Department of Vascular Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
Department of Electrical & Computer Engineering, University of Delaware, Newark, Delaware, USA.
BMJ Open. 2020 Oct 21;10(10):e039759. doi: 10.1136/bmjopen-2020-039759.
To determine how the representation of women's health has changed in clinical studies over the course of 70 years.
Observational study of 71 866 research articles published between 1948 and 2018 in .
The incidence of women-specific health topics over time. General linear, additive and segmented regression models were used to estimate trends.
Over 70 years, the overall odds that a word in a research article was 'woman' or 'women' increased by an annual factor of 1.023, but this rate of increase varied by clinical specialty with some showing little or no change. The odds that an article was about some aspect of women-specific health increased much more slowly, by an annual factor of 1.004. The incidence of articles about particular areas of women-specific medicine such as pregnancy did not show a general increase, but rather fluctuated over time. The incidence of articles making any mention of women, gender or sex declined between 1948 and 2005, after which it rose steeply so that by 2018 few papers made no mention of them at all.
Over time women have become ever more prominent in research articles. However, the importance of women-specific health topics has waxed and waned as researchers responded ephemerally to medical advances, public health programmes, and sociolegal changes. The appointment of a woman editor-inchief in 2005 may have had a dramatic effect on whether women were mentioned in research articles.
确定在 70 年的时间里，女性健康在临床研究中的表现发生了怎样的变化。
对 1948 年至 2018 年间发表的 71866 篇研究论文进行观察性研究。
随时间推移女性特定健康主题的发生率。采用广义线性、加法和分段回归模型来估计趋势。
70 多年来，研究文章中出现“女性”或“妇女”一词的总体概率每年增加 1.023 倍，但这种增加速度因临床专业而异，有些专业几乎没有变化或变化不大。文章中涉及女性特定健康方面的概率增加得要慢得多，每年增加 1.004 倍。关于女性特定医学特定领域的文章，如妊娠，其发生率并没有普遍增加，而是随着时间的推移而波动。1948 年至 2005 年期间，提及女性、性别或性别的文章的发生率下降，此后急剧上升，以至于到 2018 年，几乎没有文章完全没有提及。
随着时间的推移，女性在研究文章中越来越突出。然而，女性特定健康主题的重要性随着研究人员对医学进步、公共卫生计划和社会法律变化的短暂反应而时强时弱。2005 年任命女性总编辑可能对研究文章中是否提及女性产生了巨大影响。
