Acta Obstetricia et Gynecologica Scandinavica (AOGS): Coming-of-age to embrace open science.

Journal article access: Free, open, and subscription

AAAS misses opportunity to advance open access

11032 Background: The open access (OA) publishing model represents an exciting opportunity to facilitate dissemination of scientific information to global audiences. In contrast to many traditional models, which require readers to pay subscription fees or rely upon institutional subscriptions for article access, the OA model grants free access to all consumers. However, OA publication is often associated with significant article processing charges (APCs) for authors, which may thus serve as a barrier to publication. In this investigation, we aimed to identify journal-level factors associated with OA publication costs in oncology journals. Methods: We identified oncology journals using the SCImago Journal & Country Rank database. All journals under the “Oncology” category that offer an OA publishing option with APC data openly available were included. For all journals, we searched journal websites and tabulated journal characteristics, including APC amount (USD), OA model (hybrid vs full), journal 2-year impact factor (IF), H-index, number of citable documents, primary treatment modality (surgery, radiation, medical, non-specific), treatment site (e.g. breast, etc), and continent of origin. Pearson correlation was used to evaluate univariate linear relationships between variables; for variables with significant correlation, we generated a multiple regression model to identify journal characteristics independently associated with OA APC amount. Results: Of 367 oncology journals screened, 266 met final inclusion criteria. The median APC was 2810 USD (range 0 – 5200). On univariate linear correlation regression testing, journals with the full OA model (p < 0.001), higher journal IF (p < 0.001), higher H-index (p < 0.001), greater number of published articles (p < 0.001), and those from North America or Europe (p < 0.001) tended to have higher OA publishing costs. When these co-variates were analyzed in a multiple regression model, only full OA status (p < 0.001), higher IF (p < 0.001), and North American or European origin (p < 0.001) persisted as independently associated with greater OA APC. Conclusions: Large APCs may serve as a barrier to OA publication and therefore create or exacerbate disparities among scientific investigators seeking to share their research. In this investigation, we find that OA publication costs are greater in oncology journals that utilize the hybrid OA model, have higher IF, and are based in North America or Europe. These findings may inform targeted action to help the oncology community fully appreciate the benefits of open science.

Open access (OA) publishing represents an exciting opportunity to facilitate the dissemination of scientific information to global audiences. However, OA publishing is often associated with significant article processing charges (APCs) for authors, which may thus serve as a barrier to publication. In this observational cohort study, we aimed to characterize the landscape of OA publishing in oncology and, further, identify characteristics of oncology journals that are predictive of APCs. We identified oncology journals using the SCImago Journal & Country Rank database. All journals with an OA publication option and APC data openly available were included. We searched journal websites and tabulated journal characteristics, including APC amount (in US dollars), OA model (hybrid vs full), 2-year impact factor (IF), H-index, number of citable documents, modality/treatment specific (if applicable), and continent of origin. All APCs were converted to US-dollar equivalents for final analyses. Selecting variables with significant associations in the univariable analysis, we generated a multiple regression model to identify journal characteristics independently associated with OA APC amount. An audit of a random 10% sample of the data was independently performed by 2 authors to ensure data accuracy, precision, and reproducibility. Of 367 oncology journals screened, 251 met the final inclusion criteria. The median APC was US $2957 (IQR 1958-3450). The majority of journals (n=156, 62%) adopted the hybrid OA publication model and were based in Europe (n=119, 47%) or North America (n=87, 35%). The median (IQR) APC for all journals was US $2957 (1958-3540). Twenty-five (10%) journals had APCs greater than US $4000. There were 10 (4%) journals that offered OA publication with no publication charge. Univariable testing showed that journals with a greater number of citable documents (P<.001), higher 2-year IF (P<.001), higher H-index (P<.001), and those using the hybrid OA model (P<.001), or originating in Europe or North America (P<.001) tended to have higher APCs. In our multivariable model, the number of citable documents (β=US $367, SD US $133; P=.006), 2-year IF (US $1144, SD US $177; P<.001), hybrid OA publishing model (US $991, SD US $189; P<.001), and North American origin (US $838, SD US $186; P<.001) persisted as significant predictors of processing charges. OA publication costs are greater in oncology journals that publish more citable articles, use the hybrid OA model, have a higher IF, and are based in North America or Europe. These findings may inform targeted action to help the oncology community fully appreciate the benefits of open science.

