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      Representation of Women Among Editors in Chief of Leading Medical Journals

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          Abstract

          <div class="section"> <a class="named-anchor" id="ab-zoi210681-1"> <!-- named anchor --> </a> <h5 class="section-title" id="d2420561e290">Question</h5> <p id="d2420561e292">Are women and men equally represented among editors in chief of leading medical journals?</p> </div><div class="section"> <a class="named-anchor" id="ab-zoi210681-2"> <!-- named anchor --> </a> <h5 class="section-title" id="d2420561e295">Findings</h5> <p id="d2420561e297">This cross-sectional study found that, overall, women represent only about 1 in 5 editors in chief at top-ranked medical journals, with wide variation from 0 to 82% across medical specialties. </p> </div><div class="section"> <a class="named-anchor" id="ab-zoi210681-3"> <!-- named anchor --> </a> <h5 class="section-title" id="d2420561e300">Meaning</h5> <p id="d2420561e302">A serious commitment from authors, editors, publishers, and the medical scientific community is required to tackle longstanding structural barriers and biases that underpin women’s underrepresentation in senior leadership roles in medical journals. </p> </div><div class="section"> <a class="named-anchor" id="ab-zoi210681-4"> <!-- named anchor --> </a> <h5 class="section-title" id="d2420561e306">Importance</h5> <p id="d2420561e308">Women remain underrepresented among editors of scientific journals, particularly in senior positions. However, to what extent this applies to medical journals of different specialties remains unclear. </p> </div><div class="section"> <a class="named-anchor" id="ab-zoi210681-5"> <!-- named anchor --> </a> <h5 class="section-title" id="d2420561e311">Objective</h5> <p id="d2420561e313">To investigate the gender distribution of the editors in chief at leading medical journals. </p> </div><div class="section"> <a class="named-anchor" id="ab-zoi210681-6"> <!-- named anchor --> </a> <h5 class="section-title" id="d2420561e316">Design, Setting, and Participants</h5> <p id="d2420561e318">Cross-sectional study of the editors in chief at the top 10 international medical journals of 41 categories related to the medical specialties of the Clarivate Analytics Web of Science Journal Citation Reports in 2019. </p> </div><div class="section"> <a class="named-anchor" id="ab-zoi210681-7"> <!-- named anchor --> </a> <h5 class="section-title" id="d2420561e321">Main Outcomes and Measures</h5> <p id="d2420561e323">Proportion of women as editors in chief.</p> </div><div class="section"> <a class="named-anchor" id="ab-zoi210681-8"> <!-- named anchor --> </a> <h5 class="section-title" id="d2420561e326">Results</h5> <p id="d2420561e328">This study found that, overall, women represented 21% (94 of 44) of the editors in chief, with wide variation across medical specialties from 0% to 82%. There were 5 categories for which none of the editors in chief were women (dentistry, oral surgery and medicine; allergy; psychiatry; anesthesiology; and ophthalmology) and only 3 categories for which women outnumbered men as editors in chief (primary health care, microbiology, and genetics and heredity). In 27 of the 41 categories, women represented less than a third of the editors in chief (eg, 1 of 10 for critical care medicine, 2 of 10 for gastroenterology and hepatology, and 3 of 10 for endocrinology and metabolism). </p> </div><div class="section"> <a class="named-anchor" id="ab-zoi210681-9"> <!-- named anchor --> </a> <h5 class="section-title" id="d2420561e331">Conclusions and Relevance</h5> <p id="d2420561e333">This study found that women are underrepresented among editors in chief of leading medical journals. For the benefit of medical research, a joint effort from editorial boards, publishers, authors, and academic institutions is required to address this gender gap. </p> </div><p class="first" id="d2420561e336">This cross-sectional study investigates the gender distribution of the editors in chief at leading medical journals. </p>

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          Most cited references36

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          The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.

