Artículo

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

Resumen

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 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. ©
Garbern, Stephanie Chow (57190610454); Hyuha, Gimbo (57375315600); González Marqués, Catalina (57204522335); Baig, Noor (57816523200); Chan, Jennifer L (27067584900); Dutta, Sanjukta (57195362557); Gulamhussein, Masuma A (57676055400); López Terán, Gloria Paulina (57816362100); Manji, Hussein Karim (57214986417); Mdundo, Winnie K (57374678200); Moresky, Rachel T (7801613613); Mussa, Raya Yusuph (57374991700); Noste, Erin E (56197283200); Nyirenda, Mulinda (16048316500); Osei-Ampofo, Maxwell (55392338900); Rajeev, Sindhya (57816362200); Sawe, Hendry R (55392476000); Simbila, Alphonce Nsabi (57289991100); Thilakasiri, M.C. Kaushila (57816362300); Turgeon, Nikkole (57218648214); Wachira, Benjamin W (37075844500); Yang, Rebecca S (57816046800); Yussuf, Amne (57541322200); Zhang, Raina (57816684000); Zyer, Alishia (57221862723); Rees, Chris A (57383332100)
2022
10.1136/bmjgh-2022-009538
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85134771255&doi=10.1136%2fbmjgh-2022-009538&partnerID=40&md5=7f03de87ee5bd24293922ce7074988db
Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, United States; Emergency Medicine Department, Muhimbili National Hospital, Dar es Salaam, Tanzania; Emergency Medicine Department, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; Division of Global Emergency Medicine and Humanitarian Studies, Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, MA, United States; Department of Emergency Medicine, Aga Khan University Hospital, Karachi, Pakistan; Department of Emergency Medicine, Northwestern University, Chicago, IL, United States; CrisisReady, Boston, MA, United States; Department of Emergency Medicine, Fortis Hospital, Kolkata, India; Servicio de Emergencia, Hospital Santa Inés de Ambato, Ambato, Ecuador; Servicio de Emergencia, Hospital General Ambato, Ambato, Ecuador; Accident and Emergency Department, Aga Khan Hospital, Dar es Salaam, Tanzania; Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, NY, United States; Department of Emergency Medicine, Columbia University Medical Center, New York, NY, United States; Department of Emergency Medicine, University of California San Diego, San Diego, CA, United States; 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; Emergency Medical Services, Ghana National Ambulance Service, Accra, Ghana; Department of Internal Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, CA, United States; Postgraduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka; University of Vermont College of Medicine, Burlington, VT, United States; Accident and Emergency Department, Aga Khan University, Nairobi, Kenya; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, United States; Alpert Medical School of Brown University, Providence, RI, United States; Bryant University, Smithfield, RI, United States; Division of Pediatric Emergency Medicine, Emory University School of Medicine, Atlanta, GA, United States; Department of Emergency Medicine, Children’s Healthcare of Atlanta, Atlanta, GA, United States
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