PUBBLICAZIONE/PUBLICATION

Permanent URI for this communityhttps://gendermore.unimore.it/handle/123456789/1575

Browse

Filters

Settings

End date: 2019Discipline: search.filters.discipline.Health Sciences

Search Results

Now showing 1 - 10 of 44
  • Item type:Publication,
    Factors associated with homophobia in medical students from eleven Peruvian universities. Open PDF 
    (2019)
    Nieto-Gutierrez, Wendy
    ;
    Komori-Pariona, Jorge K.
    ;
    Sánchez, Alice G.
    ;
    Centeno-Leguía, Dercy
    ;
    Arestegui-Sánchez, Liz
    BACKGROUND: The consequences of homophobia can affect the integrity, mental and physical health of homosexual individuals in society. There are few studies in Peru that have evaluated homophobia in the medical student population. OBJECTIVE: To establish the social, educational and cultural factors associated with homophobia among Peruvian medical students. METHODS: A cross-sectional analytical study was conducted in 12 medicine schools in Peru. Homophobia was defined according to a validated test, which was associated with other variables. Statistical associations were identified. RESULTS: The lowest percentages of homophobic students (15-20%) were found in the four universities in Lima, while universities in the interior of the country had the highest percentages (22-62%). Performing a multivariate analysis, we found that the frequency of homophobia was lower for the following variables: the female gender (PRa=0.74; 95% CI, 0.61-0.92; p=0.005), studying at a university in Lima (PRa=0.57; 95% CI, 0.43-0.75; p<0.001), professing the Catholic religion (PRa=0.53; 95% CI, 0.37-0.76; p<0.001), knowing a homosexual (PRa=0.73; 95% CI, 0.60-0.90; p=0.003) and having treated a homosexual patient (PRa=0.76; 95% CI, 0.59-0.98; p=0.036). In contrast, the frequency of homophobia increased in male chauvinists (PRa=1.37; 95% CI, 1.09-1.72; p=0.007), adjusted by four variables. CONCLUSIONS: Homophobia was less common in women, in those who study in the capital, those who profess Catholicism and those who know/have treated a homosexual. In contrast, male chauvinists were more homophobic.
  • Item type:Publication,
    One and a half million medical papers reveal a link between author gender and attention to gender and sex analysis Open PDF 
    (2017)
    Nielsen, M.W.
    ;
    Andersen, J.P.
    ;
    Schiebinger, L.
    ;
    Schneider, J.W.
    Gender and sex analysis is increasingly recognized as a key factor in creating better medical research and health care 1-7. Using a sample of more than 1.5 million medical research papers, our study examined the potential link between women's participation in medical science and attention to gender-related and sex-related factors in disease-specific research. Adjusting for variations across countries, disease topics and medical research areas, we compared the participation of women authors in studies that do and do not involve gender and sex analysis. Overall, our results show a robust positive correlation between women's authorship and the likelihood of a study including gender and sex analysis. These findings corroborate discussions of how women's participation in medical science links to research outcomes, and show the mutual benefits of promoting both the scientific advancement of women and the integration of gender and sex analysis into medical research. © 2017 The Author(s).
  • Item type:Publication,
    A Feminist Quality Appraisal Tool: exposing gender bias and gender inequities in health research Open PDF 
    (Routhledge, 2017)
    Morgan, T.
    ;
    Williams, L.A.
    ;
    Gott, M.
    Quality appraisal tools used in systematic reviews to evaluate health literature do not adequately address issues related to gender. This oversight is significant because disparities between genders have been identified as a major health equity concern, and systematic reviews are regarded as a powerful means for informing policy that could redress gender inequities. In this paper, we present our Feminist Quality Appraisal Tool that offers researchers a template to undertake a comprehensive gendered analysis of studies they review. Informed by a feminist perspective, the tool addresses issues of power, gender and inequity, thereby giving researchers the means to interrogate the scientific rigour of systematic reviews that focus on gender. Specifically, our tool outlines ways gender can be critically examined in terms of study design, data collection, analysis, discussion and recommendations. We argue that this tool has the potential to improve the provision of public health by providing solid understandings and critical reflections on the reasons why women continue to face barriers in their access to optimal health care. © 2016 Informa UK Limited, trading as Taylor & Francis Group.
  • Item type:Publication,
    Male Chauvinism Among Peruvian Medical Students: Related Socio-Educational Factors in 12 Peruvian Universities. Open PDF 
    (2019)
    Mejia, Christian R.
    ;
    Pulido-Flores, Jordy
    ;
    Quiñones-Laveriano, Dante M.
    ;
    Nieto-Gutierrez, Wendy
    ;
    Heredia, Paula
