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  • Item type:Publication,
    Gender bias in guidelines and recommendations on rheumatology in Argentina: A bibliometric analysis Open PDF 
    (Elsevier BV, 2026-05)
    Navarro, Belén
    ;
    Sequeira, Gabriel
    ;
    Kerzberg, Eduardo
    Abstract Introduction Women constitute the majority in Argentine rheumatology research, but their participation in rheumatology guidelines and recommendations (RGRs) has not been evaluated. Objective To analyze women's representation in RGRs published between 2010 and 2024 that included at least one Argentine rheumatologist. Methods Cross-sectional bibliometric study of rheumatology guidelines and recommendations published between January 1, 2010, and December 31, 2024, including at least one rheumatologist affiliated with an Argentine center. Publications were identified through searches in PubMed, the Revista Argentina de Reumatología, and Google Scholar using predefined affiliation-based keywords. The main study variables were author gender, first and corresponding authorship, guideline classification national (NAC) or international (INT), and declared conflicts of interest with the pharmaceutical industry. Descriptive analyses were performed, and group comparisons were conducted using the Mann–Whitney U test and chi-square test. Results Eighty-seven RGRs were analyzed (79% INT), with a median publication year of 2021. Of 526 authors, 274 (52%) were women. In NAC RGRs, 57% of authors were women versus 43% in INT (p = 0.003). Among 25 first authors based in Argentina, 11 (44%) were women; among 12 corresponding authors, 5 (42%) were women. COIs were reported in 24 RGRs, totaling 59 declarations, 37 (63%) from men. Conclusions Although women are the majority among Argentine rheumatology researchers, their representation decreases in international publications and leadership roles. Conflicts of interest show a gender bias favoring men. Resumen Introducción Las mujeres son mayoría en la investigación reumatológica argentina, pero no se ha evaluado su participación en las guías y recomendaciones en reumatología (GRR). Objetivo Analizar la representación femenina en las GRR publicadas entre 2010 y 2024 que incluyeran al menos un/a reumatólogo/a con afiliación en Argentina (ARG). Métodos Estudio bibliométrico transversal de GRR en reumatología publicadas entre el 1 de enero de 2010 y el 31 de diciembre de 2024 que incluyeron al menos un/a reumatólogo/a ARG. Las publicaciones fueron identificadas mediante búsqueda en PubMed, Revista Argentina de Reumatología y Google Scholar utilizando combinaciones predefinidas en el campo de afiliación. Se registraron el género de los autores, la autoría principal y de correspondencia, la clasificación de la guía como nacional (NAC) o internacional (INT), y los conflictos de interés (COI) declarados. Se realizaron análisis descriptivos y comparativos (Mann–Whitney U y chi-cuadrado). Resultados Se analizaron 87 GRR (79% INT), con mediana de publicación en 2021. De 526 autores, 274 (52%) fueron mujeres. En las GRR NAC, el 57% de los autores fueron mujeres vs 43% en las INT (p = 0,003). Entre los primeros autores ARG, el 44% fueron mujeres; entre los autores de correspondencia, el 42%. Se declararon COI en 24 GRR (59 declaraciones), 63% correspondientes a hombres. Conclusiones La participación femenina es mayoritaria en las GRR NAC, menor en las INT y en los roles de liderazgo. Los COI muestran un sesgo de género favorable a los hombres.
  • Item type:Publication,
    The workplace culture, mental health and wellbeing of early- and mid-career health academics: a cross-sectional analysis Open PDF 
    (2024)
    Marck, Claudia H.
    ;
    Ayton, Darshini
    ;
    Steward, Trevor
    ;
    Koay, Hui-Fern
    ;
    Wiley, Joshua F.
    There are reports of poor working conditions for early and mid-career academics (EMCAs) in universities, however, empirical data using validated tools are scarce. We conducted an online, cross-sectional survey using validated tools to assess workplace satisfaction, exposure to workplace abuse, and mental health. Participants included employees of medical and health faculties of two of the largest Australian universities, surveyed between October 2020 and January 2021.Overall, 284 participants responded. Many reported job insecurity: half (50.7%) working on contracts with less than one remaining year. Workloads were considerable, with 89.5% of participants working overtime and 54.8% reporting burnout. Workplace abuse in the forms of bullying (46.6%), sexual harassment (25.3%), sexism (49.8%) and racism (22.5%) were commonly reported. Clinically significant symptoms of depression (28.0%), anxiety (21.7%) and suicidal ideation or self-harm (13.6%) were reported; with a higher prevalence among those working more overtime, and those exposed to workplace abuse. Priorities include providing a stable and safe workplace, increasing accountability and transparency in addressing workplace abuse, and supporting professional development.In summary, EMCAs in our study were commonly exposed to precarious employment conditions and workplace abuse. Our findings provide empirical evidence on where universities and funding bodies should direct resources and change organisational risk factors, to improve workplace culture.
  • Item type:Publication,
    Gender parity perspectives in Asia Pacific: a descriptive analysis of Philippine rheumatology conferences Open PDF 
    (2023)
    Traboco, LS
    ;
    Zamora-Abrahan, G
    ;
    Reyes, SM
    ;
    Ovseiko, PV
    ;
    Sandhu, NK
    Gender parity at conferences can facilitate progress in academia towards the attainment of gender equality as emphasized in the United Nations' Sustainable Development Goals. The Philippines is a low to middle-income country in the Asia Pacific with relatively egalitarian gender norms experiencing significant growth in rheumatology. We examined the Philippines as a case study to analyze the impact of divergent gender norms on gender equity in rheumatology conference participation. We used publicly available data from PRA conference materials from 2009 to 2021. Gender was identified from information provided by organizers, online science directory networks, and a name-to-gender inference platform, the Gender application program interface (API). International speakers were identified separately. The results were then compared to other rheumatology conferences around the world. The PRA had 47% female faculty. Women were more likely to be the first authors in abstracts at the PRA (68%). There were more females among new inductees in PRA with the male: female ratio (M:F) of 1:3. The gender gap among new members declined from 5:1 to 2.7:1 from 2010 to 2015. However, low female representation was observed among international faculty (16%). Gender parity at the PRA was found to be considerably better when compared to other rheumatology conferences in the USA, Mexico, India, and Europe. However, a wide gender gap persisted among international speakers. Cultural and social constructs may potentially contribute to gender equity in academic conferences. Further research is recommended to assess the impact of gender norms on gender parity in academia in other Asia-Pacific countries.
