1 Undergraduate Medical Education Program, University of Toronto, Toronto, Ontario.
2 Department of Psychiatry, University of Toronto, Toronto, Ontario.
Can J Psychiatry. 2019 Jun;64(6):415-422. doi: 10.1177/0706743718802798. Epub 2019 Jan 7.
Gender inequity in academic medicine persists despite increases in the number of women physicians. We sought to explore gender differences in research productivity for academic psychiatrists in Canada.
In a cross-sectional study of the 3379 psychiatrists in all 17 university departments of psychiatry in Canada, research productivity, as measured by the h-index and number of publications, was compared between women and men using a negative log binomial regression model to generate relative rates (RRs), adjusted for career duration (aRR). Findings were stratified by academic rank, institution region, and institution size. A subanalysis of those with 10 or more publications was conducted as a proxy for identifying physicians on a research track.
Women (43% of the sample) had a lower mean (standard deviation) h-index than men (2.87 [6.49] vs. 5.31 [11.1]; aRR, 0.62; 95% confidence interval [CI], 0.54 to 0.72). Differences were significant only for junior faculty and not for associate and full professors. Comparison by number of publications followed a similar pattern (aRR, 0.46; 95% CI, 0.39 to 0.55). Among those with 10 or more publications ( = 721), differences between men and women were smaller than in the overall cohort for both the h-index (aRR, 0.77; 95% CI, 0.68 to 0.87) and number of publications (aRR, 0.62; 95% CI, 0.53 to 0.72).
Gender differences in research productivity at the national level in academic psychiatry in Canada support a call to adopt a more systematic approach to promoting equitable opportunities for women in research, especially in early career, to improve diversity and enhance future psychiatric research and discovery.
尽管女性医生的数量有所增加,但学术医学领域的性别不平等仍然存在。我们旨在探讨加拿大学术精神病学家的研究生产力方面的性别差异。
在一项对加拿大所有 17 个大学精神病学系的 3379 名精神病医生的横断面研究中,使用负二项回归模型比较了女性和男性的研究生产力,该模型通过 h 指数和出版物数量来衡量,调整了职业持续时间(调整后的相对比率[aRR])。根据学术职称、机构所在地区和机构规模对结果进行分层。对发表了 10 篇或更多论文的人员进行了一项亚分析,以此作为识别从事研究工作的医生的替代指标。
女性(占样本的 43%)的平均(标准差)h 指数低于男性(2.87 [6.49] vs. 5.31 [11.1];aRR,0.62;95%置信区间[CI],0.54 至 0.72)。这种差异仅在初级教职员工中显著,而在副教授和正教授中并不显著。按出版物数量进行比较,结果也呈现类似模式(aRR,0.46;95% CI,0.39 至 0.55)。在发表了 10 篇或更多论文的人员中(n = 721),与总体队列相比,男性和女性在 h 指数(aRR,0.77;95% CI,0.68 至 0.87)和出版物数量(aRR,0.62;95% CI,0.53 至 0.72)方面的差异较小。
加拿大学术精神病学领域全国层面的研究生产力方面的性别差异支持呼吁采取更系统的方法,为女性提供更公平的研究机会,尤其是在职业生涯早期,以提高多样性并加强未来的精神科研究和发现。