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Creation of the American Heart Association Journals’ Equity, Diversity, and Inclusion Editorial Board: The Next Step to Achieving the 2024 Impact Goal

2022; Lippincott Williams & Wilkins; Volume: 146; Issue: 10 Linguagem: Inglês

10.1161/circulationaha.122.061450

1524-4539

Eldrin F. Lewis, Christine Beaty, Johannes Boltze, Khadijah Breathett, Walter K. Clair, Lisa de las Fuentes, Utibe R. Essien, Heather Goodell, Holly E. Hinson, Kiarri N. Kershaw, Joshua W. Knowles, Sula Mazimba, Mahasin S. Mujahid, Henry Okafor, Kyung Woo Park, Jonathan Schultz,

Sex and Gender in Healthcare

HomeCirculationVol. 146, No. 10Creation of the American Heart Association Journals' Equity, Diversity, and Inclusion Editorial Board: The Next Step to Achieving the 2024 Impact Goal Free AccessEditorialPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessEditorialPDF/EPUBCreation of the American Heart Association Journals' Equity, Diversity, and Inclusion Editorial Board: The Next Step to Achieving the 2024 Impact Goal Eldrin F. Lewis, MD, MPH, Christine Beaty, Johannes Boltze, MD, PhD, Khadijah Breathett, MD, MS, Walter K. Clair, MD, MPH, Lisa de las Fuentes, MD, MS, Utibe R. Essien, MD, MPH, Heather Goodell, H.E. Hinson, MD, MCR, Kiarri N. Kershaw, PhD, MPH, Joshua W. Knowles, MD, PhD, Sula Mazimba, MD, MPH, Mahasin Mujahid, PhD, MS, Henry E. Okafor, MD, Kyung Woo Park, MD, PhD, MBA and Jonathan Schultz Eldrin F. LewisEldrin F. Lewis Correspondence to: Eldrin F. Lewis, MD, MPH, Division of Cardiovascular Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Falk CVRB, Palo Alto, CA 93405. Email E-mail Address: [email protected] Division of Cardiovascular Medicine and Cardiovascular Institute, Stanford University School of Medicine, Palo Alto, CA (E.F.L., J.W.K.). , Christine BeatyChristine Beaty Scientific Publishing, American Heart Association, Dallas, TX (C.B., H.G., J.S.). , Johannes BoltzeJohannes Boltze https://orcid.org/0000-0003-3956-4164 The University of Warwick, School of Life Sciences, United Kingdom (J.B.). , Khadijah BreathettKhadijah Breathett https://orcid.org/0000-0001-5397-6419 Indiana University School of Medicine, Division of Cardiovascular Medicine, Indianapolis (K.B.). , Walter K. ClairWalter K. Clair https://orcid.org/0000-0002-9140-8006 Department of Medicine, Vanderbilt University Medical Center, Nashville, TN (W.K.C., H.E.O.). , Lisa de las FuentesLisa de las Fuentes https://orcid.org/0000-0002-4689-325X Cardiovascular Division, Department of Internal Medicine, Washington University School of Medicine, St. Louis, MO (L.d.l.F.). , Utibe R. EssienUtibe R. Essien https://orcid.org/0000-0002-4494-5028 Division of General Internal Medicine, University of Pittsburgh School of Medicine, PA (U.R.E.). , Heather GoodellHeather Goodell Scientific Publishing, American Heart Association, Dallas, TX (C.B., H.G., J.S.). , H.E. HinsonH.E. Hinson https://orcid.org/0000-0003-1598-9782 Oregon Health Science University, Portland (H.E.H.). , Kiarri N. KershawKiarri N. Kershaw https://orcid.org/0000-0002-0063-6397 Northwestern University, Feinberg School of Medicine, Chicago, IL (K.N.K.). , Joshua W. KnowlesJoshua W. Knowles https://orcid.org/0000-0003-1922-7240 Division of Cardiovascular Medicine and Cardiovascular Institute, Stanford University School of Medicine, Palo Alto, CA (E.F.L., J.W.K.). , Sula MazimbaSula Mazimba University of Virginia Health System, Advanced Heart Failure and Transplant Cardiology, Charlottesville (S.M.). , Mahasin MujahidMahasin Mujahid https://orcid.org/0000-0001-9795-9338 University of California, Berkeley, School of Public Health (M.M.). , Henry E. OkaforHenry E. Okafor Department of Medicine, Vanderbilt University Medical Center, Nashville, TN (W.K.C., H.E.O.). , Kyung Woo ParkKyung Woo Park https://orcid.org/0000-0003-2432-4432 Department of Internal Medicine, Cardiovascular Center, Seoul National University Hospital, Seoul, Republic of Korea (K.W.P.). and Jonathan SchultzJonathan Schultz https://orcid.org/0000-0003-1030-5062 Scientific Publishing, American Heart Association, Dallas, TX (C.B., H.G., J.S.). Originally published18 Jul 2022https://doi.org/10.1161/CIRCULATIONAHA.122.061450Circulation. 