PUBBLICAZIONE/PUBLICATION

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

Browse

Settings

Start date: 2022Discipline: search.filters.discipline.Health Sciences

Search Results

Now showing 1 - 10 of 27
  • Item type:Publication,
    Educational strategies for integrating gender perspectives in health professions training: a systematic review to advance diversity, equity, and inclusion Open PDF 
    (Springer Science and Business Media LLC, 2026-03-07)
    López, Karina
    ;
    Cabanas, Ana María
    ;
    Pinazo, Fabian
    ;
    Zambrano, Nathalia
    BACKGROUND: Preparing health professionals to deliver equitable, culturally competent care requires integrating gender perspectives throughout medical training. While essential for addressing health disparities affecting women, men, and gender-diverse populations, implementation approaches vary widely across institutions and regions. Evidence on effective strategies remains fragmented. This systematic review synthesizes educational interventions for gender-sensitive training, evaluates outcomes on student competencies, and examines global research patterns to identify equity gaps in the scholarship itself. METHODS: Following PRISMA 2020 guidelines, we conducted a prospectively registered systematic review (PROSPERO CRD420251132158). We systematically searched PubMed, Web of Science, and Scopus for studies published between 2015 and 2025 that evaluated educational strategies for integrating gender perspectives in health professions training. Two independent reviewers performed screening, data extraction, and quality appraisal using a generic risk-of-bias tool. Thematic synthesis identified core educational strategy domains and their effectiveness. We complemented this with bibliometric mapping (co-citation, co-authorship, co-word analysis) to examine geographic distribution of research, international collaboration patterns, and conceptual evolution in the field. RESULTS: Twenty-four studies met inclusion criteria from 133 records. Six educational strategy domains emerged from thematic synthesis: curricular design, active learning methodologies, faculty development, assessment systems, digital technologies, and interdisciplinary collaboration. Interventions consistently improved clinical knowledge of gender-diverse health needs, recognition and reduction of implicit bias, ethical sensitivity, and gender-affirming communication skills. Bibliometric analysis revealed striking geographic concentration: 72.2% of research originates from European institutions (38% from Germany alone), with minimal international collaboration (12.5) and virtually no Global South representation. This pattern highlights persistent inequities in whose perspectives shape DEI frameworks in medical education. CONCLUSIONS: Integrating gender perspectives into health professions education represents an evidence-based strategy for advancing DEI principles and preparing providers to deliver equitable, culturally competent care. Effective implementation requires dedicated institutional commitment through three key mechanisms: dedicated change agents who champion gender equity, formal structural integration rather than ad-hoc interventions, and systematic faculty development programs. However, the geographic concentration of research in high-income Western contexts raises critical questions about equity in DEI scholarship itself. Achieving gender equity in healthcare globally requires parallel commitments: integrating gender-sensitive curricula in all institutions while ensuring that diverse global voices, especially from the Global South, meaningfully shape DEI discourse and frameworks. TRIAL REGISTRATION: PROSPERO CRD420251132158.
  • Item type:Publication,
    Experiences of Women Faculty in an Academic Medical Center Open PDF 
    (SAGE Publications, 2025-03-13)
    Esplin, Charlotte R.
    ;
    Calderwood, Lisa
    ;
    Weisenmuller, Chantel M.
    ;
    Luzier, Jessica L.
    BACKGROUND: Women faculty face different obstacles in academic medical careers than their men counterparts. Women faculty report feeling like "outsiders" and experiencing multiple barriers to career advancement compared with men, especially if they hold a nonmedical degree (e.g., PhD). This study examined aspects of workplace culture that differentially impact women at a large regional academic medical center (AMC) in the Appalachian region of the United States-a geographic area that is largely understudied in this body of literature. MATERIALS AND METHODS: Forty-seven women completed a survey that included the Culture Conducive to Women's Academic Success instrument, the Professional Fulfillment Index, the Work and Family Conflict scale, and items measuring burnout, childcare availability, and demographic factors. RESULTS: Our findings revealed that many women faculty felt that they were being treated differently than men faculty, that work infringed on their home and family life, and that while they were professionally fulfilled at work, childcare problems exacerbated feelings of wanting to leave that AMC. About 60% of our sample indicated some level of burnout. CONCLUSIONS: These findings align with previous findings that women juggle multiple roles that are typically not expected of men, and this juggling may be one reason why women are not staying in academic medicine or being promoted at the same rate as men. We provide incremental validity for the measures used and delineate specific ideas for improvement, such as on-site childcare, standardized leave policies, and formal mentorship and curriculum programs.