Open Access Musings

Editorial: Open Access on the move

Open Access (OA) publishing has transformed scholarly communication by enhancing the visibility and accessibility of research. However, the rising costs of Article Processing Charges (APCs) pose significant financial challenges for researchers and institutions. In this paper, we investigated APC expenditure trends for publications from Swedish institutions, examining the relationship between total costs and publication volumes, variations in APCs among publishers, and the financial impact of gold and hybrid OA models over five years, focusing on six major academic publishers. Additionally, we explored disciplinary differences in APCs and access preferences, particularly between STEM (Science, Technology, Engineering, and Mathematics) and non -STEM fields. We sourced the publication dataset for this study from Scopus, including articles and reviews authored by researchers affiliated with Swedish institutions between 2019 and 2023. We categorized the publications using the SciVal tool and applied the Fields of Research and Development classification scheme to ensure structured and comparable disciplinary analysis. We obtained APC data from an openly available dataset and performed the analysis using a custom R script. Our findings reveal that OA publishing peaked in 2021, followed by a gradual decline, a trend likely driven by the surge in research dissemination during the COVID-19 pandemic. Total APC expenditure increased by 83%, rising from $12 million in 2019 to $22 million in 2023. Notably, the average APC exceeds the monthly average wage of Swedish PhD students, highlighting the financial burden of OA publishing. Hybrid OA models were found to be approximately 24% more expensive than gold OA models. Significant cost disparities were also observed among publishers. STEM fields incurred higher APCs than nonSTEM fields, and a lack of gold OA journals in the Humanities was evident for several publishers. These findings highlight the financial strain associated with OA publishing and its uneven impact across disciplines and publishers. The study provides insights for policymakers, funding agencies, and academic institutions seeking to foster equitable and sustainable OA practices.

