J. De Gruchy et S. Lewin, Ethics that exclude: The role of ethics committees in lesbian and gay health research in South Africa, AM J PUB HE, 91(6), 2001, pp. 865-868
Citations number
28
Categorie Soggetti
Public Health & Health Care Science","Envirnomentale Medicine & Public Health","Medical Research General Topics
Prevailing state and institutional ideologies regarding race/ethnicity, gen
der, and sexuality help to shape, and are influenced by, research prioritie
s. Research ethics committees perform a gatekeeper role in this process.
In this commentary, we describe efforts to obtain approval from the ethics
committee of a large medical institution for research into the treatment of
homosexual persons by health professionals in the South African military d
uring the apartheid era. The committee questioned the "scientific validity"
of the study, viewing it as having a "political" rather than a "scientific
" purpose. They objected to the framing of the research topic within a huma
n rights discourse and appeared to be concerned that the research might lea
d to action against health professionals who committed human rights abuses
against lesbians and gay men during apartheid.
The process illustrates the ways in which heterosexism, and concerns to pro
tect the practice of health professionals from scrutiny, may influence the
decisions of ethics committees. Ethics that exclude research on lesbian and
gay health cannot be in the public interest. Ethics committees must be cha
llenged to examine the ways in which institutionalized ideologies influence
their decision making.