Original Article

Gender Trends in Dermatology Research: Shifting Authorship Landscape in Indian Journals


Anjali Mediboina1, Meghana Bhupathi2, Keerthana Janapareddy3


doi: http://dx.doi.org/ijms.2024.2418

Volume 12, Number 4: 441-444
Received 17 10 2023; Rev-request 23 02 2024; Rev-request 09 07 2024; Rev-recd 26 02 2024; Rev-recd 18 07 2024; Accepted 10 08 2024

ABSTRACT

Background:

Historically, research authorship has been male dominated, particularly in dermatology. Gender equity in medical research is vital for diverse perspectives and rigorous science. In India, gender trends in dermatology research among first authors remain understudied, limiting our understanding of gender inequalities in the field.

Methods:

This study analyzed Original Articles, Review Articles, and Case Reports in three prominent Indian Dermatology journals from January 2017 to May 2023. The first authors' genders were determined using Namsor V.2, cross-verified with social media profiles, and authors with undetermined genders were excluded. The authors' countries were identified based on their affiliated institutions. The data was analyzed using Microsoft Excel, with a predictive analysis using the FORECAST function.

Results:

Among 1,600 authors, 840 were female and 760 male. Male authors outnumbered female authors only in 2017. Female authors surpassed male authors in original articles and case reports, while fewer appeared in review articles. Predictive analysis revealed an increasing trend in female authors from 2023 to 2028, indicating evolving gender dynamics in dermatology research.

Conclusion:

While the rise in female representation in medical research is promising, concerns arise when fields become predominantly female, raising questions about their perceived value. Gender disparities in compensation further underscore these concerns, as male dermatologists earn more. Addressing such disparities is crucial and recognizing these issues and actively pursuing gender equality is essential for a more inclusive and equitable future in medicine.

Introduction

Gender equality in medical research and academia ensures diverse perspectives, scientific progress and improved health outcomes for the community. Historically, research has often focused on male subjects, leading to a limited understanding of how health conditions, treatments, and interventions impact women differently.1 Furthermore, authorship in research has also always been male dominated, with a very small proportion of women serving as first authors for research papers.

While the number of women practicing in medicine is improving, there are still significant disparities such as equality in leadership positions and in research. In research, the significance of authorship in a paper may vary based on discipline, culture norms, and field of research. But, the first and last authorship positions are generally considered to be most significant. The first authorship position is generally occupied by the one who contributes the most to the paper, while the last authorship is reserved for senior or principal investigator of the project, and signifies the researcher's seniority, leadership role, and responsibility for overseeing the research project. Studies by Bernardi et al., which examined papers from 2000-2107, and Baobeid et al., which examined papers from 2014-2016, found a higher percentage of men in both first and last authorship positions.2,3

However, there is minimal research regarding gender trends in dermatology research in India. Furthermore, given that in many research fields, it is common practice for the first author to be typically regarded as the individual who made the most significant contributions to the research project in many research fields and represents early-career researchers, serving as an indicator of their scientific productivity and potential.2 Thus, the present paper aims to identify the gender trends among the first authors in dermatology research published in 3 Indian journals, from 2017 to 2023, to identify any gender inequality and offer a predictive analysis of these trends.

Aims and Objectives

The aim of this study was to analyze gender trends among first authors in dermatology research published in three prominent Indian dermatology journals from 2017 to 2023 and identify any gender inequality and offer a predictive analysis of these trends. The paper also aims to determine the gender distribution among first authors of dermatology research published in three Indian dermatology journals from 2017 to 2023, and analyze the trends in gender representation based on the year of publication and the type of articles (original articles, review articles, and case reports), and to conduct a predictive analysis to identify anticipated gender trends in dermatology research publishing from 2023 to 2028.

Methods

Initial Compilation of Articles

Articles published in 3 Indian dermatology journals, i.e., Indian Journal of Dermatology, Venereology and Leprology (IJDVL), Indian Dermatology Online Journal (IDOJ) and Indian Journal of Dermatology (IJD), which were chosen based on their prominence, wide readership, and reputation for publishing high-quality research in the field of dermatology. These journals have a significant impact on shaping the knowledge and practice of dermatology in India and serve as important platforms for scientific communication and collaboration among dermatologists and researchers and were analyzed with the following criteria:

A total of 1,628 articles and their authors were thus compiled in Google Sheets and then transferred to Microsoft Excel for analysis. Basic statistical techniques were applied to examine various aspects of the dataset, such as determining the total number of occurrences and calculation of percentage ratios.