  • Item type:Publication,
    Article placement order in rheumatology journals: a content analysis Open PDF 
    (British Medical Journal Publishing Group Section: Rheumatology, 2020)
    Stewart, Sarah
    ;
    Gamble, Greg
    ;
    Grey, Andrew
    ;
    Dalbeth, Nicola
    Objectives To analyse variables associated with article placement order in serial rheumatology journals. Design Content analysis. Setting Original articles published in seven rheumatology journals from 2013 to 2018. Primary and secondary outcome measures The following data were extracted from 6787 articles: order number of article in issue, gender of first and last author, geographical region, industry funding, research design and disease category. Cumulative density function plots were used to determine whether article placement distribution was different from the expected distribution. ORs for articles published in the first three places of an issue compared with the last three places were calculated. Altmetric Score and downloads were meta-analysed. Results Article placement order did not associate with author gender or geographical region but was associated with funding source and research design. In addition, articles about rheumatoid arthritis were more likely to be ordered at the front of issues (p<0.001). Articles about crystal arthritis, systemic lupus erythematosus, vasculitis, pain syndromes and paediatric rheumatic diseases were more likely to be ordered at the end of issues (all p<0.001). Association of article placement order with disease category was observed only in journals with tables of contents grouped by disease. Articles ordered in the first three places had higher Altmetric and download rates, than articles in the last three places. Conclusions Author gender and geographical region do not influence article placement order in serial rheumatology journals. However, bias for certain disease categories is reflected in article placement order. Editorial decisions about article placement order can influence the prominence of diseases.
  • Item type:Publication,
    Gender representation in rheumatology journals: an assessment of editors, editorial boards, and authors Open PDF 
    (2023)
    Barajas-Ochoa, A.
    ;
    Peláez-Ballestas, I.
    ;
    Ramirez-Trejo, M.
    ;
    Gradilla-Magaña, P.
    ;
    Cisneros-Barrios, A.
    Diversity is widely recognized as a driver of excellence and innovation. In recent years, women have become an increasingly significant part of the rheumatology workforce. We aimed to assess the gender representation of the leading rheumatology journals' editors and to explore whether editors' gender correlates with the gender of the first and last authors of published articles. We conducted a cross-sectional study and extracted editorial members of rheumatology journals in quartiles 1 to 3 (Clarivate Analytics) from each journal's website. We categorized editorial positions according to the level of influence in manuscript acceptance decision-making (levels I to III). The gender of editors and of the first and last authors in all 2019 original articles published in a sample of 15 rheumatology journals was assigned using a combination of digital gallery and manual searches. There were 2242 editors' names retrieved from 43 journals, 24 (26%) of the 94 editors at level I, 139 (36%) of 385 editors at level II, and 469 (27%) of 1763 at level III were female. The imbalance between journals was heterogeneous. Females were the first authors in 1342 (48%) and the last authors in 969 (35%) of the 2797 published articles. However, we found no significant correlation between editors' and authors' gender. Our data showed uneven gender representation on the editorial boards of most rheumatology journals, but we did not find any apparent vertical segregation or influence on publishing by gender. Our findings suggest that a generational transition may be occurring among authors. © 2023, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
  • Item type:Publication,
    Representation of Women as Authors of Rheumatology Research Articles Open PDF 
    (2021)
    Bagga, E.
    ;
    Stewart, S.
    ;
    Gamble, G.D.
    ;
    Hill, J.
    ;
    Grey, A.
    Objective: In academic medicine, journal article authorship is central to career advancement and promotion. This study aimed to examine the contemporary representation of women as first and senior authors of rheumatology original research articles. Methods: The gender of the first and senior author, disease category, research design, and funding source were extracted from rheumatology original research articles published in high-impact rheumatology and general medical journals between 2015 and 2019. Results: The analysis included 7,651 original research articles. In total, 51.5% of the articles had women first authors (95% confidence interval [95% CI] 50.4–52.6%) and 35.3% had women senior authors (95% CI 34.2–36.4%). Women were significantly less likely to be first and senior authors of articles reporting randomized controlled trials compared with other clinical research designs (P < 0.001), and of articles reporting industry-funded/industry-initiated studies compared with studies not funded by industry (P ≤ 0.01). Of the articles reporting industry-funded/industry-initiated randomized controlled trials, women were first authors in 18.5% (95% CI 13.8–24.0%) and senior authors in 23.9% (95% CI 18.6–29.8%). Conclusion: In rheumatology research articles, there is gender parity for first authorship, but women are underrepresented in senior authorship positions. Underrepresentation of women in authorship is particularly apparent in articles reporting randomized controlled trials, and especially those that are initiated by industry. © 2020, American College of Rheumatology
  • Item type:Publication,
    Gender disparity in authorship of guidelines and recommendations in rheumatology Open PDF 
    (2020)
    Adami, G.
    ;
    Benini, C.
    ;
    Vantaggiato, E.
    ;
    Rotta, D.
    ;
    Viapiana, O.