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The Research Void

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As noted by Marianne Legato, a leader in gender medicine, women are not little men, and all men are not alike. In fact, there is growing recognition that biomedical and clinical research has focused on males as a relatively heterogonous group. It has, in large measure, ignored women with the exception of reproduction, ignored LGBT populations with the exception of sexually transmitted diseases, and ignored other minorities and largely concentrated research efforts within high-income countries.

In the 1990s, in response to the paucity of research on women, a number of jurisdictions established requirements that sex be considered in study designs in order for grant requests to be eligible for governmental funding. Requirements along these lines can be found in diverse counties such as the USA, South Africa, and Australia. However, no requirement or incentive exists that promotes research for other key groups such as LGBT populations or that requires sex and gender to be considered in the composition of ethic committees or in the review of research proposals. This oversight points to a potential root cause for certain health disparities that undoubtedly have health and healthcare system equity implications.

Handbook of Clinical Gender Medicine

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