社论:在研究种族的社会结构时拥抱复杂性:需要细致入微的策略来减少伤害和改善神经发育科学。

IF 9.2 1区 医学 Q1 PEDIATRICS
Amanda Noroña-Zhou, Michael Coccia, Nicole R Bush
{"title":"社论:在研究种族的社会结构时拥抱复杂性:需要细致入微的策略来减少伤害和改善神经发育科学。","authors":"Amanda Noroña-Zhou, Michael Coccia, Nicole R Bush","doi":"10.1016/j.jaac.2025.03.008","DOIUrl":null,"url":null,"abstract":"<p><p>Although advances in neurodevelopmental sciences and clinical care have progressed at lightning speed, our headway in addressing the long history of racism in science and medicine has been notably slower and muddled. Only recently has there been widespread acknowledgement in the scientific community that race is a social construct<sup>1</sup>-with greater genetic variability among categorical groups than within-spurring contemporary guidance from the National Academies of Science, Engineering, and Medicine (NASEM)<sup>2</sup> confirming that \"race\" is not biologically based and that analyses suggesting otherwise are \"misleading and harmful.\" Others have illuminated the problematic use of race-based diagnostic algorithms and practice guidelines, given their contributions to health inequities.<sup>3</sup> Race/ethnicity has historically been treated as a confounding or stratification variable in health research, but leaders have argued for revamping this approach<sup>4</sup><sup>,</sup><sup>5</sup> to avoid the implication that biological differences underlie observed inequities. Given the pervasiveness of racial/ethnic inequities in neurodevelopmental outcomes and policies and social structures that have led to substantial correlations between poverty and race, the complexity of studying socioeconomic effects precludes one-size-fits-all approaches-particularly in the current sociopolitical climate.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2000,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Editorial: Embracing Complexity When Examining the Social Construct of Race: Nuanced Strategies Are Needed to Reduce Harm and Improve Neurodevelopmental Science.\",\"authors\":\"Amanda Noroña-Zhou, Michael Coccia, Nicole R Bush\",\"doi\":\"10.1016/j.jaac.2025.03.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Although advances in neurodevelopmental sciences and clinical care have progressed at lightning speed, our headway in addressing the long history of racism in science and medicine has been notably slower and muddled. Only recently has there been widespread acknowledgement in the scientific community that race is a social construct<sup>1</sup>-with greater genetic variability among categorical groups than within-spurring contemporary guidance from the National Academies of Science, Engineering, and Medicine (NASEM)<sup>2</sup> confirming that \\\"race\\\" is not biologically based and that analyses suggesting otherwise are \\\"misleading and harmful.\\\" Others have illuminated the problematic use of race-based diagnostic algorithms and practice guidelines, given their contributions to health inequities.<sup>3</sup> Race/ethnicity has historically been treated as a confounding or stratification variable in health research, but leaders have argued for revamping this approach<sup>4</sup><sup>,</sup><sup>5</sup> to avoid the implication that biological differences underlie observed inequities. Given the pervasiveness of racial/ethnic inequities in neurodevelopmental outcomes and policies and social structures that have led to substantial correlations between poverty and race, the complexity of studying socioeconomic effects precludes one-size-fits-all approaches-particularly in the current sociopolitical climate.</p>\",\"PeriodicalId\":17186,\"journal\":{\"name\":\"Journal of the American Academy of Child and Adolescent Psychiatry\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":9.2000,\"publicationDate\":\"2025-03-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the American Academy of Child and Adolescent Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jaac.2025.03.008\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Academy of Child and Adolescent Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jaac.2025.03.008","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0

摘要

尽管神经发育科学和临床护理方面的进步以闪电般的速度发展,但我们在解决科学和医学中种族主义的悠久历史方面的进展却明显缓慢而混乱。直到最近,科学界才普遍认识到种族是一种社会结构——在分类群体之间的遗传变异比在分类群体内部的遗传变异更大——这促使美国国家科学、工程和医学院(NASEM)的当代指导意见确认,“种族”不是基于生物学的,相反的分析建议是“误导和有害的”。其他人则指出,基于种族的诊断算法和实践指南的使用存在问题,因为它们会造成卫生不公平种族/民族历来被视为健康研究中的混淆或分层变量,但领导人们主张改进这种方法4,5,以避免暗示生物学差异是观察到的不平等的基础。鉴于神经发育结果、政策和社会结构中普遍存在的种族/民族不平等,导致了贫困和种族之间的实质性关联,研究社会经济影响的复杂性排除了一刀切的方法——特别是在当前的社会政治气候下。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Editorial: Embracing Complexity When Examining the Social Construct of Race: Nuanced Strategies Are Needed to Reduce Harm and Improve Neurodevelopmental Science.

Although advances in neurodevelopmental sciences and clinical care have progressed at lightning speed, our headway in addressing the long history of racism in science and medicine has been notably slower and muddled. Only recently has there been widespread acknowledgement in the scientific community that race is a social construct1-with greater genetic variability among categorical groups than within-spurring contemporary guidance from the National Academies of Science, Engineering, and Medicine (NASEM)2 confirming that "race" is not biologically based and that analyses suggesting otherwise are "misleading and harmful." Others have illuminated the problematic use of race-based diagnostic algorithms and practice guidelines, given their contributions to health inequities.3 Race/ethnicity has historically been treated as a confounding or stratification variable in health research, but leaders have argued for revamping this approach4,5 to avoid the implication that biological differences underlie observed inequities. Given the pervasiveness of racial/ethnic inequities in neurodevelopmental outcomes and policies and social structures that have led to substantial correlations between poverty and race, the complexity of studying socioeconomic effects precludes one-size-fits-all approaches-particularly in the current sociopolitical climate.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
21.00
自引率
1.50%
发文量
1383
审稿时长
53 days
期刊介绍: The Journal of the American Academy of Child & Adolescent Psychiatry (JAACAP) is dedicated to advancing the field of child and adolescent psychiatry through the publication of original research and papers of theoretical, scientific, and clinical significance. Our primary focus is on the mental health of children, adolescents, and families. We welcome unpublished manuscripts that explore various perspectives, ranging from genetic, epidemiological, neurobiological, and psychopathological research, to cognitive, behavioral, psychodynamic, and other psychotherapeutic investigations. We also encourage submissions that delve into parent-child, interpersonal, and family research, as well as clinical and empirical studies conducted in inpatient, outpatient, consultation-liaison, and school-based settings. In addition to publishing research, we aim to promote the well-being of children and families by featuring scholarly papers on topics such as health policy, legislation, advocacy, culture, society, and service provision in relation to mental health. At JAACAP, we strive to foster collaboration and dialogue among researchers, clinicians, and policy-makers in order to enhance our understanding and approach to child and adolescent mental health.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信