Gender Trends Research Articles

Trends in Gender, Racial, and Ethnic Representation Among US Neurology Faculty

This cross-sectional study assesses changes in gender, racial, and ethnic representation among US neurology faculty from 1972 to 2021.

Abstract 4138730: Analysis of Coronary Artery Disease and COPD Mortality in Older Adults in the United States, 1999-2020: CDC Data on Geographic, Gender, and Racial Trends in Mortality

Background: The coexistence of coronary artery disease (CAD) and Chronic Obstructive Pulmonary Disease (COPD) represents a major health challenge for older adults in the United States. This study designed to examine the variations in mortality rates associated with CAD and COPD among individuals aged 65 and above from 1999 to 2020. Methods: Using the CDC WONDER database, a retrospective analysis was conducted on death certificate data from 1999 to 2020. Age-adjusted mortality rates (AAMRs) per 100,000 persons were calculated, and trends were evaluated using Average Annual Percentage Change (AAPC) and Annual Percentage Change (APC). The data were stratified by year, sex, race/ethnicity, and geographical region. Results: Between 1999 and 2020, coronary artery disease (CAD) and Chronic Obstructive Pulmonary Disease (COPD) were responsible for 881,875 deaths among adults aged 65 and older in the United States. The majority of these deaths occurred in medical facilities (40.3%) and in the decedents' homes (28.3%). The overall Age-Adjusted Mortality Rate (AAMR) decreased from 119.4 in 1999 to 86.9 in 2020, with an Annual Percent Change (APC) of -1.65 (p < 0.000001). Notably, AAMRs moderately decreased from 1999 to 2018 (APC: -2.13, p = 0.025195), followed by a significant increase from 2018 to 2020 (APC: 2.95, p = 0.296341). Men had notably higher AAMRs than women (men: 139.8; women: 67.4), with both sexes experiencing almost equal declines over the study period. In terms of race, Whites had the highest AAMRs (106.5), followed by Native Americans (87.3), Blacks (60.7), Hispanics (51.0), and Asians (30.4). While all racial groups experienced decrease in AAMR , the decline was more signficance in Asians [AAPC: -3.26, (CI: -4.30 to -2.27) (p-value < 0.000001)]. Geographically, AAMRs varied widely among states, with the highest mortality rates observed in the Midwestern region. Nonmetropolitan areas generally had higher AAMRs than metropolitan areas, and both showed decreases from 1999 to 2020, with greater declines in metropolitan areas. Figure 1 Conclusion: This research emphasizes the temporal trends and demographic discrepancies in mortality rates linked to CAD and COPD among older adults aged 65 and above in the United States. Despite an overall decrease in mortality rates, the recent rise necessitates additional investigation and focused interventions to address inequalities and improve outcomes in affected demographic groups.

Trends of Benzotriazoles and Benzothiazoles in Australian Pooled Urine Samples from 2012 to 2023.

Benzotriazoles (BZTs) and benzothiazoles (BTs) are high-production-volume chemicals utilized in many different commercial products and industrial processes, such as metal corrosion inhibitors, vulcanization accelerators, plastic-associated UV stabilizers, and pharmaceutical precursors. This study assessed age, gender, and temporal trends of BZTs and BTs in deidentified surplus pathology urine samples, pooled and stratified by age, gender, and sample collection year from a general Australian population (168 pools representing 16,800 individuals). Tolyltriazole (TTri), 5,6-dimethyl-1H-benzotriazole (DMBZT), 1,3-benzothiazole (BTH), 2-hydroxybenzothiazole (2-OH-BTH), and 2-aminobenzothiazole (2-amino-BTH) were detected in >50% of the pools. TTri was frequently detected in pooled samples representing ≤45-year-olds (both genders). Concentrations of DMBZT, BTH (females), 2-OH-BTH, and 2-amino-BTH (females) increased with age significantly, with adults (>15 years old) showing higher levels than children (≤15 years old). Gender differences in DMBZT concentrations (females > males) were observed across all sampling years and only in some for TTri (males > females: >45 years old), BTH (females > males), and 2-amino-BTH (males > females). A temporal increase in BTH, 2-OH-BTH, and 2-amino-BTH levels within the studied period (2012-2023) has been observed. Our findings suggest ongoing exposure of the Australian general population to BZTs and BTs, highlighting age, gender, and temporal trends of these compounds as measured via their urinary concentrations.

