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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,
    Sex Disparities in Authorship Order of Cardiology Scientific Publications Open PDF 
    (2018)
    Ouyang, David
    ;
    Sing, David
    ;
    Shah, Sonia
    ;
    Hu, Jiaqi
    ;
    Duvernoy, Claire
    BACKGROUND: Despite advances in the representation of women in medical training, women continue to be underrepresented in cardiology, academic medicine, and more specifically, in senior positions within academic medicine. Identifying disparities in research productivity and acknowledgment can highlight barriers to female representation in academic cardiology leadership, as well as in academic promotion. METHODS AND RESULTS: This bibliometric analysis included all authors of original research articles between 1980 and 2017 from 3 high-impact cardiology journals ( Journal of the American College of Cardiology, Circulation, and European Heart Journal). We identified 71 345 unique authors of 55 085 primary research articles during our study period. Female authors accounted for 33.1% of all authors; however, they represented only 26.7% of first authors and 19.7% of senior authors. Looking at the most prolific authors within this time period, female authors were not well represented, accounting for only 5% of the top 100 authors. Articles with a female senior author had more female middle authors than articles with a male senior author (mean 1.41 versus 0.97, P<0.001) and were more likely to have a female first author (0.37 versus 0.18, P<0.001). There was an increased representation of female authors as first and senior authors compared with the total number of articles with female authors over time ( P<0.001 for trend); however, female senior authorship rates continued to lag first authorship rates. CONCLUSIONS: Using a large database of published manuscripts, we found that female representation in published cardiology research has increased over the past 4 decades. However, women continue to be not well represented as first authors, senior authors, and in the number of publications. When women were senior authors, they published more articles with female first authors and had more female authors. In addition to recruiting more women into the field of cardiology, additional work is needed to identify and address barriers to academic advancement for female physician-scientists.
  • 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.
  • Item type:Publication,
    Women in radiology: gender diversity is not a metric-it is a tool for excellence Open PDF 
    (2020)
    Kubik-Huch, Rahel A.
    ;
    Vilgrain, Valérie
    ;
    Krestin, Gabriel P.
    ;
    Reiser, Maximilian F.
    ;
    Attenberger, Ulrike I.
    Women in Focus: Be Inspired was a unique programme held at the 2019 European Congress of Radiology that was structured to address a range of topics related to gender and healthcare, including leadership, mentoring and the generational progression of women in medicine. In most countries, women constitute substantially fewer than half of radiologists in academia or private practice despite frequently accounting for at least half of medical school enrolees. Furthermore, the proportion of women decreases at higher academic ranks and levels of leadership, a phenomenon which has been referred to as a "leaky pipeline". Gender diversity in the radiologic workplace, including in academic and leadership positions, is important for the present and future success of the field. It is a tool for excellence that helps to optimize patient care and research; moreover, it is essential to overcome the current shortage of radiologists. This article reviews the current state of gender diversity in academic and leadership positions in radiology internationally and explores a wide range of potential reasons for gender disparities, including the lack of role models and mentorship, unconscious bias and generational changes in attitudes about the desirability of leadership positions. Strategies for both individuals and institutions to proactively increase the representation of women in academic and leadership positions are suggested. KEY POINTS: • Gender-diverse teams perform better. Thus, gender diversity throughout the radiologic workplace, including in leadership positions, is important for the current and future success of the field. • Though women now make up roughly half of medical students, they remain underrepresented among radiology trainees, faculty and leaders. • Factors leading to the gender gap in academia and leadership positions in Radiology include a lack of role models and mentors, unconscious biases, other societal barriers and generational changes.
  • Item type:Publication,
    An International Survey of Female Dental Students' Perceptions About Gender Bias and Sexual Misconduct at Four Dental Schools. Open PDF 
    (2018)
    Ivanoff, Chris S.
    ;
    Luan, Diana M.
    ;
    Hottel, Timothy L.
