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Valiani AA, Anderson D, Gonzales A, Gray M, Hardcastle L, Turin TC. Precision health equity for racialized communities. Int J Equity Health 2023; 22:259. [PMID: 38087341 PMCID: PMC10714611 DOI: 10.1186/s12939-023-02049-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Accepted: 11/01/2023] [Indexed: 12/18/2023] Open
Abstract
In the last three decades, a cohort of genomicists have intentionally sought to include more racially diverse people in their research in human genomics and precision medicine. How such efforts to be inclusive in human genomic research and precision medicine are modeled and enacted, specifically if the terms of inclusion are equitable for these communities remains to be explored. In this commentary, we review the historical context in which issues of racial inclusion arose with early genome and genetics projects. We then discuss attempts to include racialized peoples in more recent human genomics research. In conclusion, we raise critical issues to consider in the future of equitable human genomics and precision medicine research involving racialized communities, particularly as it concerns working towards what we call Precision Health Equity (PHE). Specifically, we examine issues of genetic data governance and the terms of participation in inclusive human genomics and precision health research. We do so by drawing on insights and protocols developed by researchers investigating Indigenous Data Sovereignty and propose exploring their application and adaptation to precision health research involving racialized communities.
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Affiliation(s)
- Arafaat A Valiani
- The Department of History and Global Health Program, University of Oregon, 1288 University of Oregon, Eugene, OR, 97403, USA.
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3D10, 3280 Hospital Drive NW, Calgary, AB, T2N 4Z6, Canada.
| | - David Anderson
- The Department of Biochemistry & Molecular Biology, Cumming School of Medicine, University of Calgary, HMRB 231, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada
| | - Angela Gonzales
- School of Social Transformation, College of Liberal Arts and Sciences, Arizona State University, PO Box 876403, Tempe, AZ, 85287-6403, USA
| | - Mandi Gray
- The Department of Sociology, Otonabee College 221.1, Trent University, 1600 West Bank Drive, Peterborough, ON, K9J 7B8, Canada
| | - Lorian Hardcastle
- Faculty of Law, University of Calgary, Murray Fraser Hall 3345, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada
| | - Tanvir C Turin
- The Department of Family Medicine, Cumming School of Medicine, University of Calgary, HSC G012, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada
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