2022;146:721–723Other version(s) of this articleYou are viewing the most recent version of this article. Previous versions: July 18, 2022: Ahead of Print Approximately 2 years ago, the American Heart Association's (AHA) National Board commissioned volunteer leaders to develop new goals to address health equity and to provide strong science to reduce health care disparities, including consideration of social determinants of health, structural racism, and rural health inequities. This effort resulted in the 2024 Impact Goal,1 which states that "every person deserves the opportunity for a full, healthy life. As champions for health equity, by 2024, the AHA will advance cardiovascular health for all, including identifying and removing barriers to health care access and quality." One of the 10 commitments stated in the 2024 Impact Goal is to enhance the focus of our AHA scientific journals (https://www.ahajournals.org) on disparities, health equity, antiracism, community-engaged/community-based participatory research, and implementation science.To achieve this goal, the Scientific Publishing Committee has worked closely with the Editors-in-Chief of the 13 AHA original research journals on several initiatives. First, through the optional self-reported demographic data that users have provided in our manuscript tracking system, we collected and measured the composition of editorial boards, invited authors, and invited reviewers for gender, racial, and ethnic diversity. We made this information publicly available in aggregate (along with additional information on demographic terms and categories) and intend to provide annual updates at https://www.ahajournals.org/journal-demographics. Although we have achieved some successes, such as a slight increase in the percentage of participating individuals who report as female or as part of an underrepresented racial and ethnic group, there is room for progress, which is a major goal for 2024. Going forward, we will review how this information is collected along with the types of demographic categories and editorial roles captured. By collecting and reviewing these data regularly, we can better identify weaknesses and systematically work to improve diversity.Next, we created an online collection of all articles related to the 2024 Impact Goal, termed the "Health Equity Collection" (https://www.ahajournals.org/health-equity), which includes key AHA Scientific Statements, original research, reviews, editorials, and other articles published since 2015 on topics related to health equity. There are themed issues, including an annual health equity/disparities issue in Circulation and Focused Update in Stroke, Go Red issues on women and heart disease across the portfolio, a special issue on implementation science in Circulation: Cardiovascular Quality and Outcomes planned for late 2022, and publications on the inaugural development of disparities research guidelines2 and the goal of addressing structural racism as a major contributor to cardiovascular inequity.3Stroke is piloting an initiative to query authors about the diversity of research participants and steering committee composition for clinical trials. We also established an author name change policy that allows authors to change their name more easily throughout publications in AHA journals for reasons including, but not limited to, gender identity, marriage, divorce, and religious conversion (https://www.ahajournals.org/name-change).To help support and coordinate these growing efforts, the next logical step was the investment of the time, effort, and funds to create the AHA Equity, Diversity, and Inclusion (EDI) Editorial Board (https://www.ahajournals.org/edi-editorial-board). The role of the EDI Editorial Board is to facilitate more and better science in the health equity and diversity space and increase representation throughout the editorial, author, and reviewer pool. With input from the Editors-in-Chief, the EDI Editorial Board was formed and has met regularly over the past year to develop a workflow, standardize nomenclature for published manuscripts, and minimize the effect on length of review (Figure). During submission, authors will be asked if their manuscript focuses on demographic differences or other issues related to EDI (for examples see Breathett et al2 and Boyd et al4) and will complete a brief checklist. Most manuscripts will undergo initial review without any change in the submission process. For manuscripts invited for revisions, editors can optionally request an additional review by a member of the EDI Editorial Board who would view the work through an "EDI lens."Download figureDownload PowerPointFigure. Proposed workflow of manuscripts using the EDI Editorial Board. EDI indicates Equity, Diversity, and Inclusion.To better understand the role of the EDI Editorial