Traditionally, there have been two important media of academic publishing: scholarly journals and scholarly books. The first scholarly journal, the Journal des Sçavans, was founded by Denis de Sallo, appeared already in January 1665 in Paris, reappeared after the French Revolution as the Journal des Savants, and still exists as a leading journal in the humanities. Only a few weeks later, Henry Oldenbourg, the first secretary of the Royal Society of London, established a second scholarly journal, the Philosophical Transactions, with a focus on science. The purpose of these journals was to formalize the extensive correspondence between philosophers and scientists.1 In the 18th and the 19th century, more specialized journals gained in importance, most of which were published by learned societies. At the end of the 19th century, university presses too began to publish scholarly journals. Another traditional means of academic publishing are the various types of scholarly books, in particular monographs, edited volumes, reference works (specialist dictionaries, encyclopedias, and specialty reference manuals), and technical handbooks.2 A narrow definition of academic works would exclude textbooks and books for the broader public. Shavell (2010, 337–39) employs four criteria to determine whether a journal or book is academic in nature: (1) the authors and/or the publisher are usually academics; (2) the readers are mainly academics; (3) the content is academic in character; (4) only low royalties are paid, if any. As of today, scholarly journals are the preferred mode of academic publishing in particular in the sciences and some social sciences (e.g., economics), whereas scholarly books still play an important role in the arts, the humanities, and part of the social sciences. Whereas scholarly books are published by a large number of small national publishers in a multitude of languages, the most important scholarly journals are typically in English language and published by a few large commercial publishers. Until the mid-20th century, the most important journals were published by learned societies, before commercial publishers began to enter the academic publishing market in the 1960s and 1970s by launching new titles or acquiring existing ones. This development has led to a significant concentration of (commercial) publishers in the academic journal market.3 It is difficult to say for sure how many scholarly journals are available around the world. Some sources speak of more than 100,000, others of 87,000 or 73,000.4 In August 2018, Ulrich's Web Directory listed 33,119 active scholarly peer-reviewed English-language journals with about 3 million articles a year, complemented by an additional 9,372 journals in other languages. As an important subset, 11,655 journals with 2.2 million articles were included in the Clarivate Analytics' Journal Citation Reports (STM, 2018, 25–26). The Web of Science (WoS) database counted almost 12,500 journals in 2019 (see below, Section 2.2.1). With the mass expansion of academic education and the increasing size of faculty after World War II, publications in peer-reviewed, highly ranked journals have become an important precondition for academic careers in many disciplines, in particular in the sciences, economics, and partly in the other social sciences. In 1964, Eugene Garfield launched the Science Citation Index to calculate the impact factors of journals in science, medicine, and technology. This index was later followed by the Social Sciences Citation Index in 1973, the Arts & Humanities Citation Index in 1978 (Regazzi, 2015, 86–88), and the Emerging Sources Citation Index in 2015. These indices led to the development of the Journal Impact Factor (JIF), a metric that serves to rank a scholarly journal based on the number of citations to articles in that journal by articles in other indexed journals within a certain time period. During the same time, commercial publishers have increased their market shares to the detriment of non-for-profit publishers, such as learned societies and universities, becoming the dominant players in the market for scholarly journals. Today, the "big five" commercial academic publishers—Elsevier, Springer, Wiley, Taylor & Francis, and Sage—cover more than half of the market for scholarly journals. Since the 1980s, we have seen a sharp increase not just in the number of journals but in particular also in journal subscription prices, forcing many academic libraries to cancel serials subscriptions and to cut back on new monographs (the so-called serials crisis, cf. Eger & Scheufen, 2018, 23–29). These developments induced an increasing number of scholars, initially in the United States, to promote open access (OA) to scholarly articles as a replacement of or an addendum to the subscription model. After some individual initiatives in the late 1980s, the early 2000s saw the emergence of a global movement by scholars, librarians, and research sponsors, resulting in the "Budapest Open Access Initiative" (February 2002), the "Bethesda Statement on Open Access Publishing" (June 2003) and the "Berlin Declaration on Open Access to Knowledge in the Sciences and Humanities" (October 2003).7 Two roads to OA can be distinguished8: First, gold OA refers to electronic journals with OA for all readers, often based on creative commons licenses. The publishers' costs are covered not by subscription fees but from other sources, such as article-processing charges (APCs)9 paid by authors, libraries, learned societies, or research sponsors, or subsidies from learned societies and other sources. Hybrid OA journals, whose numbers are rising fast, allow the authors to choose between paying an APC, thereby granting the reader OA, or not paying an APC and requiring the reader to pay for access to the article.10 A special branch of gold OA is mega-journals, the first one of which, PLOS One, was first published in 2006. In these journals, the peer review is restricted to examining only the soundness of the submitted articles but not their broader interest or impact. Also, mega-journals are not oriented towards a specific subject matter. The second road, green OA, refers to authors self-archiving pre-prints or post-prints of their papers on so-called OA repositories, potentially in addition to publication in traditional subscription-based journals. OpenDOAR listed 5,713 repositories in July 2021, of which 5,073 were classified as institutional repositories managed by universities, faculties, or other academic institutions, 364 as disciplinary (subject) repositories which aggregate research papers in specific disciplines (e.g., PubMed Central, arXiv, SSRN, and RepEc), 138 as aggregating