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Effective immediately, research submitted to
Circulation: Cardiovascular Quality and Outcomes should follow “best practices” for study design and data analysis when it comes to intentionally addressing structural racism. The news was announced in an editorial written by that journal’s editors.
The catalyst for their move was a July 2020 article in
Health Affairs that, in the midst of the United States’ tumultuous reckoning with racism, advocated for researchers, journals, and peer reviewers to adopt “rigorous standards for publishing on health inequities.”
“This is an important piece, and it led us to self-reflection,” Khadijah Breathett, MD (University of Arizona, Tucson), and colleagues note in their paper, which calls out the long history of racism in the health sciences and healthcare.
Under the new guiding principles, study authors should:
Describe clearly why racial and ethnic populations were included in the study and how they were classified (self-identified classifications similar to the 2020 U.S. Census preferred when available)
Form diverse and inclusive study teams and cite their scholarship
Contextualize discussion of results within conceptual frameworks and models (i.e., identifying contributing factors and strategies for eradicating systemic barriers; examining social determinants of health; considering how next-step policies, interventions, and implementation science may promote more equitable health outcomes)
Avoid generalized genetic explanations for racial and ethnic disparities unless the conceptual model specifically focuses on genetic data and addresses heterogeneous heritage and genetic admixture