In addition to descriptive statistics, Excel's ‘FORECAST' function was utilized to generate predictive analysis of the gender trends for the years 2023 to 2028. The year 2023 was also predicted, as the current data collected was only for the months from January to May. This function is used to calculate expected future y-values for a specific x-value, based on linear regression of the dataset and allows for the identification of potential future patterns and trends in gender representation among first authors, offering valuable insights into the trajectory of gender equality in the field.4

Gender Assignment of the Authors using Namsor V.2

The genders of the authors were analyzed using Namsor V.2, which is an application programming interface (API) that defines the gender of the authors as a binary variable (i.e., either man or woman) and considers the country of origin, ethnicity, both first and last names, and draws on linguistic and cultural information to determine gender.3 This API has been previously used in studies such as those by Baobeid et al. and Morgan et al., with satisfactory results.3, 5

Quality Check of the Gender Assignment

Namsor assigns genders to the given names in terms of binary variables and also offers probability of likelihood of the assigned gender (from 0 to 1). The authors whose gender probability was less than 0.7 were manually rechecked using their institutional web pages and professional social media (ResearchGate, LinkedIn, etc.), and re-corrected. After the quality check, the genders of 28 authors remained unidentified, and were excluded. Thus, the total number of authors analyzed from 2017-2023 were 1,600.

Results

A total of 1,600 first authors were analyzed, of which 840 were found to be female and 760 found to be male. Further analysis was done based on the year of publication, type of article and country of author.

Gender Distribution According to Year of Publication

Table 1 shows the gender distribution of male and female first authors in each year. 2017 is the only year where the number of male first authors is greater than their female counterparts. The years from 2018 to 2023 have a slightly higher percentage of female authors.

Table 1.

Gender Distribution of First Authors According to Year of Publication.

Year of Publication (n) Male Authors (%) Female Authors (%)
2017 (175) 91 (52) 84 (48)
2018 (196) 95 (48) 101 (52)
2019 (244) 112 (45.9) 132 (54.1)
2020 (246) 119 (48.3) 127 (51.7)
2021 (249) 124 (49.7) 125 (50.3)
2022 (313) 135 (43.1) 178 (56.9)
2023 (Jan-May) (177) 82 (46.3) 95 (53.7)

Gender Distribution According to Type of Article

Of the types of articles analyzed, original articles were highest in number, followed by case reports and then review articles.

Review articles had a higher number of male first authors than females. Original articles and case reports had a higher percentage of female authors than males; however, in the latter, the difference is minimal Table 2.

Table 2.

Gender Distribution of First Authors According to Type of Article.

Type of Article (n) Male Authors (%) Female Authors (%)
Original Article (891) 399 (44.7) 492 (45.3)
Review Article (177) 96 (54.3) 81 (45.7)
Case Report (532) 263 (49.4) 269 (50.6)

Analysis of the Trends - Both Current and Future

Based on gender distribution over the years, a line chart was made to plot and analyze the trends. Figure 1 shows the gender trend from 2017-2022. Both genders have an increasing number over the years, with a greater number of female than male authors. Furthermore, the number of male authors has a steady increase, while the number of female authors appears to be fluctuating.

Figure 1

Gender Distribution of First Authors by Type of Article.


Table 3 shows the number of male and female authors per year, and also the numbers predicted for the years 2023 to 2028 (decimals were rounded to the nearest whole number). Figure 2 shows the line chart depicting gender trends from 2017 to 2028. In the predictive analysis, a similar trend of increasing number of authors, but greater number of female authors, is observed.

Table 3.

Predictive Analysis of Gender Distribution until 2028.

Year of Publication Male Authors (n) Female Authors (n)
2017 91 84
2018 95 101
2019 112 132
2020 119 127
2021 124 125
2022 135 178
2023 144 178
2024 153 194
2025 162 209
2026 171 224
2027 180 240
2028 189 255

Figure 2

Predictive Analysis of Gender Trends until 2028.


Discussion

The present study aimed to analyze the gender trends among the first authors in dermatology research published from 2017 to 2023 in 3 Indian Dermatology Journals, while also offering a predictive analysis of future trends in the gender ratios.

A total of 1,600 authors were taken into consideration, of which 840 (52.5%) were found to be female and 760 (47.5%) male. This slightly higher ratio of female authors is similar to the findings of Zheng et al., Mitello et al., and Bernardi et al.2,6,7 This shift may be attributed to several factors, such as the growing emphasis on gender equality and diversity in academia, increased opportunities for female researchers, and the empowerment of women in the field of dermatology.

When examining the gender distribution by article type, it was found that overall, the study found that the number of female authors is more than males in original articles, less than males in review articles and almost equal for case reports. One hypothesis is that review papers, which often involve synthesizing information and collaboration between multiple authors, might favor male authors due to findings from studies such as Piper et al., suggesting a significant tendency for female physicians to publish with female senior physicians and for male physicians to publish with male senior physicians.8 This preference for same-gender collaborations may contribute to the observed higher male representation in review articles.