repositories (including Academia and Scielo), and 139 as governmental repositories.11 Whereas institutional and disciplinary repositories generally respect the authors' or publishers' copyright, so-called Robin Hood or Pirate OA repositories do not. The most prominent example is Sci-Hub, founded in 2011 by Alexandra Elbakyan, a young scholar from Kazakhstan, which made over 60 million journal articles publicly available. Due to complaints by academic publishers, Sci-Hub had to switch domains several times.12 Recent years have seen the emergence of academic social networks such as Research Gate and Mendeley, as well as a stream of new forms of disseminating scientific content, including blogs, podcasts, and Facebook posts by prominent scholars. Regarding OA books, the Directory of Open Access Books (DOAB) in June 2021 listed 43,036 academic peer-reviewed books from 621 publishers.13 The number of academic journals, as listed in the WoS database, has been growing steadily over the past two decades, from around 5,000 in 2000 to almost 12,500 in 2019 (Figure 1).14 Source: Author's calculations based on data from Web of Science (2021) The academic journal market is dominated by a few large commercial publishers, with the "big five" accounting for more than half of the academic journals listed by the WoS in 2019: Elsevier (1,754 journals), Springer (1,406), Wiley Blackwell (1,242), Taylor & Francis (1,199), and Sage (642).15 However, due to a downturn by Elsevier that began around 2006, this dominance has declined from around 60% in 2000 to around 51.7% in 2019 (Figure 2). Source: Author's calculations based on data from Web of Science (2021) Coupled with the advent of the internet and the concurrent increasing digitization of academic works, which through the bundling of different journals and/or formats ("big deals") facilitated second-degree price discrimination, this dominance has led to a drastic increase in subscription prices since the early 1990s (Bergstrom, 2013; Eger & Scheufen, 2018; Ramello, 2010). The resulting serials crisis—with academic libraries having to cut their journal portfolio—gave rise to a new publishing regime that offers OA to journal content. The share of pure (i.e., non-hybrid) OA journals as listed by the Directory of Open Access Journals (2021) has been increasing steadily, from around 3% of all WoS-listed journals in 2000 to more than 10% in 2019 (Figure 3). Source: Author's calculations based on data from Web of Science (2021) and DOAJ (2021) Interestingly, pure OA journals also gained ground in terms of quality. Figure 4 shows boxplots of the impact factors16 of closed access (CA) versus OA journals over time. While CA journals enjoyed an impact factor advantage over OA journals for a long time—all location scales of the impact factor for CA journals being above the ones for OA journals—OA journals are nowadays of the same quality, notwithstanding considerable differences between disciplines (see the contribution by Eger et al. to this issue). In 2019, impact factor distributions of both OA and CA journals are at the same level. Thus, advancing both in quantity and in quality, OA journals are becoming ever more relevant. The literature has identified the following advantages of an OA regime for academic works: (1) OA publications are likely read and therefore (2) cited more widely,17 which in turn (3) raises the incentives for academic authors to publish their research results as citations increase their reputation. These observations led to a broad discussion in academia as to whether the copyright regime may impede the evolution towards a universal OA regime, with very different conclusions being drawn regarding the impact of OA from a social welfare perspective (Scheufen, 2015; Shavell, 2010). Source: Author's calculations based on data from Web of Science (2021) and DOAJ (2021) The growing relevance of academic OA publishing warrants a closer look at the development of pure OA journals as the gold road towards OA. Figure 5 shows the number of newly launched OA journals from 2002 to 2020. Following relatively slow growth from 2002 to 2014, with fewer than 500 new OA journals per year (except 2013), the number has exceeded 1,000 in every year since, peaking in 2017, when more than 2,000 new OA journals were added to the DOAJ database. Today, the DOAJ database counts more than 16,000 OA journals in many different fields of research, published in 80 languages by publishers from 126 countries.18 Source: Author's calculations based on data from DOAJ (2021) Notwithstanding this impressive development, the relevance of OA journals varies substantially across academic disciplines (Figure 6).19 The research field with the largest attributed number of OA journals is Social Sciences (3,817), followed by Health Sciences (2,785), Technology and Engineering (1,416), and Language and Literature (1,153). By contrast, the natural science fields of Mathematics & Statistics (341), Physics & Astronomy (274), and Chemistry (181) feature only few OA journals.20 Source: Author's calculations based on data from DOAJ (2021) Remarkable differences also exist regarding a variety of OA journal characteristics (Table 1).21 Most (52%) OA journals leave the copyright of published works with the author, whereas the traditional CA regime demands that the exploitation rights are transferred to the publisher. Moreover, only around 28% of all OA journals charge APCs—a remarkable finding, as the OA regime implies the transition from a "reader pays" to an "author pays" model. Other fees (e.g., a submission fee to cover the review process) are charged by only around 2% of all OA journals. Nevertheless, author fees may constitute a significant obstacle for authors to publish in an OA venue, especially for non-tenured researchers seeking to publish in highly ranked journals, which are most likely to charge APCs (Budzinski et al., 2020). This obstacle also applies in particular to many researchers from developing countries, whose institutions rarely cover such costs. Yet 18% of OA journals provide for the possibility to waive such author fees. OA publishing may indeed be considered a form of development aid, for two reasons: First, few institutions in the developing world have so far been able to subscribe to academic journals. The OA regime can thus promote scientific participation and thereby foster the global evolution of science as a "trial and error" process. Free or cheaper access to literature for researchers in the developing world tends to increase both their output (number of publications) and input (number of references) (Mueller-Langer et al., 2020). Second, an OA regime grants access to the latest results in science