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In light of global environmental crises and the need for sustainable development, the fields of public health and environmental sciences have become increasingly interrelated. Both fields require interdisciplinary thinking and global solutions, which is largely directed by scientific progress documented in peer-reviewed journals. Journal editors play a critical role in coordinating and shaping what is accepted as scientific knowledge. Previous research has demonstrated a lack of diversity in the gender and geographic representation of editors across scientific disciplines. This study aimed to explore the diversity of journal editorial boards publishing in environmental science and public health. The Clarivate Journal Citation Reports database was used to identify journals classified as Public, Environmental, and Occupational (PEO) Health, Environmental Studies, or Environmental Sciences. Current EB members were identified from each journal’s publicly available website between 1 March and 31 May 2021. Individuals’ names, editorial board roles, institutional affiliations, geographic locations (city, country), and inferred gender were collected. Binomial 95% confidence intervals were calculated for the proportions of interest. Pearson correlations with false discovery rate adjustment were used to assess the correlation between journal-based indicators and editorial board characteristics. Linear regression and logistic regression models were fitted to further assess the relationship between gender presence, low- and middle-income country (LMIC) presence and several journal and editor-based indicators. After identifying 628 unique journals and excluding discontinued or unavailable journals, 615 journal editorial boards were included. In-depth analysis was conducted on 591 journals with complete gender and geographic data for their 27,772 editors. Overall, the majority of editors were men (65.9%), followed by women (32.9%) and non-binary/other gender minorities (0.05%). 75.5% journal editorial boards (n = 446) were composed of a majority of men (>55% men), whilst only 13.2% (n = 78) demonstrated gender parity (between 45–55% women/gender minorities). Journals categorized as PEO Health had the most gender diversity. Furthermore, 84% of editors (n = 23,280) were based in high-income countries and only 2.5% of journals (n = 15) demonstrated economic parity in their editorial boards (between 45–55% editors from LMICs). Geographically, the majority of editors’ institutions were based in the United Nations (UN) Western Europe and Other region (76.9%), with 35.2% of editors (n = 9,761) coming solely from the United States and 8.6% (n = 2,373) solely from the United Kingdom. None of the editors-in-chief and only 27 editors in total were women based in low-income countries. Through the examination of journal editorial boards, this study exposes the glaring lack of diversity in editorial boards in environmental science and public health, explores the power dynamics affecting the creation and dissemination of knowledge, and proposes concrete actions to remedy these structural inequities in order to inform more equitable, just and impactful knowledge creation.

Everyone, not just marginalized groups, must fight racism and oppression. Members of privileged groups must learn to be allies. Toronto’s Hospital for Sick Children developed a series of workshops to teach them how.Summary Oppression and racism are pervasive in the health care environment and directly impact patients, physicians, and other health care practitioners. Fostering and promoting allyship skills can increase inclusion in health care and advance systemic change. The Hospital for Sick Children in Toronto developed a foundational allyship workshop to increase awareness and understanding of interpersonal, systemic, and institutional oppression and discrimination in the large pediatric academic center. The workshop emphasizes individual accountability and how to speak up and act against oppression through critical allyship. The authors report promising results around the engagement and desire to practice allyship amongst health care providers.

Discrimination has historically contributed to coercive contraceptive in the United States. We investigated associations between perceived discrimination, or the perception of unequal treatment in everyday life, and contraceptive method use among U.S. women. We analyzed population-based data from a 2013 study of U.S. women who were premenopausal, age 18–50, sexually active with a male partner in the last year and were not attempting pregnancy. Perceived discrimination was measured using the Everyday Discrimination Scale. Contraceptive method use was categorized into five method categories: permanent, highly effective reversible, moderately effective, barrier and no method. We analyzed relationships between perceived discrimination and contraceptive method use with several regression models, controlling for covariates. Among 539 women in our analytic sample, those with high perceived discrimination had lower incomes, less educational attainment and were less likely to be insured. Perceived discrimination was associated with a reduced odds of using any contraceptive method (aOR 0.43, CI 0.21–0.87, p < .001). Contraceptive method users with high perceived discrimination had an increased odds of using highly effective reversible methods versus moderately effective methods (aOR 5.28, CI 1.63–17.07 p = < .001). Women who perceived discrimination were at risk for contraceptive nonuse; however, among contraceptive users, perceived discrimination was associated with the use of more effective reversible methods.

Informed by intersectionality theory, a tradition that theorizes intersecting power relations of racism, patriarchy, classism and heterosexism, this paper investigates the degree to which race, gender, class and sexuality manifest distinct and interconnected associations with self-reported hypertension in nationally-representative survey data from Canada. Binary logistic regression is used to model the main effects of, and interactions between, race, gender, education, household income and sexual orientation on hypertension, controlling for age, using data from the 2003 Canadian Community Health Survey (n = 90,310). From a main effects (‘additive’) perspective, Black respondents, respondents with less than high school and poorer respondents were significantly more likely than White respondents, university-educated Canadians and wealthier Canadians, respectively, to report hypertension. However, the interactive models indicate that the additive models were poor predictors of hypertension for wealthy Black men, wealthy South Asian women, women with less than a high school diploma and wealthy bisexual respondents, who were more likely than expected to report hypertension, and for poor Black men, poor South Asian women, poor South Asian men and women with a university degree, who were less likely than expected to report hypertension. It appears that, with regard to blood pressure at least, Canadians experience the health effects of education differently by their genders and the health effects of income differently by their identities defined at the intersection of race and gender. This study provides empirical support for the intersectional approach to cardiovascular health inequalities by demonstrating that race, gender, class and sexuality cannot be disentangled from one another as predictors of hypertension.

Résumé Le Canada et le Québec, sociétés pluriethniques, possèdent des politiques et des programmes de promotion et de prévention pour contrer les violences faites aux femmes, mais reconnaissent que le défi est de taille dans le contexte migratoire. Les immigrantes, confrontées à la violence conjugale, ne disposent souvent pas d’accessibilité culturelle aux services sociaux et de santé ou n’obtiennent pas de réponse adéquate à leurs besoins. Toutefois, certains organismes ont des projets pour leur venir en aide mais ils ne sont pas systématiques. L’article présente les résultats d’une recherche exploratoire, avec approche ethnologique, qui documente la perception de 10 intervenants d’organismes communautaires et institutionnels concernant leurs activités dans le domaine et leur préoccupation pour la promotion et la prévention primaire, même si leurs pratiques concrètes sont surtout centrées sur la prévention secondaire. Maints empêchements les limitent, mais leurs perceptions des réponses promotionnelles et préventives mettent en lumière l’impact de la violence structurelle et de la violence conjugale et orientent les perspectives de renouvellement des pratiques d’intervention sociosanitaire en matière de violence conjugale.

Dans le cabinet de la psychiatre Fatma Bouvet de la Maisonneuve, les patient.e.s se confient et notamment sur les discriminations auxquelles ils doivent faire face. Un miroir nous est tendu, s'y dessine notre société. Stéphane Mercurio nous restitue ces confidences et cet écho du monde.