    INTRODUCTION: Male chauvinism is rooted in certain populations, but it has not been measured among those who will be responsible for healthcare. OBJECTIVE: To determine the factors associated with male chauvinism among the medical students of 12 Peruvian universities. METHODS: Cross-sectional multicentre analytical study, with previously collected data, which used validated tests to measure male chauvinism and strong religious beliefs. In addition, other social and educational factors were analysed and the data was crossed. Descriptive and analytical statistics were obtained. RESULTS: In the multivariate analysis, we found an association between male chauvinism and religious non-believers (RP=1.88; 95% CI, 1.47-2.40), as well as being female (RP=0.35; 95% CI, 0.27-0.46). Of the 12 universities evaluated, the least chauvinistic university was in Lima. Using this university as a comparison category, the statistically more chauvinistic universities were a private university in Chiclayo (α=3.63; p<0.001), followed by a university in Huancayo (α=3.20; p=0.001), Huancayo national university (α=2.79; p<0.001) and the public university of Ica (α=2.32; p=0.006); the crossed data were adjusted for age. CONCLUSIONS: It was found that male chauvinism is greater among non-religious believers, men and in some universities, with a predominance of universities in the central highlands of Peru or that had migrants from the mountains. This is important, since it gives us an overview about this trait in those who will be responsible for the future healthcare of Peruvians.
  • Item type:Publication,
    When perception is reality: Resident perception of faculty gender parity in a university-based internal medicine residency program. Open PDF 
    (2019)
    Lukela, Jennifer Reilly
    ;
    Ramakrishnan, Aditi
    ;
    Hadeed, Nicole
    ;
    Del Valle, John
    INTRODUCTION: Although women have entered medical school and internal medicine residency programs in significant numbers for decades, women faculty remain underrepresented in senior and departmental leadership roles. How residents perceive this gender disparity is unknown. We sought to assess resident perception of gender parity among departmental leadership and teaching faculty in our internal medicine department, and to determine the actual gender distribution of those faculty roles. METHODS: An anonymous cross-sectional survey was distributed to evaluate resident perception of gender representation of various faculty roles. Using conference schedules, resident evaluations, and our department website, we determined the actual representation of women faculty in department leadership roles, and in clinical and educational activities. RESULTS: 88 of 164 residents (54%) responded. Women residents were less likely than men to perceive that women faculty were equally represented in department leadership (45% men agreed vs. 13% women, p < 0.05), clinical teaching roles (55% men agreed vs. 28% women, p < 0.05), or facilitating educational conferences (45% men agreed vs. 28% women, p = 0.074). In 2017, the internal medicine department at our institution comprised 815 faculty members, 473 men (58%) and 342 women (42%). At that time, women faculty held 5% of senior departmental leadership positions and 21% of educational leadership positions. During the year preceding survey distribution, women faculty attended on internal medicine inpatient wards for 33% of the total number of weeks, staffed 20% of morning reports, and facilitated 28% of noon conferences. DISCUSSION: Women residents in our internal medicine training program perceived a gender disparity among faculty in leadership and educational positions to a greater extent than male residents. The perception of women trainees was accurate. In addition to disproportionate underrepresentation in leadership positions, women faculty were underrepresented in prominent educational positions, including attending on inpatient services and serving as discussants at educational conferences.
  • Item type:Publication,
    Impact of a Women-focused Professional Organization on Academic Retention and Advancement: Perceptions From a Qualitative Study Open PDF 
    (2019)
    Lin, Michelle P.
    ;
    Lall, Michelle D.
    ;
    Samuels-Kalow, Margaret
    ;
    Das, Devjani
    ;
    Linden, Judith A.
    OBJECTIVES: Organizations to promote career networking and mentorship among women are recommended as a best practice to support the recruitment and retention of women physicians; however, the impact of such organizations is unknown. Our primary objective is to describe the impact of a national woman-focused organization for academic emergency physicians on retention and advancement. METHODS: We conducted semistructured interviews of past and present organization leaders, as well as members at varying stages in their careers. Physicians with experience in qualitative methods conducted interviews and coded all transcripts using inductive content analysis techniques. Themes were reviewed and discussed to ensure consensus. RESULTS: We performed 17 interviews lasting 20 to 30 minutes each, resulting in 476 total minutes of transcript. Participants represented varying stages of career experience, ranging from 2 to 35 years since residency completion (median = 9.5 years). Median years of participation in the woman-focused organization was 10 years. Over half (53%) of participants were past presidents of the organization. The dominant themes encompassed facilitating academic advancement through scholarly productivity, leadership experiences, awards, and promotions; mentorship and sponsorship; peer support and collaborations; reduced professional isolation; and initiatives to address systemic gender inequities and challenges, including strategies to navigate bias, promote pay equity, and advocate for family-friendly workplace policies. DISCUSSION: Active participation in a woman-focused professional organization enhances members' career retention and advancement by creating opportunities and relationships that facilitate leadership, enabling scholarly work to advance equity and inclusion, and cultivating a sense of belonging. While challenges and barriers persist, the myriad benefits of a women-focused professional organization reported by members and leaders represent important steps toward greater equity for women and other underrepresented groups in academic medicine.