Changes in peak oxygen consumption on excercise and cardiomyopathy disease stage in Fabry disease

Abstract Background Fabry disease (FD) is an X-linked lysosomal storage disorder manifesting as deficiency in the enzyme α-Galactosidase A (1) resulting in multi-organ accumulation of globotriaosylceramide (Gb3) (2) This causes predominantly cardiac, renal and cerebrovascular manifestations. Shortness of breath and exercise intolerance are common and can be related to multiple underlying mechanisms. Cardiopulmonary exercise testing (CPEX) quantifies aerobic fitness, functional capacity, chronotropic and haemodynamic response to exercise, and attributes effort intolerance to different aetiologies, including impaired cardiac and respiratory function. Purpose We hypothesise that there is progressive effort intolerance that reflects continual cardiac Gb3 accumulation, becoming common during myocardial hypertrophy and disabling in the fibrosis and inflammation stage. The aims of this study were to ascertain frequency and severity of exercise intolerance in FD by investigating the relationship between peak maximal oxygen uptake (VO2 max) and cardiac disease stage, quantified based on a four-point scale, as proposed in published literature (3). Methods This was a retrospective review of adults with FD and exercise intolerance attending a specialist clinic who had undergone either CPEX or six-minute walk testing (6MWT) in those less mobile. Biochemical, cardiac magnetic resonance (CMR) imaging and transthoracic echocardiographic (TTE) data were also collected. Results N=54 patients underwent CPEX and N=35 patient underwent 6MWT. Estimated peak VO2 max was calculated using 6MWD in those undergoing 6MWT. Median age was 54 (IQR 40-62) years and 53% were male. Patients were equally distributed across disease stage (1-4). There were significant trends in age (increasing) and gender (male predominance) from stage 1-4. Age/sex-normalised peak VO2 max values were calculated as per published literature due to the confounding effect of age and male gender. Mean normalised VO2 max was 35.5ml/kg/min for the cohort, an underperformance of 12.3 ± 8.0 ml/kg/min. The magnitude of underperformance began from stage 1 (no cardiomyopathy) and increased with each stage (Figure 1). Impairments in renal (creatinine and albumin: creatinine ratio) and cardiac biomarkers (troponin and N-terminal pro brain natriuretic peptide) was associated with reduced VO2 max (Table 1). Increased indexed left ventricular mass on CMR and impairments in atrial volume and function on TTE were also associated with a reduction in VO2 max (Table 1). Conclusion This study is the first of its kind to demonstrate impairments in peak aerobic capacity in adults with FD and no cardiomyopathy (stage 1) which impairs further with cardiac disease stage. Future work should focus on how disease-modifying therapy can target this using VO2 as an endpoint and marker of response.Normalised peak VO2 max + disease stageVO2 max and blood / imaging parameters

Academic Neurosurgery Gender and Authorship Trends in the United States.

