Gender inequality in the global mental health research workforce: a research authorship scoping review and qualitative study in Nepal.
Gender inequality in the global mental health research workforce: a research authorship scoping review and qualitative study in Nepal.
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DOI：
10.1136/bmjgh-2021-006146
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发表时间：
2021-12
影响因子：
8.1
通讯作者：
Kohrt BA
中科院分区：
文献类型：
--
作者：
Gurung D;Sangraula M;Subba P;Poudyal A;Mishra S;Kohrt BA
尽管妇女健康在全球研究中处于优先地位，但很少有研究确定促进妇女在全球卫生研究队伍中的领导地位和性别平等的结构性障碍和战略，特别是在低收入和中等收入国家。我们进行了一项混合方法的研究，以评估尼泊尔精神卫生研究人员的性别平等。范围审查评估了尼泊尔精神健康研究期刊出版物作者的性别差异，使用了5年的数据库(JuncINFO，PubMed，Web of Science，NEPE Jol，NEPE Med)。对22名尼泊尔研究人员进行了定性访谈，以确定限制妇女领导能力的结构性障碍。在确认的337篇文章中，61%出自尼泊尔第一作者之手。在尼泊尔第一作者中，38.3%是女性。与非尼泊尔作者相比，尼泊尔女性成为第一作者的几率是男性的一半(OR 0.50，95%CI 1.30至3.16)。当仅限于那些基于资助研究的出版物时，尼泊尔女性首次发表论文的几率更低(OR 0.37，95%CI 0.19至0.71)。定性分析支持界定范围的审查，并指出，缺乏对性别友好的组织政策、沟通和流动困难以及联网机会有限是妇女在全球卫生研究中发挥领导作用的障碍。需要努力提高尼泊尔妇女在全球心理健康研究中的代表性，这将需要变革性的组织政策来培养女性领导力。领导层需要认识到性别不平等，并采取必要措施解决这些问题。资助机构应优先支持具有性别平等特别工作组、政策和指标的组织。
Although women’s health is prioritised in global research, few studies have identified structural barriers and strategies to promote female leadership and gender equality in the global health research workforce, especially in low-income and middle-income countries. We conducted a mixed-methods study to evaluate gender equality in the mental health research workforce in Nepal. The scoping review assessed gender disparities in authorship of journal publications for Nepal mental health research, using databases (PsycINFO, PubMed, Web of Science, NepJol, NepMed) for 5 years. Qualitative interviews were conducted with 22 Nepali researchers to identify structural barriers limiting women’s leadership. Of 337 articles identified, 61% were by Nepali first authors. Among Nepali first authors, 38.3% were women. Nepali women had half the odds of being first authors compared with men, when referenced against non-Nepali authors (OR 0.50, 95% CI 1.30 to 3.16). When limiting publications to those based on funded research, the odds were worse for first authorship among Nepali women (OR 0.37, 95% CI 0.19 to 0.71). The qualitative analysis supported the scoping review and identified a lack of gender-friendly organisational policies, difficulties in communication and mobility, and limited opportunities for networking as barriers to women’s leadership in global health research. Efforts are needed for greater representation of Nepali women in global mental health research, which will require transformative organisational policies to foster female leadership. Those in leadership need to recognise gender inequalities and take necessary steps to address them. Funding agencies should prioritise supporting organisations with gender equality task forces, policies and indicators.
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影响因子：
8.1
作者：
Merriman R;Galizia I;Tanaka S;Sheffel A;Buse K;Hawkes S
通讯作者：
Hawkes S
DOI：
10.1097/acm.0000000000000369
发表时间：
2014-08
期刊：
Academic medicine : journal of the Association of American Medical Colleges
影响因子：
--
作者：
Downs JA;Reif LK;Hokororo A;Fitzgerald DW
通讯作者：
Fitzgerald DW
影响因子：
1.4
作者：
Downs, J. A.;Mathad, J. S.;Fitzgerald, D. W.
通讯作者：
Fitzgerald, D. W.
影响因子：
4.5
作者：
Puri M;Tamang J;Shah I
通讯作者：
Shah I
影响因子：
5.5
作者：
Kohrt, Brandon A.;Worthman, Carol M.
通讯作者：
Worthman, Carol M.