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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.
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.
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.

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