Women represent ∼20% of the national neurosurgical resident cohort but only ∼10% of academic neurosurgeons in the United States. Recognizing that the publication of scientific literature contributes to academic advancement, we measured authorship trends of academic neurosurgeons to query publication differences as an explanation for the discrepancy of female representation in academic positions. Physician data were obtained from program and individual physician webpages. Annual total, first author, and senior author publications were recorded for each neurosurgeon from 1980 to 2020. Mean publication number as a function of the year relative to residency graduation was calculated for all, first author, and senior author publications for all timepoints with >50 individuals. The mean first years of publication were compared using unpaired 2-tailed t-tests. The slope of publication for the senior author and all publications was calculated using individual best-fit lines from years 0 to 10 relative to residency graduation. Overall, 1601 faculty members were evaluated (female = 167 [10.4%], male = 1434 [89.6%]). First-author publication for female members peaked at 0.60 publications/year, and for male members at 0.80 publications/year, both at -1 year from graduation (P = .038). Female first publication occurred earlier (-2.4 vs 1.45 years; P < .00001). The mean increase in all publications/year from years 0 to 10 was 0.25 for women and 0.28 for men (P = .68). The increase in senior publications/year was 0.11 for women and 0.13 for men (P = .39). The ratio of total publications to the Scopus h-index was 3.08 for women and 3.62 for men (P = .07). These data suggest that women publish earlier but have fewer first-author publications at -1 year, the timepoint of peak publication for both genders. There was no significant gender difference in rates of the first author and all publications over the years 0 to 10. The ratio of publications to the h-index did not differ significantly but showed a trend suggesting that women produce higher-impact articles and may need fewer publications to achieve the same change in the h-index.

A 20-year analysis of gender trends in oncology authorship in the Cochrane database of systematic reviews.

The objective of this study was to evaluate global longitudinal publication trends in oncology in the Cochrane Database of Systematic Reviews (CDSR) from 2001-2020. Retrospective bibliometric analysis. The primary outcome measures were the numbers and percentages of women as first, last, and corresponding author across all CDSR oncology publications. Additional outcomes included authorship differences between countries and percentages of women authors over time compared using the Cochran-Armitage trend test. In total, 548 articles were analyzed. Women were first authors in 52.26% (n=277) and corresponding authors in 50.75% (n=272), respectively. Women represented only 39.4% (n=210) of last authors, significantly less frequent than male counterparts (p < 0.001). The percentage of women last and corresponding authors has increased significantly in the past 20 years (p < 0.05). Countries such as the Netherlands and Australia consistently showed equitable representation in first, corresponding, and last authorship, while other countries such as Italy and China had uniformly low rates of female authorship. Our results highlight patterns of gender inequity in oncology publication authorship in the CDSR from 2001-2020 at a global level. Notably, women were less likely to serve in the last author position which, independent of assigned corresponding authorship, is generally assumed in academic oncology to designate the leader of a published study. Substantive efforts to correct this disparity are needed to achieve gender parity in publicly perceived leadership in oncology publications.

Trends in gender and ethnic diversity among US psychiatry residents: A 5-year analysis.

This study aims to analyze trends in gender and ethnic diversity among incoming US psychiatry residents over the past 5 years. Physician diversity improves patient care as minority physicians often serve underserved communities and address health disparities. Increasing the representation of women and underrepresented minorities in medicine is essential for preparing a physician workforce that can effectively care for an increasingly diverse population. This study highlights the importance of efforts to enhance diversity within the field of psychiatry.

Data Set on Forecasting Gender Trends for Primary School Teachers in Somalia from Academic Years 2015/2016 - 2025/2026

This analysis examines forecasting gender trends for primary school teachers in Somalia from the academic years 2015/2016 to 2025/2026. For male teachers, the data reveals an increase from 5,587 in 2015/2016 to 10,812 in 2021/2022, with predictions suggesting further growth to approximately 14,673 by 2025/2026, despite some short-term fluctuations. In contrast, female teachers rose from 498 to 1,838 during the same period, followed by a slight decline to 1,774 in 2022/2023. Forecasts indicate a temporary decrease to about 1,567 in 2023/2024 but anticipate a significant rebound to nearly 2,924 by 2025/2026. The findings highlight a trend of increasing male representation and fluctuating female participation among primary school teachers in Somalia, underscoring the need for targeted policies to address these gender dynamics.

Relationships between women in leadership at predoctoral and senior administration levels in United States dental schools.