  • Item type:Publication,
    “Levelling up” the gender pay gap for Asian women academics in medicine and health sciences Open PDF 
    (Pasifika Medical Association Group, 2025-06-27)
    Ng, Lillian
    ;
    Sadera, Emma
    ;
    Peiris-John, Roshini
    ;
    Misra, Stuti
    ;
    Chu, Joanna Ting-Wai
    The gender pay gap for academic women of Asian ethnicity at Aotearoa New Zealand's largest university is 33.5%. The aim of this viewpoint is to raise consciousness, educate and contribute to dialogue on concerns relating to Asian women advancing in academia, particularly in medicine and health sciences. We invite collective participation in efforts at departmental, faculty and institutional levels to better identify and dismantle discrimination and increase the representation of Asian women in academic medicine. We endorse concepts of accountability, transparency and strengthening institutional frameworks to "level up" intersectional pay gaps by recommending three actions: 1) ensuring accountability by mandatory training, monitoring and reporting on gender pay equity, diversity and conscious inclusion, 2) creating transparency in salary, pay rates, hiring, tenure and promotions, and 3) convening a task force at each faculty with specific mentorship and leadership initiatives for women of colour. We emphasise that "levelling up" requires a collective will to act. We ask our colleagues and the academy to scrutinise attitudes and biases towards ethnic minority women in hiring, tenure and promotion processes. We advocate for enacting policy so those who experience inequity can see change. When rendered, it will be a legacy to the next generation of ethnic minority women entering the academy, and potentially other marginalised groups as well.
  • Item type:Publication,
    United States Medical School Academic Faculty Workforce Diversity, Institutional Characteristics, and Geographical Distributions From 2014-2018
    (2022)
    Ogunyemi, Dotun
    ;
    Okekpe, C. Camille
    ;
    Barrientos, Devin R.
    ;
    Bui, Tina
    ;
    Au, Melanie N.
    Purpose Academic healthcare workforce diversity is important in addressing health disparities. Our goal was to evaluate trends and associations in faculty diversity of United States (US) medical schools over a five-year period. Methods We analyzed the Association of American Medical Colleges (AAMC) Faculty Roster data of 151 US medical schools from 2014-2018. Outcome faculty variables were female gender, underrepresented in medicine (UiM), age, and professorial representation. Predictor variables included geographical distributions, and institutional characteristics. Statistical analysis included Jonckheere-Terpstra test, ANOVA, and regression analysis. Results Female faculty increased from 37.6% to 40.4% (p<0.001), senior faculty (age >60 years) from 22.6% to 25.9% (p=0.001) while UiM faculty stayed relatively flat from 9.74% to 10.08% (p=0.773). UiM [adjusted odds ratio (aOR) = 0.39, p=0.015], and female faculty (aOR=0.3, p=0.001) had independently significantly decreased associations with professorial representation, while senior faculty had increased associations (aOR=3.82, p<0.001). Significant independent differences occurred in female, UiM, and professorial faculty distributions within US regions; Hispanic faculty were highest in Southwest (6.57%) and lowest in Midwest region (1.59%), while African-American faculty were highest in Southeast (8.15%) but lowest in the West (3.12%). UiM faculty had significantly independent decreased associations with MD/PhD degree (aOR=0.30, p=0.004) and higher US ranking institutions (aOR=0.45, p=0.009). Conclusions From 2014 to 2018, female faculty increased modestly while the UiM faculty trend remained flat. Female and UiM faculty were less represented at the professor level. UiM faculty were less represented in higher-ranking institutions. Geographic location is associated with faculty diversity.
  • Item type:Publication,
    Gender bias in science and technology: A medico's perspectives
    (2022)
    Nayak, S.
    ;
    Shashi Bala, Puja Singhal
    This chapter is a medico's perspective on the impact of gender bias on science and technology. It is entirely about what a female doctor feels about the society and the struggles a female faces in her journey, the lacunae in our system, how we should deal with the people and the system for the betterment of humanity in general. Her experiences in the medical college as a student, as a doctor, as a researcher, and as a teacher have been shared. How to maintain a perfect work-life balance and still be happy and content in life without being stressed. © 2018, IGI Global.
