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医学领域中的性别平等——新生儿科医生发现问题

Equity for women in medicine-neonatologists identify issues.

机构信息

Department of Newborn Medicine, Boston Children's Hospital, Boston, MA, USA.

Division of Neonatology, Morsani College of Medicine, University of South Florida, Tampa, FL, USA.

出版信息

J Perinatol. 2021 Mar;41(3):435-444. doi: 10.1038/s41372-020-00897-4. Epub 2020 Dec 10.

DOI:10.1038/s41372-020-00897-4
PMID:33303937
Abstract

OBJECTIVE

Inequity between genders with regards to leadership achievement, compensation, scholarly productivity, and grant funding exist among physicians. This study explores whether similar inequities exist among board certified neonatologists within the USA.

STUDY DESIGN

A voluntary anonymous survey was distributed to 3575 members of the American Academy of Pediatrics Section on Neonatal-Perinatal Medicine with 560 respondents (15.7% response rate). The survey contained questions assessing clinician characteristics, work environment, compensation, professional productivity, and social factors. Statistical analysis was done using JMP Pro 15.0.0 by SAS.

RESULTS

Female neonatologists, compared to male peers, were less likely to hold leadership positions (OR 0.36, p = 0.005), received lower compensation by an average of $34,916 or 12.47% (p < 0.001), and had 6.71 fewer primary authored publications (p = 0.025) after adjusting for several confounding factors.

CONCLUSION

Gender remains a significant independent factor influencing leadership attainment, compensation, and academic productivity in this cohort of neonatologists.

摘要

目的

在医生中,存在性别不平等的现象,表现在领导成就、薪酬、学术成果和研究资助方面。本研究旨在探讨在美国,经过委员会认证的新生儿科医生中是否存在类似的不平等现象。

研究设计

向美国儿科学会新生儿围产期医学分会的 3575 名成员发放了一份自愿匿名调查,共收到 560 名(15.7%的回应率)的回复。调查包含评估临床医生特征、工作环境、薪酬、专业生产力和社会因素的问题。使用 SAS 的 JMP Pro 15.0.0 进行统计分析。

结果

与男性同行相比,女性新生儿科医生担任领导职务的可能性较小(OR 0.36,p = 0.005),平均薪酬低 34916 美元,即 12.47%(p < 0.001),并且在调整了几个混杂因素后,主要作者发表的论文数量少了 6.71 篇(p = 0.025)。

结论

在这组新生儿科医生中,性别仍然是一个重要的独立因素,影响着领导力的获得、薪酬和学术生产力。

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本文引用的文献

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Promotion and retention of women physicians in academia.
J La State Med Soc. 2008 Sep-Oct;160(5):289-91.
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Fundamentals of designing high-quality surveys: revisiting neonatal perinatal medicine survey applications.设计高质量调查的基础:重新审视新生儿围产医学调查应用。
J Perinatol. 2024 Jun;44(6):777-784. doi: 10.1038/s41372-023-01801-6. Epub 2023 Oct 20.
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Toolkit for gender equity in pediatrics.儿科性别平等工具包。
Pediatr Res. 2024 Feb;95(3):594-597. doi: 10.1038/s41390-023-02846-1. Epub 2023 Oct 13.
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Gender analysis of Journal of Perinatology authorship during COVID-19.COVID-19 期间《围产医学杂志》作者的性别分析。
J Perinatol. 2023 Apr;43(4):518-522. doi: 10.1038/s41372-022-01551-x. Epub 2022 Nov 5.