To determine the relationship between woman leadership at senior administrative and predoctoral levels in United States (US) dental schools and assess if this relationship is affected by school characteristics. A 23-question survey was created and distributed to each US accredited dental school (2023). Data regarding the gender of the school's dean, senior administrators, and student leaders, as well as school characteristics were gathered. Data were organized in Excel. Descriptive statistics were performed using mean and standard deviation for continuous measures and using count and percent for categorial measures. Statistical comparisons were performed using analysis of variance (ANOVA), Fisher's Exact, or Chi-squared tests for comparison of proportions. 32 dental schools provided analyzable data for this project (44.4% response rate). The most common senior administrative position held by a woman was the dean of student affairs (71.9%). For every surveyed school with a woman dean (n=11, 34.4%), at least one other senior administrative position was held by a woman. There was no statistical significance between the year of school establishment, geographic region, gender of the dean, or prevalence of women administrators and students in leadership roles. The number of women students in leadership roles was close to the national enrollment trends for gender. Included US dental school data showed no relationship between women in leadership at the senior administrative and predoctoral levels. To keep leadership-minded students interested in dental academics throughout their careers, further studies are needed to identify the most important factors influencing careers in academic dentistry.

Trends of European School of Urology (ESU) training and resident education: an overview of 2 decades of EAU education programme.

Over the last 2 decades, various education and training programmes have been launched by the European School of Urology (ESU) on behalf of the European Association of Urology (EAU) Education Office. These include e-learning platforms, in-person meetings, courses, podcasts, webinars, sub-specialisation meetings and the European Urology Resident Education Programme (EUREP), all of which aim to achieve standardisation in urological education (SISE) and training at the highest level. Data from the last 2 decades of all ESU activities were collected by the EAU/ESU office and analyzed for attendance, geographical, gender and age trends. Demographic data on registrations and attendances at EUREP were also monitored and analysed. A descriptive analysis of participation and trends is provided. A total of 4750 participants have completed ESU courses (including guideline courses, specialization courses and webinar courses). Similarly, a total of 5958 trainees attended the EUREP from 2004 to 2022 of which the male: female ratio was 3.75:1. However, the proportion of females increased 3.5-fold from 10.7% in 2004 to 37.1% in 2022(p < 0.001). There is a growing interest in the meeting, with increasing registrations over this time (353 in 2004 to 599 in 2023, p < 0.001). The mean age of participants is constantly decreasing (32.6 years in 2004 to 31.54 in 2022), with a mean yearly decrease of -0.18% (p < 0.001). ESU courses have had increasing interest and participation from young urologists worldwide. During EUREP, while the trainee age has decreased, there has been a surge in the proportion of female trainees. ESU is providing all modes of education and training across the world with both virtual and in-person meetings and courses, which would help in the development and preparation of urologists of the future and provide the best patient care.

Gender dynamics in nursing profession: impact on professional practice and development in Tanzania

BackgroundGender disparity has long been noted in nursing, a predominantly female-dominated profession. However, recently the increase in the number of male nurses disproves the existing belief that nursing is exclusively a female profession. Even though the studies have reported changing gender trends in nursing, the information is not sufficient and the effects of the changing trend on professional practice and professional development have not been explored. Therefore this study aims to assess the influence of gender in nursing on professional practice and development in Tanzania.MethodsThis was an analytical Hospital-Based Cross-sectional Study Design, conducted at four hospitals in Dar es Salaam, with 580 nurses between 20th May and 20th June 2024. Proportionate sampling was used to determine the required number of participants from each of the four facilities. Moreover, systematic random sampling was used to recruit participants from each facility. The validated questionnaire was used to obtain data, which were analyzed through descriptive and inferential statistics.ResultsAmong seventy items that measured professional practices, sixty three items indicated good professional practices among female nurses compared with their male counterparts male. On the association of gender in nursing to professional practice and development, the findings revealed no significant association between gender in nursing and professional practice (χ2 = 1.384; P = 0.239). Moreover, the item analysis revealed that male nurses have professional development in three items similar to female nurse who had shown professional development on other three items. Through binary logistic regression, male nurses were 0.528 (OR) times less likely to have good professional development than their female counterpart (P < 0.001; 95% CI: 0.379, 0.737). Several social demographic factors were found to be associated with professional practice and development.ConclusionIt was found that professional practice does not depend on gender in nursing, because the practice was optimal across both genders. Nurse’s self-image of nursing, facility factors, and professional development influence their professional practice. Moreover, gender in nursing is associated with professional development, indicating the existence of gender stereotypes in the distribution of opportunities between male and female nurses. The study recommends extending this cross-sectional study to nonclinical settings such as training institutions.

