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  • Item type:Publication,
    Inclusive universities: promoting gender equality and sex-gender diversity Open PDF 
    (Frontiers Media SA, 2026-02-12)
    Sánchez Torrejón, Begoña
    ;
    Machín Álvarez, Macarena
    INTRODUCTION: This study investigates the implementation of gender equality and sex-gender diversity policies in a higher education context, within the G-FORCE Project funded by Erasmus+. METHODS: Two focus groups (N = 20) were conducted with participants from the academic community, administrative staff, research personnel, and external stakeholders, ensuring diverse generational and gender representation. Data were collected through guided focus group discussions, transcribed, and analyzed using reflexive thematic analysis with an interpretive approach. RESULTS: Three dimensions emerged: (1) knowledge and awareness of gender equality and sex-gender diversity, (2) institutional practices and university policies, and (3) university culture. Results indicate that although participants are aware of existing protocols and training, these initiatives are perceived as isolated, minimally innovative, and largely symbolic. CONCLUSION: A gap exists between formal policies and actual practices, reflecting a bureaucratic culture that limits inclusive transformation. Resistance is present among faculty and students committed to equality, yet systemic barriers persist. The study concludes that effective inclusion requires structural change, curricular integration of inclusive perspectives, creation of safe spaces, participatory governance, and alignment of institutional culture with gender equality and sex-gender diversity.
  • Item type:Publication,
    Bridging the gender gap in surgical oncology: Insights from the ESSO membership survey on diversity, equity, and inclusion Open PDF 
    (Elsevier BV, 2026-03)
    Orme, S.E.
    ;
    SantraČ, N.
    ;
    Lorenzon, L.
    ;
    Rubio, I.T.
    ;
    Schrage, Y.M.
    Abstract Introduction: Despite increasing numbers of women entering medicine, they remain underrepresented in surgical specialties, particularly in leadership and academic roles. This study explored gender differences in perceptions of diversity, equity, and inclusion (DEI) among members of the European Society of Surgical Oncology (ESSO) and identified areas where DEI policies may better support female surgeons. Materials and methods: A cross-sectional electronic survey was distributed to ESSO members in 2025. Quantitative items assessed demographics and perceptions of DEI within respondents' organisations and ESSO. Gender differences were evaluated using Mann-Whitney U tests and binomial logistic regression adjusted for age and ethnicity. Open-text responses were analysed thematically to identify perceived barriers and priorities for improvement. Results: A total of 279 members responded (37% women). Women were less likely than men to perceive recruitment as unbiased (53% vs 17% disagreed, p < 0.001) or to believe that equal opportunities for advancement exist (43% vs 19% disagreed, p < 0.001). Nearly 40% of women reported their identity had negatively impacted career progression compared with 8% of men (p < 0.001). Women were more likely to prioritise greater representation of women in leadership and faculty roles (OR 8.58, 95% CI 4.73-15.57, p < 0.001), development of work-life balance guidelines (OR 2.43, 95% CI 1.44-4.10, p < 0.001), and commitment to gender diversity in leadership and committees (OR 1.73, 95% CI 1.02-2.94, p = 0.041). Conclusion: Female surgeons continue to face inequities in surgical oncology. ESSO and similar societies have a critical role in promoting transparent recruitment, inclusive leadership, and equitable professional development to advance gender equity and excellence in cancer care.
  • Item type:Publication,
    Women in surgical academic Careers: What is needed to get there? Open PDF 
    (Elsevier BV, 2026-02)
    Bosman, A.
    ;
    Schreurs, W.H.
    ;
    Smidt, M.L.
    Despite comprising the majority of medical students, women remain significantly underrepresented in senior academic surgical positions. In the Netherlands, only 15.6 % of surgical professors are female. This article examines cultural and structural barriers, including unequal access to networks, underrepresentation on editorial boards, academic “housework,” implicit bias, and unequal caregiving responsibilities, that hinder women's advancement in academic surgery. Targeted interventions such as mentorships, flexible work policies, salary transparency, and gender-conscious recruitment (e.g., Eindhoven University of Technology's preferential hiring strategy) have shown promise in promoting equity without compromising academic output. The “critical mass” threshold of 28 % female representation emerges as a tipping point for cultural change. Achieving gender equity in academic surgery requires both systemic reform and cultural transformation to ensure equal opportunity, career sustainability, and inclusive institutional environments.
