The Journal of Adolescent Health's Commitment to Diversity, Equity, and Inclusion
2023; Elsevier BV; Volume: 72; Issue: 2 Linguagem: Inglês
10.1016/j.jadohealth.2022.11.002
ISSN1879-1972
AutoresCarol A. Ford, Cherrie B. Boyer, Carolyn Tucker Halpern, Debra K. Katzman, David A. Ross,
Tópico(s)Feminist Theory and Gender Studies
ResumoThe Journal of Adolescent Health (JAH) is the multidisciplinary scientific journal of the Society for Adolescent Health and Medicine (SAHM), a professional society dedicated to improving the health and wellbeing of all adolescents and young adults (AYA). JAH is committed to publishing articles that help to increase AYA health equity, decrease AYA health disparity, and promote respect for all young people. To do this effectively, we depend on high-quality submissions, followed by a review process that is based on diversity, equity, and inclusion (DEI) principles. There is an emerging discussion about the importance of DEI within the field of scholarly publishing. The Committee on Publication Ethics is an organization committed to educating and supporting editors, publishers, and authors with the aim of normalizing ethical practices in publishing culture [https://publicationethics.org/about/our-organisation]. Committee on Publication Ethics has produced a comprehensive discussion paper on diversity and inclusivity that attempts to accomplish five goals: (1) Identify subjects of discrimination in scholarly research; (2) Identify representational issues related to workforce discrimination and marginalization in employment; (3) Identify impact of discriminatory practices in peer review and editorial decision-making; (4) Identify marginalization of topics of research study, including through citation lexicons and algorithmics; and (5) Provide initial recommendations for the promotion of social justice and equity within scholarly publishing [[1]COPE Council. COPE discussion document: diversity and inclusivity — English. Available at: https://publicationethics.org/node/52156. https://doi.org/10.24318/RLqSoVsZ. Accessed November 4, 2022.Google Scholar]. Elsevier, the company with whom SAHM contracts to publish JAH, has an active Inclusion and Diversity Advisory Board (https://www.elsevier.com/about/inclusion-diversity-board). Elsevier is committed to enhancing inclusion and diversity in academic research and to ensuring that research is conducted and reported in the most equitable and inclusive manner possible [[2]Elsevier inclusion and diversity advisory board, 2020- 2021 report.https://www.elsevier.com/__data/assets/pdf_file/0008/1243673/ID-BOARD-REPORT_20220321.pdfDate accessed: November 4, 2022Google Scholar]. Individual journals have published editorials, communications, and reports specific to this topic [3Fontanarosa P.B. Flanagin A. Ayanian J.Z. et al.Equity in the JAMA network.JAMA Cardiol. 2021; 6: 876-879Crossref PubMed Scopus (3) Google Scholar, 4Fisher P.G. Cole S.S. Cochran C.R. et al.Diversity, equity, and inclusion in the journal of pediatrics.J Pediatr. 2021; 236: 4Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar, 5Shah S.S. Shaughnessy E.E. Spector N.D. Promoting gender equity at the journal of hospital medicine.J Hosp Med. 2020; 15: 517Crossref PubMed Scopus (7) Google Scholar, 6Williams W.A. Garvey K.L. Goodman D.M. et al.Role of gender and publication at the journal of pediatrics 20 15-20 16: Equal reviews, unequal opportunities.J Pediatr. 2018; 200: 254-260.e1Abstract Full Text Full Text PDF PubMed Scopus (26) Google Scholar, 7Merriman R. Galizia I. Tanaka S. et al.The gender and geography of publishing: Review of sex/gender reporting and author representation in leading general medical and global health journals.BMJ Glob Health. 2021; 6: e005672Crossref PubMed Scopus (22) Google Scholar, 8Buffone B. Djuana I. Yang K. et al.Diversity and health professional education scholarship: A document analysis of international authors representation in leading journals.BMJ Open. 2020; 10: e043970Crossref PubMed Scopus (13) Google Scholar]. Yet, there has been no consensus on how best to incorporate DEI principles into scholarly publishing practices. Over the past two years, JAH's leadership has engaged in a series of discussions about the importance of being more intentional about integrating DEI principles in our scholarly journal's role in promoting AYA health equity and reducing AYA health disparities. JAH recently published a commentary authored by the SAHM DEI Ad Hoc Committee that was focused on the role of professional organizations in advancing DEI [[9]Barkley L. Kelley M.A. Mihaly L. Chulani V.L. Advancing diversity, equity, and inclusion in professional organizations: Lessons from the society for adolescent health and medicine.J Adolesc Health. 