Gender Differences in Authorship of Critical Care Literature
- 1 April 2020
- journal article
- research article
- Published by American Thoracic Society in American Journal of Respiratory and Critical Care Medicine
- Vol. 201 (7), 840-847
- https://doi.org/10.1164/rccm.201910-1957oc
Abstract
Rationale: Gender gaps exist in academic leadership positions in critical care. Peer-reviewed publications are crucial to career advancement, and yet little is known regarding gender differences in authorship of critical care research. Objectives: To evaluate gender differences in authorship of critical care literature. Methods: We used a validated database of author gender to analyze authorship of critical care articles indexed in PubMed between 2008 and 2018 in 40 frequently cited journals. High-impact journals were defined as those in the top 5% of all journals. We used mixed-effects logistic regression to evaluate the association of senior author gender with first and middle author gender, as well as association of first author gender with journal impact factor. Measurements and Main Results: Among 18,483 studies, 30.8% had female first authors, and 19.5% had female senior authors. Female authorship rose slightly over the last decade (average annual increases of 0.44% [P < 0.01] and 0.51% [P < 0.01] for female first and senior authors, respectively). When the senior author was female, the odds of female coauthorship rose substantially (first author adjusted odds ratio [aOR], 1.93; 95% confidence interval [CI], 1.71–2.17; middle author aOR, 1.48; 95% CI, 1.29–1.69). Female first authors had higher odds than men of publishing in lower-impact journals (aOR, 1.30; 95% CI, 1.16–1.45). Conclusions: Women comprise less than one-third of first authors and one-fourth of senior authors of critical care research, with minimal increase over the past decade. When the senior author was female, the odds of female coauthorship rose substantially. However, female first authors tend to publish in lower-impact journals. These findings may help explain the underrepresentation of women in critical care academic leadership positions and identify targets for improvement.This publication has 38 references indexed in Scilit:
- Representation of Women as Authors, Reviewers, Editors in Chief, and Editorial Board Members at 6 General Medical Journals in 2010 and 2011JAMA Internal Medicine, 2014
- Mentoring and the Career Satisfaction of Male and Female Academic Medical FacultyAcademic Medicine, 2014
- SponsorshipAcademic Medicine, 2013
- Still a man's world, but why?Critical Care, 2013
- Is this (still) a man's world?Critical Care, 2013
- Acute Respiratory Distress SyndromeJAMA, 2012
- Women Underrepresented on Editorial Boards of 60 Major Medical JournalsGender Medicine, 2011
- Gender Differences in Academic Productivity and Leadership Appointments of Physicians Throughout Academic CareersAcademic Medicine, 2011
- Double-blind review favours increased representation of female authorsTrends in Ecology & Evolution, 2008
- Mentoring in Academic MedicineJAMA, 2006