Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Global Perspectives on Race in Health Research: Neocolonial Extraction and Local Marginalization

Version 1 : Received: 20 April 2023 / Approved: 21 April 2023 / Online: 21 April 2023 (03:40:31 CEST)

A peer-reviewed article of this Preprint also exists.

Tankwanchi, A.S.; Asabor, E.N.; Vermund, S.H. Global Health Perspectives on Race in Research: Neocolonial Extraction and Local Marginalization. Int. J. Environ. Res. Public Health 2023, 20, 6210. Tankwanchi, A.S.; Asabor, E.N.; Vermund, S.H. Global Health Perspectives on Race in Research: Neocolonial Extraction and Local Marginalization. Int. J. Environ. Res. Public Health 2023, 20, 6210.

Abstract

Best practices in global health training prioritize leadership and engagement from investigators from low- and middle-income countries (LMICs), along with more conscientious community consultation and research that benefits local participants and autochthonous communities. However, well into the 20th century, international research and clinical care were rife with paternalism, extractive practices, and racist ideation, with race presumed to explain both vulnerability or protection from various diseases despite scientific evidence for more precise mechanisms for infectious disease. We highlight experiences in global research on health and illness among indigenous populations in LMICs, seeking to clarify what is both scientifically essential and ethically desirable in research with human subjects; we apply a critical view towards race and racism as historically distorting elements that must be acknowledged and overcome.

Keywords

Global health; human subjects research; international health; medical racism; research ethics; research neocolonialism; tropical medicine

Subject

Public Health and Healthcare, Public Health and Health Services

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