Womens health research continues to be marginalized. To address and reverse this trend requires committed, accountable leadership, inclusion of diversity of thought and critical social science issues, in addition to the more well-funded basic traditional and clinical research.
There are several areas that contribute to this marginalization, first, with respect to pregnant women. Optimizing pregnancy outcome would significantly improve world health, as babies, if born early and often thus small have higher risks of heart disease, diabetes, and asthma.
Therefore, a baby born without complications, at the right time and weight, has the potential for a healthier life. Similarly, optimizing a womans health both for a healthier pregnancy and outcome and for her long-erm health also has the potential to improve world health. A womans health is known to impact her family, including both younger and older generations, thus strategies to address womens health are essential.
Funding for womens health research is limited. The National Institutes of Health (NIH) categorizes research funding to provide consistent and transparent information on the categories of disease, conditions, and research areas.
The categorization uses sophisticated text data mining based on scientific experts to define a research category. Incredibly, 2019 was the first year that federal funding for womens health research was classified based on scientific relevance, rather than based on the percentage of female subjects included in the studies.1
The rationale for using the percentage of females enrolled in a study to count as womens health research is unclear, and unfounded, as women certainly are enrolled in studies that are not focused on womens health.In 2019, the NIH funded $4,749M in womens health research, with the largest percent (26%) by the National Cancer Institute (Figure 1).
As examples, the genetics, neurosciences, biotechnology, brain disorders, pediatrics, and aging research categories all had more NIH funding in 2019 than womens health.
To prevent transmission of the virus, all non-essential visits and encounters have been appropriately stopped, thus all ongoing clinical research has effectively ceased aside from that impacting clinical care. As I mentioned in my editorial in April, when there were only 51 studies2 - and now substantiated in 588 studies3 - pregnant and breastfeeding women are yet again excluded from research, notably from participating in COVID-19 clinical trials during this pandemic.
This is a major missed opportunity as results with therapies studied in men and nonpregnant women may not be generalizable. Furthermore, therapies are potentially not being offered to women, or if they are offered, are not being systematically studied in this population to provide needed data with which to guide therapy.
The impact of COVID-19 on womens health research highlights the long-standing inequities in including this population in research. Only in the last few decades were women required to be included in clinical research.
Yet even with this mandate, subsets of women remain excluded.
Despite mandated inclusion of women in research, womens health research remains marginalized, as are women researchers and physician-scientists. Although data suggest that women submitting NIH research project grant (RO1) applications for the first time have the same grant success rate as men4, they are half as likely to apply for those grants5, despite the fact that just as many women as men are receiving advanced degrees.
A natural history experiment using the investigator-initiated Canadian Institutes of Health Research Grant Programmes demonstrated that gender gaps in funding were due to female principal investigators being evaluated less favorably than male principal investigators - and not related to the quality of their research proposals.6
This marginalization of women researchers is rampant. As reported in numerous studies, women are less likely to be promoted, achieve tenure, or be selected for leadership roles (Supplemental figure).
Similarly, women with equal stature are less likely to be selected to participate in think tanks than men. As an example, a recent article outlining a research strategy for womens health with 17 authors included only 4 (24%) women.7
Furthermore, of the nine physician authors, only one is an ob/gyn and four are pediatricians. The themes from the think tank neglect critical areas of research, focusing on traditional sciences and emphasize genetics, overlooking the role of racial disparities and health inequities.
As noted by the 2018 NIH Gender Inequality Task Force Report, Sustainable change in representation of women, and of all individuals from underrepresented groups, requires committed, accountable leadership along with effective tools to accomplish this important goal.8 It is troubling that gender diversity in leadership positions is lacking nationally.
Using 2019 data, only 19% of department chairs (both interim and permanent) are held by women. Extrapolating the trend lines suggests another 50 years are needed to attain parity of department chairs and medical school deans by gender (Figure 2).
This diversity is not due to a lack of qualified women, as since 2002, women have earned the majority of all doctorates9 and in 2019, women comprise the majority of enrolled US medical students.10
Underrepresentation creates a culture that perpetuates inequalities. For our patients, for ourselves, for our families, we must correct this course. This is not easy, and will require a change of culture led by a committed, accountable, proactive leadership.
Equally important will be the inclusion of diversity and broadening of the research agenda to include critical social science issues, health disparities, and social determinants of health.
One ray of hope to address these pressing issues is the formation of the Womxns Health Collaborative, a group determined to identify and initiate actionable steps.
If you are interested in participating, I encourage you to contact Dr. Michal Elovitz at email@example.com.
