Authorship representation in global emergency medicine: a bibliometric analysis from 2016 to 2020.

Autor: Garbern SC; Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, Rhode Island, USA sgarbern@brown.edu., Hyuha G; Emergency Medicine Department, Muhimbili National Hospital, Dar es Salaam, United Republic of Tanzania.; Emergency Medicine Department, Muhimbili University of Health and Allied Sciences, Dar es Salaam, United Republic of Tanzania., González Marqués C; Division of Global Emergency Medicine and Humanitarian Studies, Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA., Baig N; Department of Emergency Medicine, The Aga Khan University Hospital, Karachi, Pakistan., Chan JL; Department of Emergency Medicine, Northwestern University, Chicago, Illinois, USA.; CrisisReady, Boston, Massachusetts, USA., Dutta S; Department of Emergency Medicine, Fortis Hospital, Kolkata, India., Gulamhussein MA; Emergency Medicine Department, Muhimbili National Hospital, Dar es Salaam, United Republic of Tanzania.; Emergency Medicine Department, Muhimbili University of Health and Allied Sciences, Dar es Salaam, United Republic of Tanzania., López Terán GP; Servicio de Emergencia, Hospital Santa Inés de Ambato, Ambato, Ecuador.; Servicio de Emergencia, Hospital General Ambato, Ambato, Ecuador., Manji HK; Emergency Medicine Department, Muhimbili University of Health and Allied Sciences, Dar es Salaam, United Republic of Tanzania.; Accident and Emergency Department, Aga Khan Hospital, Dar es Salaam, United Republic of Tanzania., Mdundo WK; Emergency Medicine Department, Muhimbili National Hospital, Dar es Salaam, United Republic of Tanzania.; Emergency Medicine Department, Muhimbili University of Health and Allied Sciences, Dar es Salaam, United Republic of Tanzania., Moresky RT; Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, New York, USA.; Department of Emergency Medicine, Columbia University Medical Center, New York, New York, USA., Mussa RY; Emergency Medicine Department, Muhimbili University of Health and Allied Sciences, Dar es Salaam, United Republic of Tanzania., Noste EE; Department of Emergency Medicine, University of California San Diego, San Diego, California, USA., Nyirenda M; Adult Emergency and Trauma Centre, Queen Elizabeth Central Hospital, Ministry of Health - Malawi, Blantyre, Malawi.; Emergency Medicine Unit, Department of Internal Medicine, Kamuzu University of Health Sciences, Blantyre, Malawi., Osei-Ampofo M; Emergency Medical Services, Ghana National Ambulance Service, Accra, Ghana.; Department of Internal Medicine, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana., Rajeev S; Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA., Sawe HR; Emergency Medicine Department, Muhimbili University of Health and Allied Sciences, Dar es Salaam, United Republic of Tanzania., Simbila AN; Emergency Medicine Department, Muhimbili National Hospital, Dar es Salaam, United Republic of Tanzania.; Emergency Medicine Department, Muhimbili University of Health and Allied Sciences, Dar es Salaam, United Republic of Tanzania., Thilakasiri MCK; Postgraduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka., Turgeon N; University of Vermont College of Medicine, Burlington, Vermont, USA., Wachira BW; Accident & Emergency Department, The Aga Khan University, Nairobi, Kenya., Yang RS; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Yussuf A; Emergency Medicine Department, Muhimbili National Hospital, Dar es Salaam, United Republic of Tanzania.; Emergency Medicine Department, Muhimbili University of Health and Allied Sciences, Dar es Salaam, United Republic of Tanzania., Zhang R; Alpert Medical School of Brown University, Providence, Rhode Island, USA., Zyer A; Bryant University, Smithfield, Rhode Island, USA., Rees CA; Division of Pediatric Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.; Department of Emergency Medicine, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.
Jazyk: angličtina
Zdroj: BMJ global health [BMJ Glob Health] 2022 Jun; Vol. 7 (6).
DOI: 10.1136/bmjgh-2022-009538
Abstrakt: Introduction: High-income country (HIC) authors are disproportionately represented in authorship bylines compared with those affiliated with low and middle-income countries (LMICs) in global health research. An assessment of authorship representation in the global emergency medicine (GEM) literature is lacking but may inform equitable academic collaborations in this relatively new field.
Methods: We conducted a bibliometric analysis of original research articles reporting studies conducted in LMICs from the annual GEM Literature Review from 2016 to 2020. Data extracted included study topic, journal, study country(s) and region, country income classification, author order, country(s) of authors' affiliations and funding sources. We compared the proportion of authors affiliated with each income bracket using Χ 2 analysis. We conducted logistic regression to identify factors associated with first or last authorship affiliated with the study country.
Results: There were 14 113 authors in 1751 articles. Nearly half (45.5%) of the articles reported work conducted in lower middle-income countries (MICs), 23.6% in upper MICs, 22.5% in low-income countries (LICs). Authors affiliated with HICs were most represented (40.7%); 26.4% were affiliated with lower MICs, 17.4% with upper MICs, 10.3% with LICs and 5.1% with mixed affiliations. Among single-country studies, those without any local authors (8.7%) were most common among those conducted in LICs (14.4%). Only 31.0% of first authors and 21.3% of last authors were affiliated with LIC study countries. Studies in upper MICs (adjusted OR (aOR) 3.6, 95% CI 2.46 to 5.26) and those funded by the study country (aOR 2.94, 95% CI 2.05 to 4.20) had greater odds of having a local first author.
Conclusions: There were significant disparities in authorship representation. Authors affiliated with HICs more commonly occupied the most prominent authorship positions. Recognising and addressing power imbalances in international, collaborative emergency medicine (EM) research is warranted. Innovative methods are needed to increase funding opportunities and other support for EM researchers in LMICs, particularly in LICs.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE