Diversity and inclusion

Diversity and inclusion are essential tenets of the Sustainable Development Goals (SDGs), a set of global objectives designed to address various social, economic, and environmental challenges. These concepts are not only integral to specific SDGs but also permeate the entire framework, emphasizing the need for equitable and inclusive approaches in all aspects of development.

SDG 10 (Reduced Inequalities) and SDG 5 (Gender Equality) are directly connected to the principles of diversity and inclusion. SDG 10 aims to reduce inequality within and among countries. This involves taking measures to ensure the social, economic, and political inclusion of all, regardless of age, sex, disability, race, ethnicity, origin, religion, or economic or other status. It calls for the elimination of discriminatory laws, policies, and practices, providing equal opportunities and reducing disparities, particularly for the most vulnerable and marginalized groups.

SDG 5 focuses on achieving gender equality and empowering all women and girls. This goal underscores the need for ending all forms of discrimination against women and girls everywhere, and it involves various targets including the elimination of violence, ensuring women's full participation in leadership and decision-making, and guaranteeing equal rights to economic resources. By promoting gender equality, SDG 5 directly contributes to the broader objective of creating inclusive societies.

Furthermore, diversity and inclusion are crucial in achieving SDG 4 (Quality Education), which aims to ensure inclusive and equitable quality education and promote lifelong learning opportunities for all. This involves addressing disparities in access to education and ensuring that vulnerable populations, including persons with disabilities, indigenous peoples, and children in vulnerable situations, receive equal opportunities for education. Inclusive education is a foundation for building more inclusive societies, as it prepares all individuals to participate fully in their communities and economies.

SDG 8 (Decent Work and Economic Growth) also embodies the values of diversity and inclusion. It promotes sustained, inclusive, and sustainable economic growth, full and productive employment, and decent work for all. This includes advocating for equal pay for work of equal value, promoting safe and inclusive working environments, and reducing the gender pay gap. By ensuring that all individuals have access to decent work opportunities and are treated fairly in the workplace, SDG 8 plays a pivotal role in advancing inclusive economic growth.

The pursuit of diversity and inclusion is indispensable for realizing the vision of the SDGs. These principles are not confined to specific goals but are woven throughout the entire framework, reflecting the understanding that a fair, sustainable, and prosperous world can only be achieved when all individuals, regardless of their background or circumstances, have the opportunity to contribute to and benefit from development. The SDGs recognize that addressing inequalities, empowering marginalized groups, and ensuring inclusive participation are essential for sustainable development, and they call on all stakeholders, including governments, businesses, civil society, and individuals, to work towards these objectives.

Background: Among patients with type 2 diabetes, minority racial/ethnic groups have a higher burden of cardiovascular disease, chronic kidney disease, and hypoglycaemia. These groups may especially benefit from newer diabetes medication classes, but high cost may limit access. We examined the association of race/ethnicity with the initiation of newer diabetes medications (GLP-1 receptor agonists, DPP-4 inhibitors, SGLT-2 inhibitors).
Background: In response to a national call for re-evaluation of the use of race in clinical algorithms, the National Kidney Foundation (NKF) and the American Society of Nephrology (ASN) established a Task Force to reassess inclusion of race in the estimation of glomerular filtration rate (GFR) in the United States and its implications for diagnosis and management of patients with, or at risk for, kidney diseases.
Elsevier,

Transportation Research Part D: Transport and Environment, Volume 103, February 2022

Efficiency, consistency and sufficiency as complementary strategies for sustainable mobility.
Transport emissions play a large role in climate change. Unfortunately, measures to address this risk creating inequalities in access to mobility. This article proposes policy recommendations to reconcile these two problems.
A Comment on improving the health of Artic Indigenous peoples, in the contexts of SDGs 3, 10, and 15, focusing specifically on the launch of a Lancet Commission that aims to present recommendations for addressing health disparities and key challenges in this community and to identify pathways for change.
Elsevier,

International Journal of Radiation Oncology Biology Physics, Volume 112, 1 February 2022

Looks at disparities in access to healthcare among Indigenous people.
Advocacy engagement has been at the forefront of National Cancer Institute (NCI) efforts to advance scientific discoveries and transform medical interventions. Nonetheless, the journey for advocates has been uneven. Case in Point: NCI publication affiliation rules of engagement pose unique equity challenges while raising questions about structural representation in biomedical research.
Elsevier, Studies in History and Philosophy of Science, Volume 91, February 2022
Double standards are widespread throughout biomedicine, especially in research on reproductive health. One of the clearest cases of double standards involves the feminine gendering of reproductive responsibility for contraception and the continued lack of highly effective, reversible methods for cisgender men. While the biomedical establishment accepts diversity and inclusion as important social values for clinical trials, their continued use of inequitable standards undermines their ability to challenge unfair social hierarchies by developing male contraception.
Elsevier, Preventive Medicine, Volume 155, February 2022
Contested racial identity— self-identified race not matching socially-assigned race—may be an indication of experiences with racism. We aimed to understand the relationship between contested racial identity and women's health behaviors, health outcomes, and infant health outcomes. We used 2012–2015 Massachusetts Pregnancy Risk Assessment Monitoring System data on 5735 women linked with infants' birth certificates.
Study objective: This scoping review was conducted to collate and summarize the published research literature addressing sexual and gender minority care in the emergency department (ED). Methods: Using PRISMA-ScR criteria, an electronic search was conducted of CINAHL, Embase, Ovid Medline, and Web of Science for all studies that were published after 1995 involving sexual and gender minorities, throughout all life stages, presenting to an ED. We excluded non-US and Canadian studies and editorials.
This Article supports SDGs 3 and 10 by assessing SARS-CoV-2 incidence in six ethnic groups in Amsterdam, and showing that incidence was highest in the largest minority ethnic groups. The findings suggest that prevention measures and vaccination should be especially encouraged in these groups.

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