S2153 Gender and Regional Trends in Authorship of Clinical Trials Published in Leading Gastroenterology and Hepatology Journals From 2009 to 2024

S2153 Gender and Regional Trends in Authorship of Clinical Trials Published in Leading Gastroenterology and Hepatology Journals From 2009 to 2024

S2209 Quantifying Gender Trends for First and Senior Authorship in Advanced Endoscopy Publications From 2016 to 2023 - A Pooled Cross-Sectional Analysis

S2209 Quantifying Gender Trends for First and Senior Authorship in Advanced Endoscopy Publications From 2016 to 2023 - A Pooled Cross-Sectional Analysis

50009 Gender and Location Trends in Non-melanoma Skin Cancer: Comparison of 9400 Cases

50009 Gender and Location Trends in Non-melanoma Skin Cancer: Comparison of 9400 Cases

52452 Examining gender trends of conference speakers at major dermatology conferences, 2018-2023

52452 Examining gender trends of conference speakers at major dermatology conferences, 2018-2023

Gender and Age Trends in HIV Incidence in Turkey between 1990 and 2021: Joinpoint and Age-Period-Cohort Analyses.

Background and Objectives: Despite a global decrease in HIV incidence, recent trends in Türkiye indicate a concerning rise, particularly among younger populations and women. This study investigates the local and regional dynamics influencing these trends using advanced epidemiological methodologies. Material and Methods: Utilizing Age-period-cohort analysis and joinpoint regression, we analysed HIV incidence and prevalence data from the Global Burden of Disease study for Türkiye. These methods allowed for a detailed examination of changes over time, identifying specific age groups and periods with significant shifts in incidence rates. Results: Key findings include a 13.03% increase in annual percentage change among males aged 15-19 and an 11.37% increase among females in the same age group. Additionally, the incidence rates among females have shown a significant rise after 2008. Conclusions: The rising HIV incidence in Türkiye reflects complex socio-economic, cultural, and biological factors, with significant increases among young people and women. Addressing these challenges requires targeted interventions, comprehensive educational programs, and inclusive healthcare services to align with global efforts and commitments. The study underscores the importance of incorporating young people in decision-making processes to effectively combat HIV in Türkiye.

Gender inequalities in oral medicine and pathology research: Temporal trends of two decades.

To analyze gender inequities and trends in the authorship of articles published in high-impact factor journals of the field of Oral Medicine and Pathology. The gender and country of first and last authors were retrieved from original articles published between 2000 and 2022. Poisson regression models and classification and regression tree (CART) analysis were performed. A total of 6595 studies were analyzed for first authorship, and 6627 for last authorship. Only 39.2% (CI 95% 38.0-40.3) of the first authors and 24.1% (CI 95% 23.1-25.1) of the last authors were females. Females consistently faced underrepresentation throughout the 23-year evaluation. The only region where female first authors are not a minority is Latin America. Having a female as the last author increased the prevalence of females in the first author position by 42% (PR = 1.42, CI 95% [1.30-1.54]). The most important discriminant variable by CART was the first author region. Although a slight decrease in underrepresentation was noted over the period, after 2020, the gender gap tended to widen for both first and last authors. It is crucial to implement measures aimed at attracting, retaining, and advancing women in the field of science, while also actively monitoring advancements toward achieving gender equity.