          Much biomedical research is observational. The reporting of such research is often inadequate, which hampers the assessment of its strengths and weaknesses and of a study's generalisability. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) initiative developed recommendations on what should be included in an accurate and complete report of an observational study. We defined the scope of the recommendations to cover three main study designs: cohort, case-control, and cross-sectional studies. We convened a 2-day workshop in September, 2004, with methodologists, researchers, and journal editors to draft a checklist of items. This list was subsequently revised during several meetings of the coordinating group and in e-mail discussions with the larger group of STROBE contributors, taking into account empirical evidence and methodological considerations. The workshop and the subsequent iterative process of consultation and revision resulted in a checklist of 22 items (the STROBE statement) that relate to the title, abstract, introduction, methods, results, and discussion sections of articles.18 items are common to all three study designs and four are specific for cohort, case-control, or cross-sectional studies.A detailed explanation and elaboration document is published separately and is freely available on the websites of PLoS Medicine, Annals of Internal Medicine, and Epidemiology. We hope that the STROBE statement will contribute to improving the quality of reporting of observational studies
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            Trends and comparison of female first authorship in high impact medical journals: observational study (1994-2014)

            Objective To examine changes in representation of women among first authors of original research published in high impact general medical journals from 1994 to 2014 and investigate differences between journals. Design Observational study. Study sample All original research articles published in Annals of Internal Medicine, Archives of Internal Medicine, The BMJ, JAMA, The Lancet, and the New England Journal of Medicine (NEJM) for one issue every alternate month from February 1994 to June 2014. Main exposures Time and journal of publication. Main outcome measures Prevalence of female first authorship and its adjusted association with time of publication and journal, assessed using a multivariable logistic regression model that accounted for number of authors, study type and specialty/topic, continent where the study was conducted, and the interactions between journal and time of publication, study type, and continent. Estimates from this model were used to calculate adjusted odds ratios against the mean across the six journals, with 95% confidence intervals and P values to describe the associations of interest. Results The gender of the first author was determined for 3758 of the 3860 articles considered; 1273 (34%) were women. After adjustment, female first authorship increased significantly from 27% in 1994 to 37% in 2014 (P<0.001). The NEJM seemed to follow a different pattern, with female first authorship decreasing; it also seemed to decline in recent years in The BMJ but started substantially higher (approximately 40%), and The BMJ had the highest total proportion of female first authors. Compared with the mean across all six journals, first authors were significantly less likely to be female in the NEJM (adjusted odds ratio 0.68, 95% confidence interval 0.53 to 0.89) and significantly more likely to be female in The BMJ (1.30, 1.01 to 1.66) over the study period. Conclusions The representation of women among first authors of original research in high impact general medical journals was significantly higher in 2014 than 20 years ago, but it has plateaued in recent years and has declined in some journals. These results, along with the significant differences seen between journals, suggest that underrepresentation of research by women in high impact journals is still an important concern. The underlying causes need to be investigated to help to identify practices and strategies to increase women’s influence on and contributions to the evidence that will determine future healthcare policies and standards of clinical practice.
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              Women underrepresented on editorial boards of 60 major medical journals.

              Although there has been a continuous increase in the number of women working in the field of medicine, women rarely reach the highest academic positions as full professors or editorial board members. We aimed to determine the proportion of women on the editorial boards of top-ranked medical journals in different medical specialties. We analyzed the gender of editorial board members of 60 top-ranked journals of 12 Thomson Reuters Web of Knowledge Journal Citation Reports categories. A total of 4175 editors were included in our analysis. Only 15.9% (10 of 63) editors-in-chief were female. In the 5 categories, critical care, anesthesiology, orthopedics, ophthalmology and radiology, nuclear medicine and medical imaging, currently not 1 woman holds the position of editor-in-chief. Less than one fifth (17.5%, 719 of 4112) of all editorial board members were women. There were significant differences among the evaluated categories, with the highest percentage of women in the category of medicine, general and internal and the lowest in the category critical care, followed by orthopedics. In every category, the proportion of women as editorial board members was substantially lower than that of men. Women are underrepresented on the editorial boards of major medical journals, although there is a great variability among the journals and categories analyzed. If more women are nominated to serve on editorial boards, they will be a visible sign of continuing progress and serve as important role models for young women contemplating a career in academic medicine. Copyright © 2011 Elsevier HS Journals, Inc. All rights reserved.
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                Author and article information

                Journal
                JAMA Network Open
                JAMA Netw Open
                American Medical Association (AMA)
                2574-3805
                September 01 2021
                September 08 2021
                : 4
                : 9
                : e2123026
                Affiliations
                [1 ]The George Institute for Global Health, Imperial College London, London, United Kingdom
                [2 ]School of Population Health and Environmental Sciences, Faculty of Life Sciences abd Medicine, King’s College London, London, United Kingdom
                [3 ]The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia
                Article
                10.1001/jamanetworkopen.2021.23026
                d3a0c997-3113-4a2e-860e-3a5a3015815c
                © 2021
                History

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