  • Item type:Publication,
    Gender disparities in authorship in European cardio-thoracic journals Open PDF 
    (Oxford University Press (OUP), 2025-06-19)
    Galeone, Antonella
    ;
    Cleuziou, Julie
    ;
    Perrone, Fabiola
    ;
    Maffei, Irene
    ;
    Fiorinelli, Giorgia
    OBJECTIVES The goal was to evaluate gender authorship in 2 cardio-thoracic surgical journals. METHODS We performed a bibliometric analysis of all articles published from 2017 to 2022 in the European Journal of Cardio-Thoracic Surgery and the Interdisciplinary Cardiovascular and Thoracic Surgery. For each article, the gender and academic rank of the first, senior and corresponding authors were verified by Internet search, email contact or use of the application Genderize.io. Articles were categorized based on topic, type and country of origin. The Cochran-Armitage test was used to evaluate gender authorship trend over time. RESULTS A total of 5243 articles were included in the analysis. Women represented 18% of first authors, 7% of senior authors and 13% of corresponding authors; no trend was seen over time. Women represented 16% of first authors and 7% of senior authors in adult cardiac surgery, 23% of first authors and 9% of senior authors in congenital cardiac surgery and 19% of first authors and 8% of senior authors in thoracic surgery. Male first authors were more frequently full professors (17% vs 5%) and associate professors (16% vs 8%), and male senior authors were more frequently full professors (48% vs 31%) and associate professors (16% vs 8%) compared to female senior authors. CONCLUSIONS The proportion of female authors is significantly lower than that of male authors in highest-impact European cardio-thoracic surgery journals, and no significant increase in female authorship has been demonstrated in recent years. Increasing awareness of gender disparities is essential to facilitate equal career opportunities and academic advancement for women in cardio-thoracic surgery.
  • Item type:Publication,
    Assessing the gender gap in musculoskeletal radiology authorship across three continents: are really the “ladies first”? Open PDF 
    (2022)
    Nischal, N.
    ;
    Iyengar, K. P.
    ;
    Vaishya, R.
    ;
    Haleem, S.
    ;
    Zaw pe, E.
    AIM To assess gender-specific authorship trends in musculoskeletal (MSK) radiology in three major radiology journals, Skeletal Radiology (SR), Clinical Radiology (CR) and Indian Journal of Radiology and Imaging (IJRI). MATERIALS AND METHODS Retrospective analysis of articles pertaining to MSK radiology was done for the years 2000, 2010, and 2020 for SR and CR and for the years 2010 and 2020 for IJRI. The number and positions of female authors was noted. RESULTS Three hundred and twenty-five articles were reviewed after excluding the articles where the gender of one or more authors could not be conclusively determined. In SR, the percentage of female authors increased significantly from 4% in 2000 to 17% in 2010 (p<0.0001) and to 21.9% in 2020 (p<0.0001) with an increase in the percentage of first female authors from 0.8% in 2000 to 4.9% in 2010 and further to 5.4% in 2020. In CR, the percentage of female authors reduced from 13.8% in 2000 to 13.6% in 2010 (p=0.9798 and further reduced to 7% in 2020 (p=0.1592). In IJRI, the percentage of articles with no female authors went down from 36.4% (2010) to 26.7% (2020). CONCLUSION There is an upward trend in female authorship in MSK radiology related articles in SR and IJRI with continued under-representation in CR. The first and middle order female authors have shown a significant increase, although the number of last female authors remains very low. Analysis of such trends in academic journals from other subspecialities in medicine needs to be undertaken to confirm or refute the findings of this study.
  • Item type:Publication,
    Unequal effects of the COVID-19 pandemic on scientists Open PDF 
    (Nature Publishing Group, 2020)
    Myers, Kyle R.
    ;
    Tham, Wei Yang
    ;
    Yin, Yian
    ;
    Cohodes, Nina
    ;
    Thursby, Jerry G.
    COVID-19 has not affected all scientists equally. A survey of principal investigators indicates that female scientists, those in the ‘bench sciences’ and, especially, scientists with young children experienced a substantial decline in time devoted to research. This could have important short- and longer-term effects on their careers, which institution leaders and funders need to address carefully.
  • Item type:Publication,
    A Community of Practice Approach to Improving Gender Equality in Research
    (Routledge, 2022)
    Müller, J.
    ;
    Palmén, R.
    Bringing together the latest research among various communities of practice (disciplinary and place based as well as thematically organised), this volume reflects upon the knowledge, experience and practice gained through taking a unique community of practice approach to fostering gender equality in the sectors of research and innovation, and higher education in Europe and beyond. Based on research funded by the European Union, it considers how inter-organisational collaboration can foster change for gender equality through sharing of experiences of Gender Equality Plan implementation and examining the role of measures such as change-monitoring systems. As such, it will appeal to social scientists with interests in organisational change, the sociology of work and gender equality. © 2023 selection and editorial matter, Rachel Palmén and Jörg Müller. All rights reserved.
  • Item type:Publication,
    Female author representation differs between journals from the United States of America, Europe, and Asia: a 10-year comparison of five medical disciplines Open PDF 
    (2023)
    Molwitz, I.
    ;
    Keller, S.
    ;
    Wolf-Baldauf, L.
    ;
    Ozga, A.-K.
    ;
    Nguyen, T.-A.