    ;
    Andonov, Bogomil
    ;
    Ricci Volpato, Luiz Evaristo
    As women enter the dental profession in increasing numbers in North America and around the world, the questions of how they perceive their environment and what kind of barriers they face are important subjects to be addressed. The aim of this study was to assess and compare women dental students' perceptions of bias in their environment and experiences of sexual misconduct at one dental school in each of four countries. In spring 2017, 1,293 female students at four dental schools in the U.S., Bulgaria, Brazil, and India were invited to participate in a 24-item survey developed by researchers from the four countries; 990 students responded (response rate 76.6%). The overall majority of the respondents reported thinking the admissions process at their school was fair (79.7%); but a fifth of U.S. and Brazilian students perceived their school was not fully embracing of females, with most Bulgarian students agreeing (87.2%) and all Indian students disagreeing. Most respondents overall perceived that male faculty members did not favor male students (79.5%) and did not think there was discrimination against female students by faculty (87.1%), but half of the U.S. respondents reported feeling discriminated against by both male faculty and male students. When the responses "I've been verbally harassed" and "I've been somewhat verbally harassed" were combined, 10.1% of the U.S. respondents reported verbal harassment, compared to 20% of Brazilian, 15% of Bulgarian, and 2% of Indian respondents. When the responses "I've been sexually assaulted" and "I've been somewhat sexually assaulted" were combined, 6% of U.S. respondents reported being sexually assaulted, compared to 6.2% of Brazilian, 2.5% of Bulgarian, and none of the Indian respondents. Almost half (46.9%) of these students overall perceived their school was not or only somewhat vigilant about issues of sexual misconduct, and only 54% said they would feel comfortable or very comfortable reporting misconduct. These results suggest that academic dental institutions in all four countries need improvements to make their environments more equitable and free of bias and sexual misconduct.
  • Item type:Publication,
  • Item type:Publication,
    Gender differences in representation, citations, and h-index: An empirical examination of the field of communication across the ten most productive countries Open PDF 
    (2024)
    Goyanes, Manuel
    ;
    Herrero, Esperanza
    ;
    de-Marcos, Luis
    Women researchers have been shown to be underrepresented in science, especially among the most productive scholars. This is especially relevant in the social sciences and humanities fields, where gender parity is closer, but disparities among top scholars are still pronounced. The gender gap in the field of communication has been explored from several approaches, but studies focusing on gender differences in representation, citations, and h-index are rather scarce. Drawing upon data retrieved from SciVal, we conducted a comparative study of the top 500 and top 100 most productive scholars (N = 5000) for each of the ten most productive countries in communication research in the 2019-2022 period: the United States, the United Kingdom, China, Spain, Germany, India, Australia, Canada, Italy, and the Netherlands. The results indicate a consistent underrepresentation of women, particularly among the top 500, across countries. Despite women being cited more frequently than men in some countries over shorter time frames, a gender bias persists favoring men, particularly when considering the h-index. All in all, our study shows that, despite hints of gender equality in citation patterns, the gender gap still constitutes a structural part of the field of communication when addressing gender representation in research productivity and long-term dynamics of research impact.
