02369nas a2200277 4500000000100000008004100001260004400042653000800086653001100094653001100105653002200116653001000138100001200148700001200160700001600172700001300188700001200201700001800213700001600231700001700247245008200264856007300346300000900419520163800428022002502066 2024 d bSpringer Science and Business Media LLC10aAMR10aGender10aEquity10aIntersectionality10aLMICs1 aLynch I1 aFluks L1 aManderson L1 aIsaacs N1 aEssop R1 aPraphasawat R1 aMiddleton L1 aNaemiratch B00aGender and equity considerations in AMR research: a systematic scoping review uhttps://link.springer.com/content/pdf/10.1007/s40592-024-00194-2.pdf a1-253 a
Research on gender and antimicrobial resistance (AMR) beyond women’s biological susceptibility is limited. A gender and equity lens in AMR research is necessary to promote gender equality and support the effectiveness, uptake, and sustainability of real-world AMR solutions. We argue that it is an ethical and social justice imperative to include gender and related intersectional issues in AMR research and implementation. An intersectional exploration of the interplay between people’s diverse identities and experiences, including their gender, socio-economic status, race, disability, age, and sexuality, may help us understand how these factors reinforce AMR risk and vulnerability and ensure that interventions to reduce the risk of AMR do not impact unevenly. This paper reports on the findings of a systematic scoping review on the interlinkages between AMR, gender and other socio-behavioural characteristics to identify priority knowledge gaps in human and animal health in LMICs. The review focused on peer-reviewed and grey literature published between 2017 and 2022. Three overarching themes were gendered division of caregiving roles and responsibilities, gender power relations in decision-making, and interactions between gender norms and health-seeking behaviours. Research that fails to account for gender and its intersections with other lines of disadvantage, such as race, class and ability, risks being irrelevant and will have little impact on the continued and dangerous spread of AMR. We provide recommendations for integrating an intersectional gender lens in AMR research, policy and practice.
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