2022; 71: 523-525Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar]. This commentary highlighted the 2002 Institute of Medicine seminal publication titled "Unequal Treatment," which underscored the need to increase the proportion of health professionals from under-represented backgrounds to address health inequities experienced by members of historically marginalized groups [[10]Institute of Medicine (US)Smedley B.D. Stith A.Y. Nelson A.R. Committee on understanding and eliminating racial and ethnic disparities in health care. Unequal treatment: Confronting racial and ethnic disparities in health care. National Academies Press (US), Washington (DC)2003Google Scholar]. In addition, professional medical organizations have been charged with promoting DEI in their memberships and providing leadership to address health inequities in clinical practice [[11]Institute of Medicine (US)Committee on institutional and policy-level strategies for increasing the diversity of the U.S. Healthcare workforce.in: Smedley B.D. Stith Butler A. Bristow L.R. The Nation's compelling interest: Ensuring diversity in the health-care workforce. National Academies Press (US), Washington (DC)2004Google Scholar]. Noting the lack of consensus on how professional organizations can advance DEI efforts, the SAHM's DEI Ad Hoc Committee described efforts undertaken by SAHM to respond to the calls to action, current efforts to codify DEI values into SAHM's operations, and lessons learned applicable to other organizations [[9]Barkley L. Kelley M.A. Mihaly L. Chulani V.L. Advancing diversity, equity, and inclusion in professional organizations: Lessons from the society for adolescent health and medicine.J Adolesc Health. 2022; 71: 523-525Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar]. The Committee proposed focusing on specific SAHM activities to address opportunities for more inclusion, with activities including SAHM membership, leadership, conference presentations, awards, training, and JAH. We agree that JAH has opportunities for more inclusion and we take this opportunity to summarize the Journal's recent and current DEI-related activities. Consistent with SAHM's history and recommendations of the SAHM Ad Hoc Committee, we consider multiple dimensions of diversity [[9]Barkley L. Kelley M.A. Mihaly L. Chulani V.L. Advancing diversity, equity, and inclusion in professional organizations: Lessons from the society for adolescent health and medicine.J Adolesc Health. 2022; 71: 523-525Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar]. JAH acknowledges the importance of increasing health equity and reducing health disparities among AYA populations based on the dimensions of race, ethnicity, language, gender, sexuality, culture, geography, income, disability, illness, and body size and shape. JAH considers similar dimensions of diversity when creating its Editorial Board, with the addition of professional discipline, areas of content expertise, and stage of career. Furthermore, JAH leadership recognizes the importance of acknowledging that individuals may have more than one identity, considering intersectionality and conducting research on overlapping dimensions of diversity. JAH leadership has developed a framework to help guide our efforts to support DEI principles and promote AYA health equity (Figure 1). This framework is grounded in JAH's dedication to publishing articles that help to improve the health and wellbeing of all AYAs, increase AYA health equity, decrease AYA health disparities, and promote respect for all young people. We accomplish this by publishing and disseminating high-quality evidence-based original research, reviews, editorials, commentaries, case reports, infographics, letters, and JAH intersection items. To do this effectively, we depend on an equitable review process that is based on DEI principles, which minimize risks of discrimination and bias. Content published in JAH is contingent upon the types and quality of articles that are submitted for our consideration. Within the context of this framework, we first reflect upon recent work within three core domains. This is followed by a description of areas of ongoing work and priorities for future improvements.(1)Encourage more high-quality submissions in a manner that is consistent with strong DEI principles and informs efforts to improve health equity. We aim to attract high-quality original research and other submissions that align with JAH's aims and scope. We have revised our aims and scope explicitly to include a description of our commitment to improving health equity and reducing health disparities among AYAs (https://www.jahonline.org/content/aims). Submissions from diverse groups of multidisciplinary authors are strongly encouraged. We urge JAH Editorial Board members to serve as ambassadors to encourage high-quality submissions to the Journal. We expanded and diversified our Board in 2019 and again this year, with the goal of increasing diversity in areas of professional discipline, content expertise, stage of career, race, ethnicity, gender, and geography. This will help to extend our reach to a more diverse group of authors who are focused on increasing health equity and decreasing health disparities in AYAs. To support authors, we have added information about Elsevier's Author Support Services to our author guidelines (https://www.jahonline.org/content/authorinfo). Our guidelines encourage authors to use inclusive, nonstigmatizing language, consistent with the style guides of the American Medical Association and the American Psychological Association [12American Medical Association and Association of American Medical CollegesAdvancing health equity: Guide on language, narrative and concepts.https://www.ama-assn.org/about/ama-center-health-equity/advancing-health-equity-guide-language-narrative-and-concepts-0Date: 