Gender disparities in the pediatric allergy‐related guidelines in Japan

Gender disparities in the pediatric allergy‐related guidelines in Japan
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日本儿科过敏相关指南中的性别差异

DOI:
10.1111/ped.14941
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发表时间:
2022
影响因子:
1.4
通讯作者:
Shimizu Toshiaki
Shimizu Toshiaki
中科院分区:
医学4区
文献类型:
--
作者:
Inage Eisuke;Tanaka Yuko;Matsui Kotoko;Yamada Hiromichi;Kojima Mayuki;Toriumi Shun;Kudo Takahiro;Baba Yosuke;Shimizu Toshiaki

文献摘要

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背景包括女性作者已经被认为在制定医学指南方面有潜在的好处。代表过敏亚科的日本专业委员会制定了实用的指南,并向照顾者提出建议,但这些委员会可能会受到性别构成的影响。本研究的目的是考察1999年至2020年日本儿童变态反应性疾病指南制定过程中性别因素的影响。结果22个指南委员会中女性成员比例的中位数为6.6%(范围为0%-27.3%)。对象限期间的分析显示,女性成员的比例没有显著增加。食物过敏组的女性成员比例明显高于其他指南(P<0.01),但在观察期间这一比例从25%下降到14.3%。在儿科哮喘指南中,女性委员比例从2000年的5.3%下降到2017年最新修订的0%。结论制定儿科指南的委员会中女性比例仍然较低,并且在过去20年 中没有改善。
BackgroundInclusion of female authors has been noted as potentially beneficial in the development of medical guidelines. Japanese professional committees representing allergic subspecialties develop practical guidelines with recommendations to caregivers, but these committees may be influenced by their gender composition. The objective of our study was to examine the influence of gender in developing pediatric allergic disease guidelines in Japan from 1999 to 2020.MethodsWe examined the gender parities among the guideline committee members in allergic rhinitis, atopic dermatitis, bronchial asthma, and food allergy guidelines in Japan. We examined the gender composition of the committees, annual trends, and differences in guideline content.ResultsThe median proportion of women members among the 22 guidelines committees was 6.6% (range: 0%–27.3%). The analysis of the quadrant period did not show a significant increase in the proportion of female members. The food allergy group had a significantly higher proportion of female members than other guidelines (P< 0.01), but the proportion decreased from 25% to 14.3% during the observation period. For the pediatric asthma guidelines, the proportion of female committee members decreased from 5.3% in the 2000 version to 0% in the most recent revision in 2017.ConclusionsThe proportion of women on the committees that develop pediatric guidelines continues to be low and has not improved over the past 20 years.