In the nineteenth century some scientists argued that women should not be educated because thinking would use energy needed by the uterus for reproduction. The proof? Educated women had a lower birth rate. Today's researchers can only shake their heads at such reasoning. Yet professional journals and the popular press are increasingly criticizing medical research for ignoring women's health issues.
Women and Health Research examines the facts behind the public's perceptions about women participating as subjects in medical research. With the goal of increasing researchers' awareness of this important topic, the book explores issues related to maintaining justice (in its ethical sense) in clinical studies.
Leading experts present general principles for the ethical conduct of research on women—principles that are especially important in the light of recent changes in federal policy on the inclusion of women in clinical research.
Women and Health Research documents the historical shift from a paternalistic approach by researchers toward women and a disproportionate reliance on certain groups for research to one that emphasizes proper access for women as subjects in clinical studies in order to ensure that women receive the benefits of research.
The book addresses present-day challenges to equity in four areas:
This landmark study will be of immediate use to the research community, policymakers, women's health advocates, attorneys, and individuals.
Institute of Medicine. 1994. Women and Health Research: Ethical and Legal Issues of Including Women in Clinical Studies, Volume 1. Washington, DC: The National Academies Press. https://doi.org/10.17226/2304.
Chapters | skim | |
---|---|---|
Front Matter | i-xiv | |
Executive Summary | 1-26 | |
1 Introduction | 27-35 | |
2 Women's Participation in Clinical Studies | 36-74 | |
3 Justice in Clinical Studies: Guiding Principles | 75-83 | |
4 Scientific Considerations | 84-107 | |
5 Social and Ethical Considerations | 108-127 | |
6 Legal Considerations | 128-174 | |
7 Risks to Reproduction and offspring | 175-202 | |
8 Implementation | 203-212 | |
Appendix A: Reports on Women's Participation in Clincal Studies, 1977-1993 | 213-232 | |
Appendix B: NIH Revitalization Act of 1993, Public Law 103-43 (June 10, 1993), Excerpt | 233-236 | |
Appendix C: DES Case Study | 237-242 | |
Appendix D: Compensation Systems for Research Injuries | 243-252 | |
Appendix E: Committee Biographies | 253-260 | |
Index | 261-271 |
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