2021Date accessed: November 4, 2022Google Scholar, 13American Psychological AssociationInclusive language guidelines.https://www.apa.org/about/apa/equity-diversity-inclusion/language-guidelines.pdfDate: 2021Date accessed: November 4, 2022Google Scholar, 14Flanagin A. Frey T. Christiansen S.L. et al.Updated guidance on the reporting of race and ethnicity and medical and science journals.JAMA. 2021; 326: 621-627Crossref PubMed Scopus (554) Google Scholar]. This includes a strong preference for use of person-first language (e.g., "a person living with HIV" rather than "an HIV-positive person"). JAH's Editor-in-Chief and Managing Editor offer workshops at annual SAHM meetings and meetings of the International Association of Adolescent Health to encourage and support authors interested in submitting their work to our Journal.(2)Improve processes to ensure that all submissions receive a fair review and minimize risks of unintended discrimination, exclusion, or bias. The initial review of submitted manuscripts involves collaboration among the Editor-in-Chief, Associate Editors, and the Editorial Board. We have developed the following four specific criteria to guide decisions about whether a submission is referred for a full peer review versus "desk-rejected" without a full peer review:•Topic/Content. Is the content new, innovative, and/or important to the field of AYA health?•Science. Is the scientific design and execution strong and are the conclusions very likely to be valid?•Presentation. Is the study (rationale, methods, results, and discussion) presented in an organized and easily understandable manner? Given JAH's very limited capacity to assist authors in editing their manuscripts, submissions must be written in clear scientific English. Collaboration with an English-speaking colleague is recommended. Elsevier provides language services for a fee.•Alignment with JAH's Aims and Scope. Does the study align well with the aims and scope of SAHM's professional journal? JAH prioritizes publication of information that will be of interest to people working on AYA health in multiple geographical areas. For example, for JAH to publish an article, its results should be of interest to those working in the field of AYA health in more than one U.S. state or more than one other country. When submissions are sent for full peer review, the editorial office aims to invite peer reviewers with expertise related to the submissions' content, methodology, potential contribution to the field, and/or familiarity with the content's broader context. To the extent possible, peer reviewers with context expertise and/or relevant life experience are invited to review submissions on topics related to health equity or disparities or when submissions focus on highly sensitive or politically charged topics. Given the breadth and depth of topics considered for publication, JAH maintains a large and diverse pool of volunteer peer reviewers who are willing and able to conduct timely reviews. Our current reviewer database contains 10,500 potential reviewers. Our Editorial Analyst identifies and invites peer reviewers based upon the content of a submitted abstract and the subject-area classifications indicated by the authors. Reviewers are also nominated by the Editorial Board members who desk-reviewed the submission and we strongly consider author-suggested reviewers. Typically, JAH invites an initial group of eight potential reviewers to each submission. The editors generally rely on three completed peer reviews to inform final editorial decisions. In 2020, 29% of invited reviewers completed reviews. JAH has a standard appeal process available to authors who do not agree with initial decisions and the appeal process always involves a second independent desk review. Ensuring fair and unbiased peer review requires the involvement of a diverse JAH leadership team, Editorial Board, and pool of peer reviewers. We are engaged in ongoing efforts to diversify the membership of all groups. For example, 11 Board members volunteered to be part of the JAH International Working Group focused on issues related to extending the Journal's reach to more diverse international geographic and resource-limited regions. More details on this workgroup's efforts will be described in an upcoming editorial by Dr. David Ross, our JAH Associate Editor for international health.(3)Ensure that JAH is publishing content that increases our understanding of and informs practices, programs, and policies that improve health equity and reduce health disparities. Our methodology for tracking specific JAH content over time has historically focused on categorizing the main subject content of articles (e.g., mental health, substance use, reproductive health) rather than the article's contributions to understanding and improving health equity. Nonetheless, a scan of JAH tables of contents and article content reveals a range of topics important to understanding AYA health equity and health disparities along multiple diversity dimensions. Table 1 provides examples of recently published articles related to AYA health disparities, including topics on race, ethnicity, gender, gender identity, sexuality, culture, geography, income, disability, illness, and body size and shape. In addition, we include the direct perspective of youth who contribute information based on their lived experiences in publications that use qualitative methodologies and through use of creative expressions such as photographs, poems, and essays within JAH intersection [15Harness J. Fitzgerald K. Sullivan H. m Selkie E. Youth insight about social media effects on well/ill being and self-modulation efforts.J Adolesc Health. 