Board, it is helpful to understand what is meant by an EDI lens. The EDI reviewer can support the journal editorial team and reviewers, who may not have specific expertise in disparities research, by reinforcing the need for appropriate conceptual models, use of consistent terminology, and avoidance of confounding biology with social constructs of race and ethnicity. When appropriate, submitting authors will be asked to complete a checklist on the basis of the disparities research guidelines2 for manuscripts that address EDI-related issues at the revision/provisional acceptance stage. The EDI Editorial Board will also be able to assist the Editors of AHA journals in being inclusive of impactful research in health equity and disparities and support the Editors and Scientific Publishing Committee in establishing processes to improve the diversity of invited authors, reviewers, and Editorial Board Members. The EDI Editorial Board is intended to be a resource for the Editors and editorial teams of the AHA journals, and we expect active knowledge sharing within the EDI Editorial Board. In addition to the manuscript workflow component, other roles for the EDI Editorial Board, such as consultation about possible peer reviewers for articles, advising on appropriateness of editorials, and further developing strategies to increase diversity of authors, including for invited editorials and reviews, will be considered.Increasing overall diversity and improving health equity for all is challenging work involving a multitude of stakeholders,5 but it is important, essential, and urgent work to do well. As we proceed with the EDI Editorial Board, we look forward to establishing more concrete metrics of success, to better evaluating the diversity of authors and reviewers, and to leading these efforts by serving as an example to other journals.Article InformationAcknowledgmentsThe authors thank N.A. Mark Estes, MD, Khadijah Breathett, MD, MS, Bruce Ovbiagele, MD, MSc, MAS, MBA, Erica Spatz, MD, MHS, and Rishi Wadhera, MD, MPP, MPhil for help in developing the AHA Journals Equity, Diversity, and Inclusion Editorial Board.Sources of FundingNone.Disclosures None.FootnotesFor Sources of Funding and Disclosures, see page 723.Circulation is available at www.ahajournals.org/journal/circCorrespondence to: Eldrin F. Lewis, MD, MPH, Division of Cardiovascular Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Falk CVRB, Palo Alto, CA 93405. Email [email protected]eduReferences1. Lloyd-Jones DM, Elkind M, Albert MA. American Heart Association's 2024 impact goal: every person deserves the opportunity for a full, healthy life.Circulation. 2021; 144:e277–e279. doi: 10.1161/CIRCULATIONAHA.121.057617LinkGoogle Scholar2. Breathett K, Spatz ES, Kramer DB, Essien UR, Wadhera RK, Peterson PN, Ho PM, Nallamothu BK. The groundwater of racial and ethnic disparities research: a statement from Circulation: Cardiovascular Quality and Outcomes.Circ Cardiovasc Qual Outcomes. 2021; 14:e007868. doi: 10.1161/CIRCOUTCOMES.121.007868LinkGoogle Scholar3. Churchwell K, Elkind MSV, Benjamin RM, Carson AP, Chang EK, Lawrence W, Mills A, Odom TM, Rodriguez CJ, Rodriguez F, et al. Call to action: structural racism as a fundamental driver of health disparities: a presidential advisory from the American Heart Association.Circulation. 2020; 142:e454–e468. doi: 10.1161/CIR.0000000000000936LinkGoogle Scholar4. Boyd RW, Lindo EG, Weeks LD, McLemore MR. On racism: a new standard for publishing on racial health inequities.Health Affairs Blog. July 2, 2020. doi: 10.1377/hblog20200630.939347Google Scholar5. Johnson AE, Talabi MB, Bonifacino E, Culyba AJ, Davis EM, Davis PK, De Castro LM, Essien UR, Gonzaga AM, Hogan MV, et al. Racial diversity among American cardiologists: implications for the past, present, and future.Circulation. 2021; 143:2395–2405. doi: 10.1161/CIRCULATIONAHA.121.053566LinkGoogle Scholar Previous Back to top Next FiguresReferencesRelatedDetailsCited ByKapral M (2023) Kenton Award Lecture—Stroke Disparities Research: Learning From the Past, Planning for the Future, Stroke, 54:2, (379-385), Online publication date: 1-Feb-2023. September 6, 2022Vol 146, Issue 10 Advertisement Article InformationMetrics © 2022 American Heart Association, Inc.https://doi.org/10.1161/CIRCULATIONAHA.122.061450PMID: 35862071 Originally publishedJuly 18, 2022 Keywordssocial determinants of healthhealthcare disparitieshealth equitysystemic racismEditorialPDF download Advertisement SubjectsDisparitiesHealth EquitySocial Determinants of Health