for groups who were previously excluded because they are not "club" members of a university library. This includes, e.g., corporate researchers, physicians, or farmers. Notwithstanding all the changes discussed above, scholarly journals remain the most important medium of communication in many disciplines. For more than 300 years, they have been fulfilling the four key functions of registration (attribution), certification of articles (peer review), dissemination (distribution, access), and preservation (scholarly memory and permanent archiving). In recent decades, a fifth function must be added: the evaluation of researchers and their institutions.22 The increasing importance of OA articles in scholarly journals has triggered some controversial discussions, in particular regarding the questions as to whether OA negatively affects the quality of journal articles, whether OA improves the dissemination of research results, and how OA affects the competition between academic publishers as well as the distribution between academics and non-academics, between poor and rich universities, and between poor and rich countries. We shall discuss each of these questions and some related points in more detail below. In times when "alternative facts" tend to trump sound research results, academia must provide the public with reliable information. The users of this information should be sufficiently certain that the results are based on proper methods, reflect the state of science in the specific field, and were obtained independently, e.g., of any political or commercial interests.23 For that reason, strict and continuous quality control of research results is a "conditio sine qua non" for academic publishing. Facilitating the communication of content from authors to readers, the academic journal market may be characterized as a two-sided market (Rochet & Tirole, 2003). While readers look for the most important research results in their fields by top authors, the latter are interested in the journal's reputation, in wide readership, and in citations. Thus, journals with high impact factors hold the greatest attraction to both sides. With this in mind, the crucial question arises what effect, if any, OA is likely to have on the quality of academic articles. Jeffrey Beall, a librarian at the University of Colorado in Denver, is very skeptical regarding the quality of OA articles, especially those that are financed by APCs: "By adding a financial component to the front end of the scholarly publishing process, the open-access movement will ultimately corrupt scholarly publishing and hurt the communication and sharing of novel knowledge" (Beall, 2013, 590). A weak form of "corruption" would to OA publishers' incentives to peer review and to more submitted papers in to increase from However, the commercial publishers' incentives to increase the number of articles to the detriment of the journal's quality at the the quality the APCs that the journal is able to as well as A form of "corruption" refers to the of some OA journal publishers have been to in particular young and who on publications for their or to allow authors to publish articles in OA journals, by articles with or peer academics on their the or of journals, and so In established a of publishers, which was in January in to not only from the publishers but also from OA who that the to to OA. this quality to be a one which exists only in some disciplines (e.g., economics), whereas in other disciplines, such as some OA journals are the ranked journals and there is of a quality researchers their and if academic institutions and research to the APCs for articles by journals, this is to A by is that OA may new and will new and of their will remain (Beall, 2013, 590). However, this is a of the process, of whether the was submitted to a traditional or an OA and many prominent which that articles are generally more likely to the review than and creative but ones. In their contribution to this special & in a two-sided that OA can be a feature of journals. 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The is to competition to journal publishers to articles of quality at and and to the interested public. The of competition not on the and of OA publishing. there were only pure OA journals, publishers would for all authors had to cover the APCs from their the APCs would tend towards a that the publishers to However, in the publishers of pure OA journals, OA journals and CA journals with OA repositories, and APCs may be by or research these different to foster OA will have specific on the of are some (1) green OA is or an to as has been the in since January 2014, publishers of subscription journals difficult to increase their fees. 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Purpose The open-access (OA) publishing model can help improve researchers’ outreach, thanks to its accessibility and visibility to the public. Therefore, the presentation of female researchers can benefit from the OA publishing model. Despite that, little is known about how gender affects OA practices. Thus, the current study explores the effects of female involvement and risk aversion on OA publishing patterns among Vietnamese social sciences and humanities. Design/methodology/approach The study employed Bayesian Mindsponge Framework (BMF) on a dataset of 3,122 Vietnamese social sciences and humanities (SS&amp;H) publications during 2008–2019. The Mindsponge mechanism was specifically used to construct theoretical models, while Bayesian inference was utilized for fitting models. Findings The result showed a positive association between female participation and OA publishing probability. However, the positive effect of female involvement on OA publishing probability was negated by the high ratio of female researchers in a publication. OA status was negatively associated with the JIF of the journal in which the publication was published, but the relationship was moderated by the involvement of a female researcher(s). The findings suggested that Vietnamese female researchers might be more likely to publish under the OA model in journals with high JIF for avoiding the risk of public criticism. Research limitations The study could only provide evidence on the association between female involvement and OA publishing probability. However, whether to publish under OA terms is often determined by the first or corresponding authors, but not necessarily gender-based. Practical implications Systematically coordinated actions are suggested to better support women and promote the OA movement in Vietnam. Originality/value The findings show the OA publishing patterns of female researchers in Vietnamese SS&amp;H.