  • Item type:Publication,
    Trial characteristics associated with under-enrolment of females in randomized controlled trials of heart failure with reduced ejection fraction: a systematic review Open PDF 
    (2021)
    Whitelaw, Sera
    ;
    Sullivan, Kristen
    ;
    Eliya, Yousif
    ;
    Alruwayeh, Mohammad
    ;
    Thabane, Lehana
    AIMS: To evaluate temporal trends in the enrolment of females in randomized controlled trials (RCTs) of heart failure with reduced ejection fraction (HFrEF) published in high-impact journals, and assess RCT characteristics associated with under-enrolment. METHODS AND RESULTS: We searched MEDLINE, EMBASE and CINAHL for studies published from January 2000 to May 2019 in journals with impact factor ≥10. We included RCTs that recruited adults with HFrEF. We used a 20% threshold below the sex distribution of HFrEF to define under-enrolment. We used multivariable logistic regression to assess trial characteristics independently associated with under-enrolment. We included 317 RCTs. Among the 183 097 participants, mean (standard deviation) age was 63.0 (7.0) years and 25.5% were female. Females were under-enrolled in 71.6% [95% confidence interval (CI) 66.6-76.6%] of the RCTs; enrolment did not increase significantly between 2000-2019. Sex-related eligibility criteria [odds ratio (OR) 2.05, 95% CI 1.01-4.16; P = 0.046]; recruitment in ambulatory settings (OR 2.56, 95% CI 1.37-4.81; P = 0.003); trial coordination in North America (OR 4.44, 95% CI 1.09-18.07; P = 0.037), Europe (OR 6.79, 95% CI 1.63-27.39; P = 0.018) and Asia (OR 9.33, 95% CI 1.40-12.40; P = 0.033); drug (OR 1.76, 95% CI 1.96-7.36; P < 0.001) and device/surgical interventions (OR 1.69, 95% CI 1.16-9.43; P = 0.002); and men in first and last authorship position (OR 1.32, 95% CI 1.12-3.54; P = 0.047) were associated with under-enrolment of females. CONCLUSIONS: Females were under-enrolled relative to disease distribution in a majority of high-impact HFrEF RCTs, with no change in temporal trends between 2000 and 2019. Trial characteristics and gender of trial leaders were associated with under-enrolment.
  • Item type:Publication,
    Gender Composition and Trends of Journal of Cardiothoracic and Vascular Anesthesia Editorial Board Membership: A 33-Year Analysis, 1987-2019 Open PDF 
    (2019)
    Pagel, Paul S.
    ;
    Freed, Julie K.
    ;
    Lien, Cynthia A.
    OBJECTIVE: Gender disparities in editorial board composition exist in the vast majority of specialties including anesthesiology. If a similar lack of gender parity exists in cardiothoracic anesthesiology is unknown. The authors examined the gender composition and trends of the Journal of Cardiothoracic and Vascular Anesthesia (JCVA) editorial board from the initial year of its publication (1987) to 2019. The authors tested the hypothesis that the proportion of women serving on the JCVA editorial board has steadily increased over the journal's history, but women are underrepresented compared with the percentage of those currently practicing academic cardiothoracic anesthesia in the United States (US). DESIGN: Observational study. SETTING: Internet analysis. PARTICIPANTS: All members of the JCVA editorial board, 1987-2019. INTERVENTIONS: The JCVA editor-in-chief, the associate editor-in-chief, associate editors, section editors, and general editors on the board were extracted from the masthead of a single issue from each calendar year. The years were divided into quartiles (1987-1995, 1996-2003, 2004-2011, and 2012-2019) to collect representative samples of editorial board composition for analysis. MEASUREMENTS AND MAIN RESULTS: A total of 2,797 members of the JCVA editorial board were positively identified (2,477 [88.6%] men; 310 [11.1%] women); 10 (0.3%) editors could not be identified. Four hundred and fourteen associate and section editors were recorded (men 360 [87.0%], women 54 [13.0%]). There were also 2,353 general editors (2,087 [88.7%] men; 256 [10.9%] women). The total number of JCVA board members, associate and section editors, and general editors progressively increased from 1987 to 1995 to 2012 to 2019. The percentage of women serving on the editorial board increased from 2.5% to 15.8%. Increases in the proportion of female general editors from 2.9% to 16.2% were responsible for this overall increase. A gender gap between the percentage of female first authors (data obtained from a previous publication) and editorial board members was observed in each quartile. Editorial board composition was also different than last author distribution in 1987 to 1995 and 2012 to 2019, but not the other 2 time periods. CONCLUSIONS: The results demonstrate that the proportion of women serving on the JCVA editorial board has steadily increased over the journal's history. Nevertheless, women continue to be underrepresented on the JCVA board compared with the percentage of US female academic cardiothoracic anesthesiologists, and gender gaps between first and last authorship and board composition also persist.