- To deal with the A levels fiasco fallout, medical schools need a cash injection - Times Higher Education (THE) - September 8th, 2020
- Mercer University Breaks Ground on New Medical School Campus in Columbus - Mercer News - September 8th, 2020
- COVID-19-induced 'sophomore medical student syndrome' | TheHill - The Hill - September 8th, 2020
- New crop of medical students are headed to the lab - Stanford Medical Center Report - September 8th, 2020
- U of M Medical School researchers look to beach water for COVID community infection - KARE11.com - September 8th, 2020
- When's the right time to choose a medical specialty? - American Medical Association - September 8th, 2020
- Gujarat medical school to carry out autopsies of COVID-19 victims to study effects on body - Republic World - Republic World - September 8th, 2020
- Durham student with dreams of med school wins $100,000 in lottery game - WRAL.com - September 8th, 2020
- How to help medical students keep tabs on their mental health - American Medical Association - September 8th, 2020
- Industry VoicesCould less emphasis on the MCAT bring more diversity to medicine? - FierceHealthcare - September 8th, 2020
- Medical exams postponed amid strike and resurgent virus - University World News - September 8th, 2020
- TCOM creates office of student success - fortworthbusiness.com - September 8th, 2020
- COVID-19 Disproportionately Impacting Those With Developmental Disabilities - Disability Scoop - September 8th, 2020
- Med Students 'Feel Very Behind' Because of COVID-Induced Disruptions in Training - The Southern Maryland Chronicle - September 8th, 2020
- A bill would spend $1 billion on diversifying medical schools to close the racial health gap - NBC News - August 10th, 2020
- Pandemic acts as dress rehearsal for new medical school curriculum - Washington University School of Medicine in St. Louis - August 10th, 2020
- The Unnamed Hero - Pager Publications, Inc. - August 10th, 2020
- Testing is the key to a successful fall reopening on campuses (opinion) - Inside Higher Ed - August 10th, 2020
- TUNE IN: Alexandria Addressing Back-to-School Worries in Virtual Town Hall - The Zebra - August 10th, 2020
- Community Healthcare honored during National Health Center Week - Times Record News - August 10th, 2020
- When Things Arent OK With a Childs Mental Health - The New York Times - August 10th, 2020
- Making sure patients, physicians know about the advances in treating female cancers - Norton Healthcare - August 10th, 2020
- 'We Are Here to Help Them' | Harvard Medical School - Harvard Medical School - August 10th, 2020
- In the face of challenges posed by a pandemic and racism, the White Coat Ceremony underscores the importance of our shared humanity - AAMC - August 10th, 2020
- Physician Group Wants Medical Schools To Waive The MCAT This Year - Physicians News Digest - August 10th, 2020
- Born with 1 hand, she's an inspiration in virus fight - ABC News - August 10th, 2020
- What to Expect in Medical School - AAMC for Students ... - August 8th, 2020
- International med students ease the path for others with new mentor group - STAT - August 8th, 2020
- Texas schools reopening mandate sets off another local control debate - The Texas Tribune - August 8th, 2020
- Amid COVID-19 Pandemic, Morehouse School of Medicine Welcomes Its... - Diverse: Issues in Higher Education - August 8th, 2020
- Guntersville native joins Andrews Sports med team | Free Share - Sand Mountain Reporter - August 8th, 2020
- COVID-19 changing study of medicine on Long Island - Newsday - August 8th, 2020
- Health Care Workers Of Color Nearly Twice As Likely As Whites To Get COVID-19 - WUSF News - August 8th, 2020
- Dancing Wildcats Enjoy Smoother Transition to the Field of Medicine - UKNow - August 8th, 2020
- Kindness is the best medicine - Argus Leader - August 8th, 2020
- Kindness is the best medicine | Coronavirus | rocketminer.com - Daily Rocket Miner - August 8th, 2020
- With academic health center, the imagined can be reality - Las Vegas Sun - August 8th, 2020
- Need to Take the MCAT? You'll Still Have to Do It in Person - The New York Times - August 8th, 2020
- Why isn't ventilation part of the conversation on reopening schools? - STAT - August 8th, 2020
- A UT undergrad helped build the app that will assist students coming back to school this fall. Here's what it can do. - UT News | The University of... - August 8th, 2020
- Med School Professor Removed from Fellowship Director Post, Apparently for Publishing Anti-Affirmative-Action Journal Article - Reason - August 7th, 2020
