CC:2005–2024年高影响力重症医学期刊中的女性第一作者与通讯作者情况

Abstract

Background

Gender disparities persist in medical research. This study assessed gender representation trends in first and senior authorships in the five highest-ranked critical care journals (by impact factor) over a 20-year period.性别差异在医学研究中仍然存在。本研究评估了20年间五大最高影响力重症医学期刊（按影响因子排名）中第一作者和通讯作者的性别代表性趋势。

Methods

We analyzed author gender distribution from 2005 to 2024. Author gender was determined using NamSor for web-based gender prediction. We assessed trends in female first, senior, and combined first and senior authorships by calculating percentages, and annual changes by linear regression for multiple and single author publications.我们分析了2005年至2024年的作者性别分布。作者性别通过NamSor在线性别预测工具确定。我们通过计算百分比评估了女性作为第一作者、通讯作者以及两者兼具的占比趋势，并通过线性回归分析多作者和单作者论文的年度变化。

Results

Among 42,970 articles, 34,743 had multiple authors and 8,227 had a single author. Despite progress over the past two decades, women remain underrepresented in critical care research leadership with 7.8% of publications having both female first and senior authors, compared to 56.7% with both positions held by men. Single authors were female in 23.6%. Linear regression showed increasing female authorships between − 0.1 and + 0.6% points per year depending on the journal, author position, and time period. Sensitivity analyses including only publications with more than 80% probability of correct gender classification yielded congruent results.在42,970篇论文中，34,743篇为多作者论文，8,227篇为单作者论文。尽管过去二十年有所进展，但女性在重症医学研究领导角色中仍代表性不足——仅7.8%的论文由女性同时担任第一作者和通讯作者，而男性同时占据这两个职位的比例高达56.7%。单作者论文中，23.6%为女性。线性回归显示，女性作者比例的增长幅度因期刊、作者角色及时间段不同而异，每年增长约−0.1至+0.6个百分点。敏感性分析（仅纳入性别分类正确概率超过80%的论文）结果一致。

Conclusions

Despite small but constant growth rates of female representation as first or senior authors in high impact critical care journals over the past 20 years, women remain clearly underrepresented. Given the current rate of change, it will take decades to achieve gender parity. The observed gender disparity in authorships likely reflects underlying gender inequities in critical care career trajectories, highlighting the need for institutional changes.尽管过去20年间，女性在高影响力重症医学期刊中担任第一作者或通讯作者的比例呈小幅但持续增长，但女性仍明显代表性不足。按照当前的变化速度，实现性别平等仍需数十年时间。观察到的作者性别差异可能反映了重症医学职业发展路径中潜在的性别不平等，凸显了制度性改革的必要性。