Trends in Women Adult Reconstruction Surgeons: Fellowship Applicants and American Association of Hip and Knee Surgeons Members

BackgroundMajor research and recruitment efforts have focused on diversifying the orthopaedic surgery workforce, with a focus on gender diversity. This study aimed to characterize gender trends in the adult reconstruction fellowship match and the American Association of Hip and Knee Surgeons (AAHKS) membership over the past decade. We hypothesized that there would be increases in the percentage of women adult reconstruction fellows and AAHKS members. MethodsFor this retrospective, descriptive study, the full names of matched adult reconstruction fellows from 2012 to 2022 were collected. For the fellowship match, genders were predicted by the Genderize algorithm. From the AAHKS database, full names, self-identified genders, and clinical statuses were extracted from January 2016 to May 2023. Descriptive statistics were analyzed. Gender trends were evaluated with logistic regression analyses. P values < 0.05 were considered significant. ResultsFrom 2012 to 2022, 1,762 residents were matched for adult reconstruction fellowships. Women represented between 2.5 and 9.0% of matched adult reconstruction fellows per year. The percentage of matched women applicants has remained stable (P = 0.4). From 2016 to 2023, the membership of AAHKS grew from 2,845 to 4,159 surgical members. The number of women adult reconstruction surgeons significantly increased from 2.5 to 3.8% (2016 to 2023, P < 0.001). At the resident level, women’s membership increased from 4.0% to 12.0% (2016 to 2023, P < 0.001). ConclusionsAlthough more women orthopaedic surgeons are matching in adult reconstruction, the percentage of women adult reconstruction fellows has remained stable, with the highest level being in 2021. However, the increase in women’s membership in AAHKS is encouraging, especially at the resident and international levels. More diverse work environments can enhance patient experiences and outcomes, in addition to provider well-being and productivity. Therefore, it is prudent and essential to continue building a more diverse adult reconstruction community.

Deciphering nasal septum deviation: Computed tomography insights into age and gender trends for optimized clinical care

Background: Deviation of the nasal septum (DNS) is defined as any deviation of the septum from the midline and is one of the most common variations of the sinonasal anatomy. Aims and Objectives: The purpose of this study was to observe the prevalence of DNS and its relation with age, gender, and sidedness. Materials and Methods: Sinonasal computed tomographic images of 100 subjects obtained from the Department of Radiodiagnosis, King George’s Medical University, Lucknow, UP, in the period August 2013–July 2014 were analyzed to determine the prevalence of DNS and its relation with age, gender, and sidedness. Results: Of a total of 100 subjects, normal midline nasal septum was seen in 27 subjects whereas 73 subjects (73%) displayed a deviation in its position. The prevalence of nasal septal deviation (NSD) was significantly higher in females (84.21%) as compared to males (66.13%) (P=0.048). We also compared the prevalence of NSD in different age groups and found it to be higher in subjects aged &gt;46 years (83.33%) as compared to other age groups but this difference was not found to be statistically significant (P=0.619). Conclusion: Nasal septu the septum toward the right. No correlation between age intervals and prevalence of DNS was found.

First author gender equality trends in publication of mitochondrial neuro gastrointestinal encephalopathy-MNGIE disease

Mitochondrial neuro gastrointestinal encephalopathy (MNGIE) is a rare autosomal recessive genetic condition caused mainly by thymidine phosphorylates (TP) deficiency and TYMP mutations. Gender equality in scientific publishing is crucial for fostering inclusive practices and promoting diversity in research. This research article conducted a bibliometric analysis using PubMed as the primary data source. The analysis focused on studying the trends and patterns of first author gender equality in the publication of MNGIE disease. The methodology involved data collection, article screening, gender determination using the Namsor app, statistical analysis using R software, and visualization of findings through graphs created with DataWrapper. Our study utilized PubMed as the primary data source, covering the period from 1993 to 2022, and included 224 articles. The findings revealed that 57.6% of first authors were male, while 42.4% were female. Furthermore, the analysis of gender trends based on countries revealed that the Netherlands had the most favorable gender ratio. It revealed a significant association present between the first author’s gender and country. Additionally, selected journals exhibited a favorable gender ratio, with a 1:1 female-to-male ratio in nine out of ten journals examined. ARIMA model predicted that by 2027, approximately 160 publications would have male whereas around 120 publications would have female first authors. Our study highlights the gender discrepancies in first authorship within the context of MNGIE publications and provides insights into the representation of women in medical research. Efforts should be made to address these inequalities and promote gender equality in scientific publishing.