Taira Breena R, Jahnes Katherine, Singer Adam J, McLarty Allison J
Departments of Surgery and Emergency Medicine, Stony Brook University Medical Center, Stony Brook, New York, USA.
Ann Surg. 2008 Jun;247(6):1069-73. doi: 10.1097/SLA.0b013e31816c401d.
It is commonly believed that women surgeons are less likely to be funded and to publish than their male counterparts. According to the American Board of Surgery, currently 13.5% of board-certified surgeons are women.
We compared first authorship and reported funding of original articles in the surgical literature by gender.
We conducted a structured review of all original articles during 2006 from 4 major surgical journals (Annals of Surgery, Archives of Surgery, Surgery, and Journal of the American College of Surgeons). For each article, the gender and academic degree of the first author was determined as well as the study design, type and country of the institution, and source of funding, if any. chi tests were used to compare the rates of reported funding, academic degrees, and type of research by gender of author. A multivariate logistic regression model was used to determine the association between gender, degree, country, institution, and study design with funding.
Of the 664 original research reports evaluated, 118 (17.8% [95% confidence interval (CI), 15.0-20.9]) were first-authored by women and 522 (78.6% [95% CI, 75.3-81.6]) by men (in 24 [3.6%], the gender of the first author was unknown). Two hundred fifty-eight (38.9% [95% CI, 35.2-42.6]) of the articles reported funding. Funding rates among men and women were not quite significantly different (37.0% vs. 45.8%, difference 8.8%; 95% CI, -1%-19%; P = 0.08). The percentage of randomized clinical trials (RCTs) among men and women first authors was similar (13.4% vs. 13.6%, P = 0.92). Female first authors were less likely to have a medical degree than male first authors (93 of 118 [78.8%] vs. 486 of 519 [93.6%], P < 0.0010). On multivariate analysis, non-RCTs were less likely to be funded than RCTs (odds ratio, 0.25; 95% CI, 0.14-0.40).
The percentage of original surgical articles first authored by women is greater than the percentage of female surgeons. Funding rates of original articles were similar among men and women.
人们普遍认为，与男性外科医生相比，女性外科医生获得资助和发表论文的可能性较小。根据美国外科委员会的数据，目前获得委员会认证的外科医生中有13.5%是女性。
我们按性别比较了外科文献中原创文章的第一作者情况和所报告的资助情况。
我们对2006年4种主要外科期刊（《外科学年鉴》《外科学文献》《外科学》和《美国外科医师学会杂志》）上的所有原创文章进行了结构化综述。对于每篇文章，确定第一作者的性别和学术学位，以及研究设计、机构类型和所在国家，以及资助来源（如有）。采用卡方检验比较按作者性别划分的所报告资助率、学术学位和研究类型。使用多变量逻辑回归模型确定性别、学位、国家、机构和研究设计与资助之间的关联。
在评估的664篇原创研究报告中，118篇（17.8%[95%置信区间（CI），15.0 - 20.9]）的第一作者为女性，522篇（78.6%[95%CI，75.3 - 81.6]）的第一作者为男性（24篇[3.6%]第一作者性别未知）。258篇文章（38.9%[95%CI，35.2 - 42.6]）报告了资助情况。男性和女性的资助率差异无统计学意义（37.0%对45.8%，差异8.8%；95%CI，-1% - 19%；P = 0.08）。男性和女性第一作者中随机对照试验（RCT）的比例相似（13.4%对13.6%，P = 0.92）。女性第一作者获得医学学位的可能性低于男性第一作者（118人中的93人[78.8%]对519人中的486人[93.6%]，P < 0.0010）。多变量分析显示，非随机对照试验获得资助的可能性低于随机对照试验（优势比，0.25；95%CI，0.14 - 0.40）。
女性作为第一作者的原创外科文章比例高于女性外科医生的比例。原创文章的资助率在男性和女性中相似。