2022; 71: 324-333Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar, 16Wilkerson T.A. Hawryluk B. Moore C. et al.Developing a youth contraception navigator program: A human centered design approach.J Adolesc Health. 2022; 71: 217-225Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar, 17Davies S.H. Langer M.D. Klein A. et al.Adolescent perceptions of menstruation on Twitter: Opportunities for advocacy and education.J Adolesc Health. 2022; 71: 94-104Abstract Full Text Full Text PDF PubMed Scopus (7) Google Scholar, 18Chang C. Ceci C. Uberoi M. et al.Youth perspectives on the medical team's role in screening for and addressing social determinants of health.J Adolesc Health. 2022; 70: 928-933Abstract Full Text Full Text PDF PubMed Scopus (6) Google Scholar, 19Quinn S.M. Parva B. COVID9TEEN virtues: Help, hope, and holding space. Editorial.J Adolesc Health. 2022; 71: 844-845Abstract Full Text Full Text PDF Scopus (2) Google Scholar]. JAH also publishes influential SAHM Position Papers, which address racism, health equality, and discrimination [[20]Society for Adolescent Health and MedicinePromoting equity and reducing health disparities among racially/ethnically diverse adolescents: A position paper of the society for adolescent health and medicine.J Adolesc Health. 2013; 52: 804-807Abstract Full Text Full Text PDF PubMed Scopus (13) Google Scholar,[21]Society for Adolescent Health and MedicineRacism and its harmful effects on nondominant racial–ethnic youth and youth-serving providers: A call to action for organizational change.J Adolesc Health. 2018; 63: 257-261Abstract Full Text Full Text PDF PubMed Scopus (31) Google Scholar,[22]Society for Adolescent Health and MedicinePromoting health equality and nondiscrimination for transgender and gender-diverse youth.J Adolesc Health. 2020; 66: 761-765Abstract Full Text Full Text PDF PubMed Scopus (20) Google Scholar] The important theme of intersectionality is now beginning to be discussed and studied [[23]Krause K.H. Mpofu J.J. Underwood J.M. et al.The CDC's adolescent behaviors and experiences survey – using intersectionality and school connectedness to understand health disparities during the COVID-19 pandemic.J Adolesc Health. 2022; 70: 703-705Abstract Full Text Full Text PDF PubMed Scopus (5) Google Scholar,[24]Krause K.H. Mpofu J.J. Brown M. et al.At the intersections: Examining trends in experiences of violence, mental health status, and suicidal risk behaviors among US high school students using intersectionality, national youth risk behavior survey, 2015–2019.J Adolesc Health. 2022; 71: 293-300Abstract Full Text Full Text PDF PubMed Scopus (5) Google Scholar].Table 1Examples of JAH publications informing areas of AYA health disparities related to race, ethnicity, gender, sexuality, culture, geography, income, disability/illness/other limitations, and body size/shape (August–October 2022)Publication title (type)DiversityDimensionsOctober 2022 Adolescent-Adult Social Networks and Experiences of Violence Among Black Youth in Neighborhoods With High Levels of Community Violence (Research)Race Racial Discrimination and Conduct Problems Among Black American Youth: The Moderating Effect of Ethnic Racial Socialization (Research)Race, Ethnicity, Culture Binary and Nonbinary Transgender Adolescents' Healthcare Experiences, Avoidance, and Well Visits (Research)Gender Same but Different? Comparing Attitudes Regarding Gender, Gender Diversity, and Sexual Diversity Among Early Adolescents in South Africa and Belgium (Research)Gender, Sexuality, Geography Obesity in Adolescents: Understanding the Combined Role of Food Security and Emotional and Behavioral Disorders (Research)Body size/shape The Role of Critical Consciousness and Inclusive Curricula in Adolescents and Young Adults' Wellbeing: A Call for Critical Multicultural Education. (Commentary)RaceSeptember 2022 Substance Use Behaviors Among LGBTQ + Youth of Color: Identification of the Populations Bearing the Greatest Burden in Three Large Samples (Research)Race, Ethnicity, Sexuality, Gender Males' Awareness of Female and Male Contraception Methods, Information, Outreach, and Acquisition Locations in Abidjan, Côte d'Ivoire, Nairobi, Kenya, and Lagos, Nigeria (Research)Gender, Geography Two-Year Follow-Up of a Transition-Specific Education Program for Young People With Chronic Conditions (Research)Illness At the Intersections: Examining Trends in Experiences of Violence, Mental Health Status, and Suicidal Risk Behaviors Among US High School Students Using Intersectionality, National Youth Risk Behavior Survey, 2015–2019 (Research)Race, Ethnicity, Sex/Gender How Do Psychosocial Interventions for Adolescents and Young People Living With HIV Improve Adherence and Viral Load? A Realist Review (Review)Illness Scientific Misinformation and Gender Affirming Care: Tools for Providers on the Front Lines (Commentary)GenderAugust 2022 Police Stops and the Erosion of Positive Future Orientation Among Urban Adolescents (Research)Race, Ethnicity Weight Status and Mental Well-Being Among Adolescents: The Mediating Role of Self-Perceived Body Weight. A Cross-National Survey (Research)Body shape/size Preventing, but Not Caring for, Adolescent Pregnancies? Disparities in the Quality of Reproductive Health Care in Sub-Saharan Africa (Research)Gender Geography Flavored Tobacco Product Use Among Young Adults by Race and Ethnicity: Evidence From the Population Assessment of Tobacco and Health Study (Research)Race, Ethnicity The Impact of Monetary Poverty Alleviation Programs on Children's and Adolescents' Mental Health: A Systematic Review and Meta-Analysis Across Low-, Middle-, and High-Income Countries (Review)Geography, Income Availability and Components of National Adolescent Health Programs, by World Bank Income Group (Infographic)Geography, Income Open table in a new tab In 2021, we realized that the way in which we collected data on manuscripts' geographic origin was ambiguous: the corresponding author's parent institution did not necessarily correlate with site of the actual research or data collection. This limited our ability to understand geographic diversity in submitted and published research. We have since modified this measure and new, more accurate location data will be emerging in 2023. During the process of discussing and developing JAH's framework to support DEI principles and promote AYA health equity, we identified areas of needed improvement and potential opportunities for the future. JAH recognizes that this is an evolving process as we learn, monitor, and progress. Addressing areas of needed improvement will require complex, effective, and multi-year sustained efforts along with multipronged and multilevel approaches. Informed by our discussions over the past two years, and placed within the context of our framework, JAH's leadership has initially prioritized the following activities. Currently, we do not have adequate data systems in place to help us to monitor or improve diversity within our publishing process, including information to identify or track submissions based on authors' identity, populations of research focus, or Editorial Board members' identities (i.e., demographic data such as sex/gender, racial and ethnic diversity, geography). Furthermore, we do not have data systems in place to describe potential peer reviewers based on diversity dimensions or context domains for which they are willing to contribute their expertise. We consider this data deficit to be a major limitation to current efforts to advance DEI in the scholarly publishing process. This need has been widely acknowledged among scholarly publishers. There are now international efforts to standardize how self-reported data on gender identity and race and ethnicity are collected [[25]Royal Society of ChemistryDiversity data collection in scholarly publishing.https://www.rsc.org/new-perspectives/talent/diversity-data-collection-in-scholarly-publishing/Date accessed: November 4, 2022Google Scholar,[26]Else H. Perkel J.M. The giant plan to track diversity and research journals.Nature. 2002; 602: 566-570Crossref Scopus (38) Google Scholar]. Elsevier is participating in these efforts and JAH has volunteered to be a part of its early efforts. While recognizing the multidimensional aspects of diversity, Elsevier is initially focusing on standardizing data collection of self-reported gender identity, race, and ethnicity through its Electronic Manager system. Authors, reviewers, and editors will be asked to self-report their identity data during login. Guiding principles for this process are as follows:•Users are in full control of their data.•Users have the option not to disclose.•User data are collected, stored, and safeguarded appropriately.•User data may be used to further diversity but will otherwise be analyzed and reported at aggregate levels.•User self-reported data cannot and will not be used during manuscript review processes.•Only capture data intended to be converted to an actionable output.•Level of aggregation and number of options for each schema parallel the scale of diversity they can practically accommodate (e.g., diversity on the Editorial Board).•Schemas will be periodically reviewed and updated as necessary. These processes will begin to provide JAH with self-identified data to describe dimensions of diversity among our authors, peer reviewers, and Editorial Board. Although we understand that there are challenges and differences of opinion about schemas for best collecting these data, and response rates will be less than 100%, we fully support Elsevier's activities. As data pertinent to JAH become available, they will become a part of our Annual Reports and discussed at the annual Editorial Board meeting. Our current classification system for describing the content of submissions should be updated. At this time, there is no effective system to describe and monitor submissions or publications based on content specifically related to health equity or health disparities. Authors and reviewers are given the opportunity to select from the same large list of classifications to describe