    To provide information for targeted support of female scientists, the objective of this study was to evaluate how female authors are represented in journals of five medical disciplines with varying rates of female physicians from the United States of America (USA), Europe, and Asia. For this retrospective bibliometric study 15 representative gynecologic, pediatric, radiologic, urologic, and surgical journals from the USA, Europe, and Asia were selected from the Web of Science database. From these, all n = 24182 publications of the years 2007/2008 and 2017/2018 were included. Gender and affiliations were assigned to first and senior authors using a software (Gender API, Passau, Germany), native speakers, and a web-based search. For statistics mixed logistic and multinomial logistic regression were applied. In pediatrics, radiology, and urology, highest female first and senior author shares were consistently found in journals from the USA. In European journals proportions across all disciplines tripled (odds ratio 2.96 [95% CI 2.60–3.37], P <.0001). Asian journals showed three-times fewer female authorships than journals from the USA or Europe and the smallest increase (1.36 [1.11–1.66], P =.0026). Compared to the proportion of female physicians within each specialty, female first authors remained underrepresented in Asian journals and female senior authors in journals of all regions. In journals from the USA most female authors originated from institutes within the USA (36.2%), in European journals from the USA (21.1%) or Europe (21.7%). Women from Asian institutes were worst represented in journals of all regions with lowest rates in Asian journals (9.4%). In conclusion female first authors remained underrepresented in Asian journals, female senior authors and women from Asian institutes in journals from all regions. Programs for gender equality in science are thus particularly necessary to support female senior authors, for Asian journals, and women from Asian institutes. © 2022, The Author(s).
  • Item type:Publication,
    Gender disparity between authors in leading medical journals during the COVID-19 pandemic: a cross-sectional review Open PDF 
    (2021)
    Misra, Vaidehi
    ;
    Safi, Frozan
    ;
    Brewerton, Kathryn A.
    ;
    Wu, Wei
    ;
    Mason, Robin
    OBJECTIVES: Evaluate gender differences in authorship of COVID-19 articles in high-impact medical journals compared with other topics. DESIGN: Cross-sectional review. DATA SOURCES: Medline database. ELIGIBILITY CRITERIA: Articles published from 1 January to 31 December 2020 in the seven leading general medical journals by impact factor. Article types included primary research, reviews, editorials and commentaries. DATA EXTRACTION: Key data elements were whether the study topic was related to COVID-19 and names of the principal and the senior authors. A hierarchical approach was used to determine the likely gender of authors. Logistic regression assessed the association of study characteristics, including COVID-19 status, with authors' likely gender; this was quantified using adjusted ORs (aORs). RESULTS: We included 2252 articles, of which 748 (33.2%) were COVID-19-related and 1504 (66.8%) covered other topics. A likely gender was determined for 2138 (94.9%) principal authors and 1890 (83.9%) senior authors. Men were significantly more likely to be both principal (1364 men; 63.8%) and senior (1332 men; 70.5%) authors. COVID-19-related articles were not associated with the odds of men being principal (aOR 0.99; 95% CI 0.81 to 1.21; p=0.89) or senior authors (aOR 0.96; 95% CI 0.78 to 1.19; p=0.71) relative to other topics. Articles with men as senior authors were more likely to have men as principal authors (aOR 1.49; 95% CI 1.21 to 1.83; p<0.001). Men were more likely to author articles reporting original research and those with corresponding authors based outside the USA and Europe. CONCLUSIONS: Women were substantially under-represented as authors among articles in leading medical journals; this was not significantly different for COVID-19-related articles. Study limitations include potential for misclassification bias due to the name-based analysis. Results suggest that barriers to women's authorship in high-impact journals during COVID-19 are not significantly larger than barriers that preceded the pandemic and that are likely to continue beyond it. PROSPERO REGISTRATION NUMBER: CRD42020186702.
  • Item type:Publication,
    The gender and geography of publishing: a review of sex/gender reporting and author representation in leading general medical and global health journals Open PDF 
    (2021)
    Merriman, Rebekah
    ;
    Galizia, Ilaria
    ;
    Tanaka, Sonja
    ;
    Sheffel, Ashley
    ;
    Buse, Kent
    INTRODUCTION: Diverse gender and geographical representation matters in research. We aimed to review medical and global health journals' sex/gender reporting, and the gender and geography of authorship. METHODS: 542 research and non-research articles from 14 selected journals were reviewed using a retrospective survey design. Paper screening and systematic data extraction was conducted with descriptive statistics and regression analyses calculated from the coded data. Outcome measures were journal characteristics, the extent to which published articles met sex/gender reporting guidelines, plus author gender and location of their affiliated institution. RESULTS: Five of the fourteen journals explicitly encourage sex/gender analysis in their author instructions, but this did not lead to increased sex/gender reporting beyond the gender of study participants (OR=3.69; p=0.000 (CI 1.79 to 7.60)). Just over half of research articles presented some level of sex/gender analysis, while 40% mentioned sex/gender in their discussion. Articles with women first and last authors were 2.4 times more likely to discuss sex/gender than articles with men in those positions (p=0.035 (CI 1.062 to 5.348)). First and last authors from high-income countries (HICs) were 19 times as prevalent as authors from low-income countries; and women from low-income and middle-income countries were at a disadvantage in terms of the impact factor of the journals they published in. CONCLUSION: Global health and medical research fails to consistently apply a sex/gender lens and remains largely the preserve of authors in HIC. Collaborative partnerships and funding support are needed to promote gender-sensitive research and dismantle historical power dynamics in authorship.