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06-09-2024 | Special Article

An Equity, Diversity, and Inclusion glossary for sociodemographic determinants of health within critical care medicine

Authors: Alya Heirali, PhD, Sangeeta Mehta, MDCM, Yiyan Li, PhD, Bram Rochwerg, MD, MSc, Christina Maratta, MDCM, MPH, Emmanuel Charbonney, MD, PhD, Karen E. A. Burns, MD, MSc, Katie O’Hearn, MSc, Kusum Menon, MD, MSc, Rob Fowler, MDCM, MSc, Samiha Mohsen, MSc, Srinivas Murthy, MD, Kirsten M. Fiest, PhD, Canadian Critical Care Trials Group

Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Issue 9/2024

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Abstract

Purpose

Equity, Diversity, and Inclusion (EDI) initiatives within critical care research are limited by a lack of resources and inconsistent and rapidly changing language. The Canadian Critical Care Trials Group (CCCTG) is committed to modelling EDI for the critical care community through its programming, communications, protocols, and policies. The objective of developing the EDI glossary of sociodemographic determinants of health described here was to provide a resource for critical care professionals to support broader equity initiatives and to promote education and awareness about inclusive language.

Methods

Through literature review, we identified EDI-related sociodemographic determinants of health, defined as sociodemographic factors that are associated with disparities in health care and health outcomes, with a focus on critical care medicine. For each sociodemographic determinant of health, we identified umbrella terms (defined as domains) and subterms/constructs that are related to these domains. We designed the glossary collaboratively with the CCCTG EDI working group, patient and family partnerships committee, and executive committee, which included diverse knowledge users such as researchers, clinicians, and patient and family partners.

Results

We report on 12 sociodemographic determinants of health domains including age, sex, gender, sexuality, race and ethnicity, income, education, employment status, marital status, language, disability, and migration status. Each domain (e.g., sex) contains relevant subterms such as male, female, intersex. For each domain, we provide examples of disparities in health care and health outcomes with a focus on critical care medicine.

Conclusions

This EDI glossary of sociodemographic determinants of health serves as a nonexhaustive resource that may be referenced by critical care researchers, research coordinators, clinicians, and patient and family partners. The glossary is an essential step to raising awareness about inclusive terminology and to fostering and advancing equity in critical care medicine.
Appendix
Available only for authorised users
Footnotes
1
Canadian Critical Care Trials Group. Our purpose. Available from URL: https://​www.​ccctg.​ca (accessed December 2023).
 
Literature
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Metadata
Title
An Equity, Diversity, and Inclusion glossary for sociodemographic determinants of health within critical care medicine
Authors
Alya Heirali, PhD
Sangeeta Mehta, MDCM
Yiyan Li, PhD
Bram Rochwerg, MD, MSc
Christina Maratta, MDCM, MPH
Emmanuel Charbonney, MD, PhD
Karen E. A. Burns, MD, MSc
Katie O’Hearn, MSc
Kusum Menon, MD, MSc
Rob Fowler, MDCM, MSc
Samiha Mohsen, MSc
Srinivas Murthy, MD
Kirsten M. Fiest, PhD
Canadian Critical Care Trials Group
Publication date
06-09-2024
Publisher
Springer International Publishing
Published in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Issue 9/2024
Print ISSN: 0832-610X
Electronic ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-024-02824-z

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