their manuscript topic area or area of expertise, and JAH Editorial Office can run reports on these classifications to describe and match manuscripts and reviewers. This a voluntary selection process and it is subject to differences in selection/classification (that is, it lacks reliability). We will explore strategies to add the option of selecting categories aligned with health equity along multiple diversity dimensions. This editorial is intended to provide a broad overview of our thoughts related to JAH's DEI policies and practices. We recognize that there can be an added value to focusing on specific diversity dimensions. In this issue, we have published an important editorial focused on JAH and DEI within the dimensions of race and ethnicity [[27]Boyer C.B. Halpern C.T. Katzman D.K. et al.The journal of adolescent health's current practices and future opportunities for promoting and sustaining racially and ethnically diverse, equitable, and inclusive scholarly publishing policies and practices.J Adolesc Health. 2023; 72: 171-172Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar]. Next month, we will publish another focused on JAH and DEI within the dimensions of geography and country income. Next month's editorial includes a summary of work done in collaboration with the JAH Editorial Board's International Working Group. We acknowledge that there may be a value in focusing on JAH and other DEI dimensions in the future. Although the numbers of submissions that are focused on health equity and health disparities are strongly influenced by funding priorities, we recognize that JAH could intentionally encourage more submissions through notices of our interest in publishing research in this area. JAH leadership is actively discussing a series of "Notices of Special Interest" for submission of articles related to relatively neglected health topics or specifically related to DEI, AYA health equity, or AYA health disparities. Submissions from diverse groups of multidisciplinary authors and research teams will be explicitly encouraged. Submissions will go through standard JAH peer-review process and if accepted will be published in regular JAH issues. JAH regularly publishes theme-driven supplements that are dedicated to specific topics. These are funded by external agencies or organizations. Manuscripts submitted to supplements undergo a standard peer review. JAH's leadership will explore funding agency interests in sponsoring a specific supplement dedicated to DEI, AYA health equity, and/or AYA health disparities. In addition, JAH's leadership will explore funding agency interests in sponsoring a supplement linked to mentorship support, with the goal of helping early career researchers from historically marginalized backgrounds to develop the knowledge and skills to successfully submit and publish an article in JAH. Watch for an upcoming supplement in mid-2023 that describes just such a series of collaborative interventions in sub-Saharan Africa. In summary, JAH's leadership is wholly committed and looks forward to continuing our journey toward implementing more intentional strategies to promote AYA health equity, reduce AYA disparities, and incorporate DEI principles throughout the editorial processes. Table 2 summarizes activities described in this editorial, which are parts of an ongoing active and interactive process. Our strategies will be guided by a framework placed within the context of publication of an academic journal. Collectively, these activities align with suggestions for JAH proposed by the SAHM DEI Ad Hoc Committee. We expect that consistent, sustained efforts will be required to produce a meaningful long-term change and look forward to actively setting priorities with ongoing evaluation. Regular updates will be provided to the JAH Editorial Board, SAHM Board of Directors, and to the broad JAH audience through future Journal editorials.Table 2JAH activities to support diversity, equity, and inclusion principles and promote adolescent and young adult health equityDiversifying Editorial BoardRevised Aims and Scope to include commitment to improving health equity and to DEI principlesRevised Guidelines for Authors to include information about Elsevier Author Support ServicesRevised Guidelines for Authors to encourage use of person-first, inclusive, non-stigmatizing language as defined by American Medical Association or American Psychological Association recommendationsJAH Workshops offered at SAHM and International Association of Adolescent Health (IAAH) meetings to support diverse researchers interested in submitting work to JAHDeveloped more specific transparent criteria to guide decisions about initial submission reviewClarified three completed peer-reviews typically required to inform final editorial decisionsJAH International Working GroupModified measure to increase validity of data collected for geographic location of researchElsevier standardizing voluntary data collection of self-reported gender identity, race, and ethnicity for editorial board members, authors, and reviewersAdded "health disparities" as potential submission classificationUpcoming "Notices of Special Interest"JAH Supplement opportunities Open table in a new tab
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