- Good Shepherd celebrates one of it's first graduates on track to realize dream of becoming doctor - WDSU New Orleans - August 7th, 2020
- Change the course of the pandemic: UMass Medical School, Boston tech company at center of national push to - MassLive.com - August 7th, 2020
- Duality Health Begins Rapid Blockchain Innovation Cycle with Health Product Innovation Team at Dell Medical School - Tyler Morning Telegraph - August 7th, 2020
- Deciding whether to send your child back to school? Heres what the experts say to consider - nj.com - August 7th, 2020
- Kaine introduces bill that would support medical schools in underserved areas - WDVM 25 - August 4th, 2020
- Medical school affiliates on lack of diversity, burden of the 'minority tax' - The Stanford Daily - August 4th, 2020
- International medical school graduates need an easier path to practice in the US | TheHill - The Hill - August 4th, 2020
- The 'dura mater' handles medical training and motherhood with aplomb - DePauw University - August 4th, 2020
- Emory University doctor and former teacher suggests staggered starts, plexiglass lunch barriers to avoid COVID-19 spread in schools - 11Alive.com WXIA - August 4th, 2020
- President Houshmand and CMSRU Dean Reboli named to South Jersey BIZ Power 50 list - Rowan Today - August 4th, 2020
- 'Its a good mix of medicine and social justice': Medical student gets experience at NATIVE Project during pandemic - The Spokesman-Review - August 4th, 2020
- New medical residents experience a different kind of welcome into URMC - University of Rochester - August 4th, 2020
- 'Not surprising': International graduate students respond to short-lived ICE directive - The Stanford Daily - August 4th, 2020
- MASKED-COVID Study to Assess Renal-Related Complications of COVID-19 - DocWire News - August 4th, 2020
- Addressing inequalities in women's health research - Contemporary Obgyn - August 4th, 2020
- Seeing the Health Care Profession Through the Eyes of a Medical Scribe - Hamilton College News - August 4th, 2020
- University of Medicine and Health Sciences Launches State-of-the-Art Virtual Tour - PR Web - August 4th, 2020
- Researchers With Game - Ohio Wesleyan University - August 4th, 2020
- List of medical schools in the United States - Wikipedia - August 3rd, 2020
- Disc Medicine Expands Leadership Team with Industry Veterans to Advance Hepcidin Modulating Therapies Toward the Clinic - PRNewswire - August 3rd, 2020
- Solomon Rajput '14 takes on Michigan incumbent for seat in Congress - The Dartmouth - August 3rd, 2020
- Fighting the Coronavirus, from New York to Utah - The New Yorker - August 3rd, 2020
- Boston doctor named hospital hero relied on human connection to get through COVID peak - Boston Herald - August 3rd, 2020
- Starkman: Beaumont Executive Paid $932000 by Hospital Vendor Whose Implants Were Pushed on Surgeons - Deadline Detroit - August 3rd, 2020
- Students need to be tested every 2-3 days for colleges to safely reopen - Yale News - August 3rd, 2020
- Taking Medicine and Tech to the Next Level: Ranney on New Brown-Lifespan Center for Digital Health - GoLocalProv - August 3rd, 2020
- Medical Schools Have Historically Been Wrong on Race - The New York Times - August 3rd, 2020
- After the Match: The Match in the Age of COVID-19 : Emergency Medicine News - LWW Journals - July 31st, 2020
- North Philly coronavirus risk: Temple University's return to campus is irresponsible - On top of Philly news - Billy Penn - July 31st, 2020
- Researchers Discover Stem Cells in Optic Nerve that Preserve Vision - Newswise - July 31st, 2020
- Pre-med students spend the summer studying COVID-19 - DePauw University - July 31st, 2020
- The Author of Blacks in Medicine on Race, Racism, and Health Outcomes - KCET - July 31st, 2020
- Five Questions With: Dr. Ben Abo on Snakes and Television - EMSWorld - July 31st, 2020
- We asked 20 medical experts whether they're sending their own kids back to school. Here's what they had to say - CNBC - July 31st, 2020
- NYU Long Island School of Medicine Is First School on Long Island to Start 202021 Term, May Be Microcosm of 'Hybrid' Class Model - NYU Langone Health - July 31st, 2020
- Medical education in the time of COVID-19 - Science Advances - July 31st, 2020
- Rutgers New Jersey Medical School - July 31st, 2020
- Discrimination in the medical curriculum: are medical schools providing students with equal access to the medical profession? - The European Sting - July 31st, 2020
- Marshall School of Medicine 1 of 9 schools to offer Mission Act scholarships to veterans - Huntington Herald Dispatch - July 30th, 2020