.1080/15265161.2025.2497988","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 6","pages":"76-78"},"PeriodicalIF":17.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Cass Review; Distinguishing Fact from Fiction. 卡斯评论；区分事实与虚构。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2504397
Camilla Kingdon, Nicola Stingelin-Giles, Hilary Cass
{"title":"The Cass Review; Distinguishing Fact from Fiction.","authors":"Camilla Kingdon, Nicola Stingelin-Giles, Hilary Cass","doi":"10.1080/15265161.2025.2504397","DOIUrl":"https://doi.org/10.1080/15265161.2025.2504397","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 6","pages":"5-10"},"PeriodicalIF":17.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Reactionary Bioessentialism in Conservative Opposition to Gender-Affirming Care. 反动生物本质主义在保守主义反对性别肯定关怀中的作用。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2497993
Elizabeth R Boskey, Jessica D Kant, Ariel K Berman
{"title":"The Role of Reactionary Bioessentialism in Conservative Opposition to Gender-Affirming Care.","authors":"Elizabeth R Boskey, Jessica D Kant, Ariel K Berman","doi":"10.1080/15265161.2025.2497993","DOIUrl":"https://doi.org/10.1080/15265161.2025.2497993","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 6","pages":"90-92"},"PeriodicalIF":17.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Scientists' and Policy Professionals' Views on the Translational Pipeline of Human Gene Editing. 科学家和政策专家对人类基因编辑转化管道的看法。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2497979
R Jean Cadigan, Margaret Waltz
{"title":"Scientists' and Policy Professionals' Views on the Translational Pipeline of Human Gene Editing.","authors":"R Jean Cadigan, Margaret Waltz","doi":"10.1080/15265161.2025.2497979","DOIUrl":"10.1080/15265161.2025.2497979","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 6","pages":"28-30"},"PeriodicalIF":20.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12363984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
DIY Justice. DIY正义。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2498847
Willow Shanks, Tod Chambers
{"title":"DIY Justice.","authors":"Willow Shanks, Tod Chambers","doi":"10.1080/15265161.2025.2498847","DOIUrl":"https://doi.org/10.1080/15265161.2025.2498847","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 6","pages":"93-94"},"PeriodicalIF":17.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Translational Justice: A Worthy Goal Whose Argument Needs to be Pushed Even Further. 翻译公正：一个值得探讨的目标。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2497985
Geoffrey R Engel, J Wesley Boyd
{"title":"Translational Justice: A Worthy Goal Whose Argument Needs to be Pushed Even Further.","authors":"Geoffrey R Engel, J Wesley Boyd","doi":"10.1080/15265161.2025.2497985","DOIUrl":"https://doi.org/10.1080/15265161.2025.2497985","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 6","pages":"26-28"},"PeriodicalIF":17.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Building Better Medicine: Translational Justice and the Quest for Equity in US Healthcare. 建设更好的医学：转化正义和追求公平的美国医疗保健。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2025-02-23 DOI: 10.1080/15265161.2025.2457713
Megan A Allyse, Preya Agam, Yvonne Bombard, Roel Feys, McKenna Horstmann, Assata Kokayi, Rosario Isasi, Karen M Meagher, Marsha Michie, Kiran Musunuru, Kelly E Ormond, Kirsten A Riggan, Jane Q Yap
{"title":"Building Better Medicine: Translational Justice and the Quest for Equity in US Healthcare.","authors":"Megan A Allyse, Preya Agam, Yvonne Bombard, Roel Feys, McKenna Horstmann, Assata Kokayi, Rosario Isasi, Karen M Meagher, Marsha Michie, Kiran Musunuru, Kelly E Ormond, Kirsten A Riggan, Jane Q Yap","doi":"10.1080/15265161.2025.2457713","DOIUrl":"10.1080/15265161.2025.2457713","url":null,"abstract":"<p><p>Despite considerable scientific progress and the evolution of regulatory pathways to ensure safety and efficacy, US healthcare continues to see increasing health disparities. This suggests that clinical translation in of itself cannot be the only measure of its own success, especially when the most marginalized patients, are neglected in the development and implementation of medical innovations. This raises the question of whether a system that is narrowly focused on technical achievement can meet the moral obligations of medicine and public health. We argue that traditional technocratic standards are failing to integrate normative considerations into biomedical translation. What is needed is a translational domain that moves beyond safety and efficacy toward anticipating how proposed technologies will be effective in society as it exists. We propose an additional metric of success: translational justice.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"11-25"},"PeriodicalIF":17.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Multi-Lens Ethics Analysis of Gender-Affirming Care for Youth with Implications for Practice and Policy. 青少年性别肯定关怀的多镜头伦理分析及其对实践和政策的影响。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2497983
Jeffrey Kirby
{"title":"A Multi-Lens Ethics Analysis of Gender-Affirming Care for Youth with Implications for Practice and Policy.","authors":"Jeffrey Kirby","doi":"10.1080/15265161.2025.2497983","DOIUrl":"https://doi.org/10.1080/15265161.2025.2497983","url":null,"abstract":"<p><p>Currently, the provision of gender-affirming care to transgender and gender-diverse youth is highly contested. Fractious debate is being waged by GAC-permissive and GAC-restrictive proponents which has, importantly, spilled-over into the political domain. In the paper, an ethics analysis of gender-affirming care for youth is employed through the application of a set of relevant, ethics lenses, i.e., individual and relational autonomy; patient welfare (comparative benefits and burdens of GAC); health equity; traditional-distributive, formal and social justice; and injustices related to health research and political interference. In the author's view, this multi-lens analysis supports the continued use of a potentially adapted version of the gender-affirming care model in the assessment and treatment of transgender and gender-diverse youth. Arising from the analysis, a set of suggested recommendations is proposed that could potentially inform clinical practice and the development/revision of gender-affirming care for youth practice-standards, health policy and legislation.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 6","pages":"57-72"},"PeriodicalIF":17.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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