  • Item type:Publication,
    From women in Taiwan’s history of traditional Chinese medicine (TCM) to recent case studies of gender practice under the academic glass ceiling
    (2017)
    Lin, J.-G.
    ;
    Tsai, L.-W.
    ;
    Chen, Y.-C.
    ;
    Ya-chen Chen
    The glass ceiling that women encountered in Taiwan’s traditional Chinese medicine (TCM) has remained chiefly unchallenged, with only a few individual women’s exceptional success in the twentieth and twenty-first centuries. Even in the twenty-first century, most of Taiwan’s prominent TCM experts and scholars of Taiwanese history are ignorant of or resistant to the significant value of women in Taiwan’s TCM history as well as in women’s studies, gender studies, and sexology. © Springer International Publishing AG 2018.
  • Item type:Publication,
    Gender Disparities in Medical Student Research Awards: A 13-Year Study from the Yale School of Medicine Open PDF 
    (Lippincott Williams and Wilkins, 2018)
    King, J.T.
    ;
    Angoff, N.R.
    ;
    Forrest, J.N.
    ;
    Justice, A.C.
    Purpose The Liaison Committee on Medical Education mandates instruction in research conduct, and many U.S. Medical schools require students to complete a research project. All Yale School of Medicine (YSM) graduating students submit a research thesis, and ∼5% are awarded highest honors. Gender disparities exist in areas related to physician research productivity, including academic rank, research funding, and publications. The authors asked whether gender disparities exist for medical student research. Method The authors conducted a retrospective review of 1,120 theses submitted by graduating medical students from 2003 to 2015 at YSM and collected data on gender, mentoring, research type, sponsoring department, and other characteristics. Multivariate logistic regression modeling examined gender differences in medical student research awards. Results Women authored 50.9% of theses, but earned only 30.9% of highest honors awards (OR 0.41; 95% CI: 0.23, 0.74). Among factors associated with increased receipt of highest honors that differed by gender, men were more likely than women to work with a mentor with a history of three or more thesis honorees, take a fifth year of study, secure competitive research funding, undertake an MD-master of health science degree, and conduct laboratory research (all P <.001). After adjustment for these factors, and for underrepresented in medicine status and sponsoring department, women remained less likely to receive highest honors (OR 0.51; 95% CI: 0.27, 0.98). Conclusions Women YSM students were less likely to receive highest honors for medical research. Gender disparities in postgraduate biomedical research success may start during undergraduate medical education. © 2018 by the Association of American Medical Colleges. Unauthorized reproduction of this article is prohibited.
  • Item type:Publication,
    Reporting sex or gender in anatomical research: Which is appropriate? Open PDF 
    (2019)
    Keet, Kerri
    ;
    Roy, Joyeeta
    ;
    Henry, Brandon Michael
    Sex- and gender-based differences need to be considered in evidence-based medical research as there are anatomical and physiological differences between males and females. Females are underrepresented in studies, with results from males often generalized to both sexes. The Sex and Gender Equity in Research (SAGER) guidelines were published in 2016 to address sex- and gender-bias in research. Correct understanding and appropriate use of the terms “sex” and “gender” are essential. These terms are discussed in an anatomical context and recommendations are made as to how the SAGER guidelines can guide the reporting of anatomical studies to minimize the risk of reporting bias. Clin. Anat. 32:697–698, 2019. © 2019 Wiley Periodicals, Inc.
  • Item type:Publication,
    Gender bias in female physician assessments: Women considered better suited for qualitative research Open PDF 
    (2002)
    Johansson, E.E.
    ;
    Risberg, G.
    ;
    Hamberg, K.
    ;
    Westman, G.
    Objective - To analyse whether physician assessment of scientific quality is biased by gender. Design - Two fictive research abstracts on back pain treatment were constructed, one with a quantitative and one with a qualitative design. Authorship was assigned to either a woman or a man. Subjects - 1637 randomly selected Swedish physicians were asked to judge the scientific quality of the two designs in a structured assessment form. Main outcome measures - The assessments of 1364 abstracts (286 female and 394 male assessors) were analysed by chi-square test and logistic regression. Results - The quantitative design was judged the same, regardless of the gender of the author or assessor. The qualitative design, however, was ranked as more accurate, trustworthy, relevant and interesting with a female author. Women assessors upgraded female authors more than male authors, while male assessors reflected no gender differences. Assessor speciality interacted with judgement; physicians in primary care appreciated the qualitative abstract more than hospital physicians did (OR 2.78; 95% CI 1.97-3.92). Conclusion - Gender seems to affect scientific evaluations. The results are worth considering in situations where research is judged and interpreted, in medical tutoring, research guidance, peer reviewing and certainly in forming evaluation committees for research funding.