  • Item type:Publication,
    Evaluating the research performance of women scientists in Indian research laboratories based on Scopus citation database: A bibliometric analysis
    (2022)
    Mukherjee, B.
    This study examines the contributions of women scientists currently working in various research organizations under the Ministry of Science and Technology, India. Women scientists were identified through the official websites of the research laboratories and their publication performance has been tracked using the Scopus database. There are 901 women scientists working in 78 research organizations under the Ministry and have published 21810 publications up to December 2019, almost 65 percent of which has been appeared during 2010 to 2019. The publication per scientist has risen from 6.85 article per year before 2000 to 10.45 paper in 2015-2019 which indicates increasing participation of women in science from India. Women scientists are primarily engaged in biological sciencesresearch, however fields such as materials sciences, nano-technology, and astrophysics are also becoming the preferred subject choices among women. Women scientists mostly published their articles as a member of a team of utmost 10 authors, however, their position in multi-authored articles is mostly as co-authors than that of principal authors. Women in the age group ofbetween31 to 40 produced maximum publications, and almost 98 percent of publications appeared in collaboration with other scientists.This study confirms that publication productivity does not decline with age. There are women scientists who stay active in research and keep their productivity at a high level until their retirement. The study suggests that the increasing participation of women in Indian science is encouraging, as such more funding opportunities to younger women researchers may be important to give them more lead time to build a strong career. © 2022
  • Item type:Publication,
    Twenty-Five Years of Progress-Lessons Learned From JMIR Publications to Address Gender Parity in Digital Health Authorships: Bibliometric Analysis Open PDF 
    (2024)
    Meyer, A.
    ;
    Streichert, T.
    Background: Digital health research plays a vital role in advancing equitable health care. The diversity of research teams is thereby instrumental in capturing societal challenges, increasing productivity, and reducing bias in algorithms. Despite its importance, the gender distribution within digital health authorship remains largely unexplored. Objective: This study aimed to investigate the gender distribution among first and last authors in digital health research, thereby identifying predicting factors of female authorship. Methods: This bibliometric analysis examined the gender distribution across 59,980 publications from 1999 to 2023, spanning 42 digital health journals indexed in the Web of Science. To identify strategies ensuring equality in research, a detailed comparison of gender representation in JMIR journals was conducted within the field, as well as against a matched sample. Two-tailed Welch 2-sample t tests, Wilcoxon rank sum tests, and chi-square tests were used to assess differences. In addition, odds ratios were calculated to identify predictors of female authorship. Results: The analysis revealed that 37% of first authors and 30% of last authors in digital health were female. JMIR journals demonstrated a higher representation, with 49% of first authors and 38% of last authors being female, yielding odds ratios of 1.96 (95% CI 1.90-2.03; P<.001) and 1.78 (95% CI 1.71-1.84; P<.001), respectively. Since 2008, JMIR journals have consistently featured a greater proportion of female first authors than male counterparts. Other factors that predicted female authorship included having female authors in other relevant positions and gender discordance, given the higher rate of male last authors in the field. Conclusions: There was an evident shift toward gender parity across publications in digital health, particularly from the publisher JMIR Publications. The specialized focus of its sister journals, equitable editorial policies, and transparency in the review process might contribute to these achievements. Further research is imperative to establish causality, enabling the replication of these successful strategies across other scientific fields to bridge the gender gap in digital health effectively. © 2024 JMIR Publications Inc.. All rights reserved.
  • Item type:Publication,
    Gender Gap in Scientific Publications on COVID-19 in Italy During the First Wave of the Pandemic: An Observational Study Open PDF 
    (2022)
    Mazzalai, Elena
    ;
    Turatto, Federica
    ;
    De Vito, Corrado
    Background: Worldwide, concerns rise on how COVID-19 pandemic impacted heavily on women, even on those belonging to the scientific community. The Italian scientific production regarding the COVID-19 throughout the first months of the health emergency could help to understand the heft of female researchers in this unique period. Objectives: This study aims to investigate the gender gap in the scientific production on COVID-19 in Italy during the first months of the pandemic. Methods: A systematic search of the literature was conducted and, for each included study, first and last author's gender, type of study, number of co-authors, type of affiliation, journal's Impact Factor (IF) and specialization were extracted. Descriptive and univariate analyses were performed. Results: 22.2% of the articles were signed by a woman as first author, 18.1% as last authors. Female authorship was less frequent than male authorship regardless of the type of study, number of co-authors, type of affiliation and field of specialization. Conclusion: This analysis reveal a low prevalence of studies with a female first or last author and suggests that the low share of female authors publishing on COVID-19 during the considered timespan is a transversal issue throughout the Italian medical field.
