Mejía-Fernández Lorelí, Romero-Hernández Fernanda, López-Ruiz Ana, Lopez-Verdugo Fidel, Sanchez-Garcia Jorge, Martinez-Ordaz Jose L, Moreno-Paquentin Eduardo, Lopez-Gavito Elena
Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud, TecSalud, Monterrey, Nuevo León, México.
Department of Surgery, University of California, San Francisco, CA, United States.
Front Surg. 2022 May 13;9:900076. doi: 10.3389/fsurg.2022.900076. eCollection 2022.
Academic surgery has been a traditionally male-dominated field. Female contribution remains challenging. In Mexico, there is no published evidence regarding gender disparity in academic surgery. We aimed to analyze the female role in clinical research submitted to the Asociación Mexicana de Cirugía General (AMCG).
Retrospective study evaluating abstracts submitted to AMCG annual meetings from 2013 to 2019. Categorical variables were compared using χ test. Univariate logistic regression was performed to calculate odds ratios (OR) followed by a log-binomial logistic regression model to obtain the adjusted relative risk (aRR) for acceptance as an oral presentation.
Overall, 7,439 abstracts were analyzed of which 24.2% were submitted by females. Female-submitted abstracts increased from 22.5% to 25.3% during 2013-2019 ( = 0.15). The proportion of 47 abstracts submitted by females was higher in the resident group (27.7% vs. 18.8%; < 0.001). The percentage of females' abstracts selected for oral presentation was less than the percentage of males' 49 abstracts selected for presentation (9% vs. 11.5%; = 0.002). Females' abstracts submitted have a 50 23.5% decreased chance of being selected for oral presentation (OR = 0.765, CI 95%, 0.639-0.917, 51 = 0.003). However, after adjusting for research type and trainee status, the gender of the oral 52 presenting author showed no association (aRR = 0.95, CI 95%, 0.8-1.1, = 0.56).
In Mexico, the female role in academic surgery is still limited. These results should 55 encourage professors and program directors to identify and address factors contributing to gender 56 disparities.
学术外科领域传统上一直由男性主导。女性的贡献仍然具有挑战性。在墨西哥，尚无关于学术外科领域性别差异的公开证据。我们旨在分析向墨西哥普通外科学会（AMCG）提交的临床研究中女性所起的作用。
回顾性研究评估了2013年至2019年提交给AMCG年会的摘要。使用χ检验比较分类变量。进行单因素逻辑回归以计算比值比（OR），随后采用对数二项逻辑回归模型以获得被选为口头报告的调整后相对风险（aRR）。
总体而言，共分析了7439篇摘要，其中24.2%由女性提交。2013年至2019年期间，女性提交的摘要从22.5%增至25.3%（P = 0.15）。住院医师组中女性提交的47篇摘要所占比例更高（27.7%对18.8%；P < 0.001）。被选为口头报告的女性摘要百分比低于被选为报告的男性摘要百分比（9%对11.5%；P = 0.002）。提交的女性摘要被选为口头报告的机会降低了23.5%（OR = 0.765，95%CI，0.639 - 0.917，P = 0.003）。然而，在对研究类型和受训者状态进行调整后，口头报告作者的性别无关联（aRR = 0.95，95%CI，0.8 - 1.1，P = 0.56）。
在墨西哥，女性在学术外科中的作用仍然有限。这些结果应促使教授和项目主任识别并解决导致性别差异的因素。
