{"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}
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.
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.