When analyzing the gender ratio according to the year of publication, female authors were found to be higher than males in all the years except 2017. The year 2021 had an almost equal number of publications, with male authors being 124 in number, and female authors being 125 in number. This positive shift over time suggests an evolving landscape in dermatology research, with increasing opportunities and recognition for female researchers.

A predictive analysis was done to determine the future trends from the years 2023 to 2028. 2023 was also included as the number of publications taken into consideration from the year 2023 was only from January to May. The analysis found an increasing proportion of submissions from female authors than males. This is consistent with the observations made in the paper by Feramisco et al., which analyzed trends from 1976 to 2006 and found a steady increase in female authors.9 Our finding is slightly different from the observation by Bernardi et al., however, who observed that the gender gap will be narrowed and likely further reduced in the future.2

While it's reassuring to see more women in medical research, societal biases can lead to the devaluation of fields that become female-dominated. Historically, such professions have been undervalued and often receive lower pay. C. Miller highlighted in The New York Times that significant pay gaps exist in fields with increasing female participation.9 Dermatology exemplifies this issue: despite 61% of U.S. dermatologists being female in 2019, female dermatologists earned less than their male counterparts.11,12 This underscores the need to address gender-based disparities and ensure all medical fields are valued equally, regardless of gender composition.

The variations among article types could reflect the differences in research interests, career preferences, or the influence of mentorship and collaborative networks within specific areas of dermatology. Further research is thus warranted to explore these factors in more depth and gain a better understanding of the dynamics behind gender disparities across different article types.

Limitations

The present study has several limitations. First, gender trends were analyzed only from 2017 to 2023, with 2017 being the only year where male authors were more prevalent. By extending the analysis further back in time, we might have gained better insight into when and how the gender gap began to shift from a higher proportion of male authors to a higher proportion of female authors. Second, we only analyzed original articles, review articles, and case reports; however, all three journals had a significant number of Letters to the Editor, and including these could have provided additional insight into gender trends. Third, we considered only first authors, and by also analyzing last authors, we could have offered an analysis regarding senior and leadership positions in dermatology. Lastly, only three Indian journals were included in the study, limiting our ability to offer a more inclusive analysis regarding geographical gender trends.

Conclusion

The observed increase in female authorship in dermatology research is a positive development, suggesting progress in promoting diversity and gender equality. This shift may be attributed to several factors, including supportive institutional policies, mentorship programs, increased visibility of successful female role models, and the recognition of the importance of diverse perspectives in advancing scientific knowledge. However, it is essential to challenge and overcome biases to ensure that all fields within medicine receive equal recognition, resources, and opportunities.

Acknowledgments

None

Conflict of Interest Statement & Funding

The Authors have no funding, financial relationships or conflicts of interest to disclose.

Author Contributions

Conceptualization, Methodology, Data Curation, Formal Analysis, Writing – Original Draft: AM. Writing – Review and Editing: AM, MB & KJ.

References

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Anjali Mediboina, 1 Intern, Alluri Sitarama Raju Academy of Medical Sciences

Meghana Bhupathi, 2 Intern, Dept. of Dermatology, Alluri Sitarama Raju Academy of Medical Sciences

Keerthana Janapareddy, 3 First-Year Medical Student, Gayatri Vidya Parishad Institute of Health Sciences and Medical Technology

About the Author: Anjali Mediboina is an intern and aspiring Family Medicine Practitioner with a keen interest in research and health advocacy. Meghana Bhupathi is an intern and an aspiring Internal Medicine Practitioner and aims to pursue her residency in the United States. Keerthana Janapareddy is a first year medical student and is a new researcher, seeking to explore the world of academic literature.

Correspondence: Anjali Mediboina. Address: Malkapuram, West Godavari NH-5, Vijayawada, Visakapatnam Road, Eluru, Andhra Pradesh 534005, India. Email: anjalimediboina@gmail.com

Editor: Francisco J. Bonilla-Escobar; Student Editors: Prakash Gupta & Rebecca Murerwa; Proofreader: Laeeqa Manji; Layout Editor: Julian A. Zapata-Rios; Process: Peer-reviewed

Cite as Mediboina A, Bhupathi M, Janapareddy K. Gender Trends in Dermatology Research: Shifting Authorship Landscape in Indian Journals. Int J Med Stud. 2024 Oct-Dec;12(4):441-444.


Copyright © 2024 Anjali Mediboina, Meghana Bhupathi, Keerthana Janapareddy

This work is licensed under a Creative Commons Attribution 4.0 International License.



International Journal of Medical Students, VOLUME 12, NUMBER 4, December 2024