Why an open access publishing cooperative can work

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This reflection introduces a new term to the debate on open access publishing: diamond open access (DOA) publishing. The debate on open access is a debate about the future of academia. We discuss the problems of for-profit academic publishing, such as monopoly prices and access inequalities and point at the limits of contemporary perspectives on open access as they are frequently advanced by the publishing industry, policy makers and labour unions. The article introduces a public service and commons perspective that stresses the importance of fostering and publicly supporting what we term the model of diamond open access. It is a non-profit academic publishing model that makes academic knowledge a common good, reclaims the common character of the academic system and entails the possibility for fostering job security by creating public service publishing jobs. Existing concepts such as “gold open access” have serious conceptual limits that can be overcome by introducing the new term of diamond open access. The debate on open access lacks visions and requires social innovations. This article is a policy intervention and reflection on current issues related to open access (OA) publishing. It reflects on the following questions: * What should the role of open access be in the future of academic publishing and academia? * How should the future of academic publishing and academia look like? * Which reforms of academic policy making are needed in relation to open access publishing? We want to trigger a new level of the open access debate. We invite further reflections on these questions by academics, policy makers, publishers, publishing workers, labour unions, open access publishing associations, editors and librarians.Twitter: #DiamondOA

This reflection introduces a new term to the debate on open access publishing: diamond open access (DOA) publishing. The debate on open access is a debate about the future of academia. We discuss the problems of for-profit academic publishing, such as monopoly prices and access inequalities and point at the limits of contemporary perspectives on open access as they are frequently advanced by the publishing industry, policy makers and labour unions. The article introduces a public service and commons perspective that stresses the importance of fostering and publicly supporting what we term the model of diamond open access. It is a non-profit academic publishing model that makes academic knowledge a common good, reclaims the common character of the academic system and entails the possibility for fostering job security by creating public service publishing jobs. Existing concepts such as “gold open access” have serious conceptual limits that can be overcome by introducing the new term of diamond open access. The debate on open access lacks visions and requires social innovations. This article is a policy intervention and reflection on current issues related to open access (OA) publishing. It reflects on the following questions: * What should the role of open access be in the future of academic publishing and academia? * How should the future of academic publishing and academia look like? * Which reforms of academic policy making are needed in relation to open access publishing? We want to trigger a new level of the open access debate. We invite further reflections on these questions by academics, policy makers, publishers, publishing workers, labour unions, open access publishing associations, editors and librarians.Twitter: #DiamondOA

Plastic and reconstructive surgery: a hybrid open-access medical journal.

Publishing in health professions education (HPE) journals is an integral component of academic discourse and career progression. Research in this field is shifting to an open access (OA) publishing model. To identify the characteristics and publishing models of HPE journals and explore potential associations between publication costs and journal metrics. This cross-sectional study was conducted between September 20, 2023, and February 14, 2024, using the World Bank purchasing power parity (PPP) index to analyze relative costs of article processing charges (APCs). Data on journal characteristics, impact metrics, APCs, and waiver or discount were extracted from the National Library of Medicine, Scimago, Scopus, journal websites, and email correspondence with editorial staff of journals. All HPE journals indexed in PubMed, written in or translated into English, and with HPE as a core component of their mission were included in the analysis. Two-year impact factor, H-index, cite score, Scientific Journal Ranking, and APC. Among the 51 journals included, 27 (53%) adopted OA-only and 24 (47%) adopted hybrid publishing models. The median (IQR) APC for all journals was $2820.00 ($928.00-$3300.00). Associations were observed between impact factor and APC (β coefficient, $386.84; 95% CI, $226.84-$546.84; P < .001) and between cite score and APC (β coefficient, $282.40; 95% CI, $148.12-$416.61; P < .001). Of 20 journal websites with information regarding fee waivers or discounts, 7 journals (35%) confirmed fee waiver or discount. The PPP index analysis of the top 39 countries publishing HPE research showed that the financial burden of meeting the median APC for publication was 1.94 to 10.26 times higher for authors from lower-income countries than for authors from the US. Results of this cross-sectional study suggest that adoption by HPE journals of an OA publishing model was high but access to APC waivers or discounts was limited. These factors create barriers to equitable OA practices, necessitating concerted efforts, such as increasing transparency of publishing costs, implementing economic impact analysis, expanding waivers to eligible authors, and applying holistic impact factor scoring.