  • Item type:Publication,
    Barriers to gender equity for female healthcare academicians and researchers in Pakistan: Is it still an issue? Open PDF 
    (2023)
    Malik, M
    ;
    Hussain, A
    ;
    Hashmi, A
    ;
    Saeed, H
    ;
    Azhar, H
    IntroductionGender inequity in healthcare academia is rising. Female healthcare professionals are struggling to balance their work and family leading to reduced productivity and disparity in three main areas of academic evaluation including teaching, service and research. ObjectiveThe objective of the current study was to explore perceptions of healthcare academicians regarding gender equity and its associated barriers in healthcare academia in Pakistan. MethodologyA qualitative study design was used. Study site for this research included medical colleges, pharmacy schools and healthcare educational institutes. Study respondents included healthcare professionals including doctors and pharmacists working as faculty members. Snow ball sampling was used and interviews were conducted till saturation point was achieved. All interviews recorded were transcribed verbatim. Transcribed interviews were then subject to thematic analysis and were analyzed for relevant content. ResultsThematic analysis of the study yielded many themes and sub themes. The main themes include: Gender equity an issue for healthcare academicians; Barriers toward promoting gender equity among healthcare academicians; Perceived teaching effectiveness among female healthcare academicians; Professional relationship of female healthcare academicians; Representation of female healthcare academicians at leadership positions; Research opportunities for female healthcare academicians; impact of academia as profession on married life and Strategies for improving gender equity disparities in academia of healthcare profession. The results showed that almost all the females as well as male healthcare academicians were of the view that female academicians are competent, hardworking and committed with their jobs. Mixed responses were observed regarding teaching effectiveness of female academicians. Half of the females as well male healthcare academicians thought that female were more effective teachers while other half was of the view that teaching effectiveness is based on individual trait irrespective of gender. ConclusionThe results of the present study concluded that majority of the male as well as female healthcare professionals perceived gender equity as an issue in academia in Pakistan, especially in underprivileged areas. Non-conducive work environment, harassment at workplace and cultural issues were the main barriers identified toward gender equity in healthcare academia in Pakistan.
  • Item type:Publication,
    The glass ceiling thickens: the impact of COVID-19 on academic medicine faculty in the United States Open PDF 
    (2022)
    Lufler, Rebecca S.
    ;
    McNulty, Margaret A.
    The inequities faced by women in academic Medicine before the COVID-19 pandemic are well established. However, there is little formal data regarding exactly how the pandemic has affected faculty. This cross-sectional study investigated the impact of the pandemic on responsibilities at home, work, and mental health according to gender identification, faculty rank, and faculty appointment. In February 2021, an online questionnaire was broadly distributed to academic medicine faculty. Respondents were asked to provide demographic data, answer questions about their responsibilities at home and work, mental health, and how the pandemic has influenced these. Respondents were also asked to document what their institution(s) can do to help faculty through the pandemic. Responses were analyzed via Pearson's chi-square tests and thematic analysis. Women faculty were more likely to be responsible for the care of others (70%, p = 0.014), and the impact was negative, especially for early career faculty (p = 0.019). Productivity in research, teaching, and clinical practice were negatively impacted, with women feeling this in clinical practice (p = 0.005), increased teaching load (p = 0.042), and inadequate work environment (p = 0.013). In the areas of self-care and mental health, women (p < 0.001), early career-faculty (p < 0.001), and clinical faculty (p = 0.029) were more negatively impacted. Early-career women were more likely to fear retribution. Five themes emerged, including Flexible Expectations, Support, Mental Health, Compensation, and Communication. Pre-pandemic stress and burnout were rampant, and this study demonstrates that academic medicine faculty are still suffering. It is the authors' hope that administrations can utilize these data to make informed decisions regarding policies enacted to assist populations who are most vulnerable to the effects of the pandemic.