Department of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
Department of Gastroenterology, The People's Hospital of Lianshui, Huaian, China.
Liver Int. 2023 Jul;43(7):1407-1416. doi: 10.1111/liv.15585. Epub 2023 Apr 14.
Recent studies have shown that women are underrepresented as authors of medical research and clinical practice guidelines. This study aimed to evaluate gender disparities of authors of major hepatology guidelines.
We reviewed the hepatology guidelines published by the following major gastroenterology societies from January 2008 to September 2022: the American Gastroenterological Association (AGA), American College of Gastroenterology (ACG), American Association for the Study of Liver Diseases (AASLD), Asian-Pacific Association for the Study of the Liver (APASL), British Society of Gastroenterology (BSG), European Association for the Study of the Liver (EASL) and Korean Association for the Study of the Liver (KASL). We determined the topic and the gender of all authors of each guideline. The numbers of men authors, women authors and total authors were collected. The trends of women first authors, women senior authors and total women authors were assessed. A logistic regression analysis was performed to analyse the relationship between the gender of the first or senior author and related factors.
We identified 103 hepatology guidelines published between January 2008 and September 2022 published by the AGA, ACG, AASLD, APASL, BSG, EASL, and KASL. The gender of 1096 of 1100 (99.6%) authors was determined. Therefore, a total of 1096 authors were included: 223 (20.3%) authors were women and 873 (79.7%) authors were men. Women comprised 14.6% of all first authors, and 20.4% of all senior authors were women. Only the AASLD had writing committees comprising more than 30% total women authors. The proportions of women senior authors and total women authors increased significantly during the study period (p < .05). Women first authors and women senior authors were more likely to publish guidelines with more women authors. Women first authors were less likely to be co-authors with men authors.
Over the course of the past decade, the proportion of women authors of major hepatology guidelines has been low; however, this gender gap appears to be closing.
最近的研究表明，女性在医学研究和临床实践指南的作者中代表性不足。本研究旨在评估主要肝脏病学指南作者中的性别差异。
我们回顾了 2008 年 1 月至 2022 年 9 月期间以下主要胃肠病学会发布的肝脏病学指南：美国胃肠病学会（AGA）、美国胃肠病学院（ACG）、美国肝病研究协会（AASLD）、亚太肝脏病学会（APASL）、英国胃肠病学会（BSG）、欧洲肝脏病研究协会（EASL）和韩国肝脏病学会（KASL）。我们确定了每个指南的所有作者的主题和性别。收集了男性作者、女性作者和总作者的人数。评估了女性第一作者、女性资深作者和总女性作者的趋势。进行逻辑回归分析以分析第一或资深作者的性别与相关因素之间的关系。
我们确定了 2008 年 1 月至 2022 年 9 月期间 AGA、ACG、AASLD、APASL、BSG、EASL 和 KASL 发布的 103 项肝脏病学指南。确定了 1096 名 1100 名作者中的 1096 名（99.6%）作者的性别。因此，共有 1096 名作者被纳入：223 名（20.3%）作者为女性，873 名（79.7%）作者为男性。女性占所有第一作者的 14.6%，所有资深作者的 20.4%为女性。只有 AASLD 的写作委员会由超过 30%的女性作者组成。在研究期间，女性资深作者和总女性作者的比例显著增加（p <.05）。女性第一作者和女性资深作者更有可能出版有更多女性作者的指南。女性第一作者与男性作者合著的可能性较小。
在过去十年中，主要肝脏病学指南的女性作者比例较低；然而，这种性别差距似乎正在缩小。
