Yang Hong-Ho, Huynh Jeffrey D, Moffatt Clare, Evans Lauran K, Bommakanti Krishna, Wong Emily, John Maie St
Department of Head and Neck Surgery, David Geffen School of Medicine at University of California, Los Angeles, California, USA.
Department of Medicine, Stanford University School of Medicine, Palo Alto, California, USA.
Otolaryngol Head Neck Surg. 2025 Feb;172(2):491-499. doi: 10.1002/ohn.994. Epub 2024 Oct 6.
To investigate the state and trajectory of gender, racial, and academic authorship diversity in the otolaryngology clinical trial literature over the past 2 decades.
Bibliometric analysis.
Otolaryngology clinical trial literature.
Clinical trials published in the 9 major otolaryngology journals between 2000 and 2020 were included. The gender, race, and academic seniority of the first, senior, and corresponding authors were recorded for each trial. Multivariable regression models assessed the temporal trajectory of authorship diversity over time and the disparity in citations across author characteristics. Models adjusted for relevant confounders pertaining to publication environment and study design.
Among 2117 trials, first, senior, and corresponding authors have been predominantly White (60%-64%), male (76%-80%), and attending physicians (63%-69%). Trials led by Black (<1%) and Hispanic (<5%) authors were severely underrepresented. Over time, the representation of female (adj. β 0.8%, 95% CI [0.5%, 1.1%] per year), Asian (1.0% [0.7%, 1.3%] per year), and MD resident (0.4% [0.1%, 0.7%] per year) first authorship increased, but representation of female (0.2% [-0.1%, 0.5%] per year), Black (0% [-0.03%, 0.02%] per year), Hispanic (-0.2% [-0.33%, -0.02%] per year) senior authorship remained persistently low. Asian-led trials were cited significantly less compared to White-led trials even after adjusting for study design and publication year (aIRR 0.82 [0.73, 0.92]).
Despite promising signs of improving authorship diversity over time, persistent underrepresentation of female, Black, Hispanic senior authorship underscore the need for additional efforts to diversify the otolaryngology clinical science workforce.
研究过去20年耳鼻喉科临床试验文献中性别、种族和学术作者多样性的现状及发展轨迹。
文献计量分析。
耳鼻喉科临床试验文献。
纳入2000年至2020年期间在9种主要耳鼻喉科期刊上发表的临床试验。记录每项试验的第一作者、资深作者和通讯作者的性别、种族和学术资历。多变量回归模型评估了作者多样性随时间的变化轨迹以及不同作者特征的被引用差异。模型对与出版环境和研究设计相关的混杂因素进行了调整。
在2117项试验中，第一作者、资深作者和通讯作者主要为白人（60%-64%）、男性（76%-80%）和主治医师（63%-69%）。由黑人（<1%）和西班牙裔（<5%）作者主导的试验代表性严重不足。随着时间的推移，女性（调整后β为每年0.8%，95%CI[0.5%，1.1%]）、亚洲人（每年1.0%[0.7%，1.3%]）和医学住院医师（每年0.4%[0.1%，0.7%]）作为第一作者的比例有所增加，但女性（每年0.2%[-0.1%，0.5%]）、黑人（每年0%[-0.03%，0.02%]）和西班牙裔（每年-0.2%[-0.33%，-0.02%]）作为资深作者的比例仍然持续较低。即使在调整研究设计和出版年份后，由亚洲人主导的试验被引用的次数仍显著低于由白人主导的试验（调整后发病率比0.82[0.73，0.92]）。
尽管随着时间的推移作者多样性有改善的迹象，但女性、黑人、西班牙裔资深作者的代表性持续不足，这凸显了为使耳鼻喉科临床科学领域的劳动力多样化而做出更多努力的必要性。
