Division of Clinical Medicine, University of Sheffield, Sheffield Children's NHS Foundation Trust, Room 3, Damer Street Building, Western Bank, Sheffield, S10 2TH, UK.
Department of Radiology, Sheffield Children's NHS Foundation Trust, Sheffield, UK.
Pediatr Radiol. 2024 Mar;54(3):468-477. doi: 10.1007/s00247-023-05762-y. Epub 2023 Sep 29.
The positive impact of diversity on health research and outcomes is well-recognised and widely published. Despite this, published evidence shows that at every step of the research pathway, issues of equity, diversity and inclusion (EDI) arise. There is evidence of a lack of diversity within research teams, in the research questions asked/research participants recruited, on grant review/funding panels, amongst funded researchers and on the editorial boards and reviewer pools of the journals to which results are submitted for peer-reviewed publication. Considering the journal Pediatric Radiology, while its editorial board of 92 members has at least one member affiliated to a country in every region of the world, the majority are in North America (n=52, 57%) and Europe (n=30, 33%) and only two (2%) are affiliated to institutions in a lower middle-income country (LMIC) (India, Nigeria), with one (1%) affiliated to an institution in an upper middle-income country (UMIC) (Peru) and none in a low-income country (LIC). Pediatric Radiology is "…the official journal of the European Society of Paediatric Radiology, the Society for Pediatric Radiology, the Asian and Oceanic Society for Pediatric Radiology and the Latin American Society of Pediatric Radiology". However, of the total number of manuscripts submitted for potential publication in the four years 2019 through 2022, only 0.03% were from a LIC and only 7.9% were from a LMIC. Further, the frequency of acceptance of manuscripts from UMIC was seven times higher than that from LMIC (no manuscripts were published from LIC). Increased collaboration is required between researchers across the globe to better understand the barriers to equity in the funding, conduct and publication of research from LIC and LMIC and to identify ways in which we can overcome them together.
多样性对健康研究和结果的积极影响是公认的，并且广泛发表。尽管如此，已发表的证据表明，在研究途径的每一步，公平、多样性和包容性（EDI）问题都会出现。研究团队中存在多样性不足的情况，表现在提出的研究问题/招募的研究参与者、资助审查/资助小组、受资助的研究人员以及提交同行评审出版的期刊的编辑委员会和评审员库中。以期刊《儿科放射学》为例，虽然其 92 名成员的编辑委员会至少有一名成员与世界上每个地区的国家有关联，但大多数成员来自北美（n=52，57%）和欧洲（n=30，33%），只有两名（2%）与中低收入国家（LMIC）（印度、尼日利亚）的机构有关联，一名（1%）与中上收入国家（UMIC）（秘鲁）的机构有关联，没有来自低收入国家（LIC）的机构。《儿科放射学》是“……欧洲儿科放射学会、儿科放射学会、亚洲和大洋洲儿科放射学会以及拉丁美洲儿科放射学会的官方期刊”。然而，在 2019 年至 2022 年的四年中，提交潜在出版的稿件总数中，只有 0.03%来自 LIC，只有 7.9%来自 LMIC。此外，UMIC 来稿的接受频率比 LMIC 高七倍（LIC 没有来稿发表）。需要加强全球研究人员之间的合作，以更好地了解来自 LIC 和 LMIC 的资金、进行和发表研究中公平的障碍，并确定我们如何共同克服这些障碍的方法。
