Sex and gender analysis in knowledge translation interventions: challenges and solutions

Health Research Policy and Systems

Nicole Etherington¹  Tatyana Mollayeva²  Angela Colantonio²  Amédé Gogovor³  France Légaré³ 

[1] Clinical Epidemiology Program, Ottawa Hospital Research Institute, 501 Smyth Road, Rm L1287, K1H 8L6, Ottawa, ON, Canada;Rehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, 160-500 University Avenue, M5G 1V7, Toronto, Canada;Toronto Rehabilitation Institute-University Health Network, University of Toronto, 160-500 University Avenue, M5G 1V7, Toronto, Canada;Vitam - Centre de recherche en santé durable, Pavillon Landry-Poulin, 2525, Chemin de la Canardière, G1J 0A4, Québec, Canada;Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation, Université Laval, Quebec, Canada;Health and Social Services Systems, Knowledge Translation and Implementation Component of the Quebec SPOR-SUPPORT Unit, Quebec, Canada;Department of Family Medicine and Emergency Medicine, Université Laval, Quebec, Canada;

关键词: Gender;    sex;    healthcare;    knowledge translation;    research design;    intersectionality;   

DOI  :  10.1186/s12961-020-00625-6

来源: Springer

【 摘 要 】

Sex and gender considerations are understood as essential components of knowledge translation in the design, implementation and reporting of interventions. Integrating sex and gender ensures more relevant evidence for translating into the real world. Canada offers specific funding opportunities for knowledge translation projects that integrate sex and gender. This Commentary reflects on the challenges and solutions for integrating sex and gender encountered in six funded knowledge translation projects. In 2018, six research teams funded by the Canadian Institutes of Health Research’s Institute of Gender and Health met in Ottawa to discuss these challenges and solutions. Eighteen participants, including researchers, healthcare professionals, trainees and members of the Institute of Gender and Health, were divided into two groups. Two authors conducted qualitative coding and thematic analysis of the material discussed. Six themes emerged, namely Consensus building, Guidance, Design and outcomes effectiveness, Searches and recruitment, Data access and collection, and Intersection with other determinants of health. Solutions included educating stakeholders on the use of sex and gender concepts, triangulating perspectives of researchers and end-users, and participating in organisations and committees to influence policies and practices. Unresolved challenges included difficulty integrating sex and gender considerations with principles of patient-oriented research, a lack of validated measurement tools for gender, and a paucity of experts in intersectionality. We discuss our findings in the light of observations of similar initiatives elsewhere to inform the further progress of integrating sex and gender into the knowledge translation of health services research findings.

【 授权许可】

CC BY