Merone Lea, Tsey Komla, Russell Darren, Nagle Cate
School of Health Sciences, James Cook University, Townsville, Queensland, Australia.
Cairns Sexual Health Service, Cairns North, Queensland, Australia.
Womens Health Rep (New Rochelle). 2022 Jan 31;3(1):49-59. doi: 10.1089/whr.2021.0083. eCollection 2022.
Historically, medical studies have excluded female participants and research data have been collected from males and generalized to females. The gender gap in medical research, alongside overarching misogyny, results in real-life disadvantages for female patients. This systematic scoping review of the literature aims to determine the extent of research into the medical research sex and gender gap and to assess the extent of misogyny, if any, in modern medical research. Initial literature searches were conducted using PubMed, Science Direct, PsychINFO and Google Scholar. Articles published between January 01, 2009, and December 31, 2019, were included. An article was deemed to display misogyny if it discussed the female aesthetic in terms of health, but did not measure health or could not be utilized to improve clinical practice. Of the 17 included articles, 12 examined the gender gap in medical research and 5 demonstrated misogyny, assessing female attractiveness for alleged medical reasons. Females remain broadly under-represented in the medical literature, sex and gender are poorly reported and inadequately analyzed in research, and misogynistic perceptions continue to permeate the narrative. The gender gap and misogynistic studies remain present in the contemporary medical literature. Reasons and implications for practice are discussed.
从历史上看，医学研究一直将女性参与者排除在外，研究数据是从男性身上收集的，并推广应用于女性。医学研究中的性别差距，再加上普遍存在的厌女症，给女性患者带来了现实生活中的不利处境。这项对文献的系统性综述旨在确定医学研究中性别差距的研究程度，并评估现代医学研究中厌女症（若存在的话）的程度。最初的文献检索是通过PubMed、科学Direct、PsychINFO和谷歌学术进行的。纳入了2009年1月1日至2019年12月31日期间发表的文章。如果一篇文章从健康角度讨论女性审美，但未衡量健康状况或无法用于改善临床实践，则被视为表现出厌女症。在纳入的17篇文章中，12篇研究了医学研究中的性别差距，5篇表现出厌女症，即出于所谓的医学原因评估女性的吸引力。女性在医学文献中的代表性仍然普遍不足，研究中对性别方面的报告和分析较差且不充分，厌女观念继续渗透在叙述中。性别差距和厌女症研究在当代医学文献中仍然存在。文中讨论了相关原因及对实践的影响。
