Evolution of Gender Disparities Among Brazilian Surgical, Anesthesia, and Obstetric Providers

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art_FERREIRA_Evolution_of_Gender_Disparities_Among_Brazilian_Surgical_Anesthesia_2022.PDF (812.51 KB)
Citações na Scopus
2
Tipo de produção
article
Data de publicação
2022
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
ACADEMIC PRESS INC ELSEVIER SCIENCE
Autores
FERREIRA, Julia
BOWDER, Alexis N.
FARIA, Isabella
GRANER, Mariana
BUDA, Alexandra M.
ZIMMERMAN, Kathrin
TRUCHE, Paul
POMPERMAIER, Laura
BOTELHO, Fabio
Citação
JOURNAL OF SURGICAL RESEARCH, v.275, p.1-9, 2022
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Introduction: Since 2010, most graduating physicians in Brazil have been female, nevertheless gender disparities among surgical specialties still exist. This study aims to explore whether the increase in female physicians has translated to increased female representation among surgical specialties in Brazil. Methods: Data on gender, years of practice, and specialty was extracted from Demografia Medica do Brasil, from 2015 to 2020. The percentage of women across 18 surgical, anesthesia, and obstetric (SAO) specialties and the relative increases in female representation during the study period were calculated. Results: Of the 18 SAO specialties studied, 16 (88%) were predominantly male (>50%). Only obstetrics/gynecology and breast surgery showed a female predominance, with 58% and 52%, respectively. Urology, neurosurgery, and orthopedic surgery and traumatology were the three specialties with the largest presence of men -and the lowest absolute growth in the female workforce from 2015 to 2020. Conclusions: In Brazil, where significant gender disparities persist, women are still underrepresented in surgical specialties. Female presence is predominant in surgical specialties dedicated to the care of female patients, while it remains poor in those with male patient dominance. Over the last 5 y, the proportion of women working in SAO specialties has grown, but not as much as in nonsurgical specialties. Future studies should focus on investigating the causes of gender disparities in Brazil to understand and tackle the barriers to pursuing surgical specialties.
Palavras-chave
Gender disparity, Global surgery, Global health, Surgical workforce
URI
https://observatorio.fm.usp.br/handle/OPI/45803
Referências
  1. 50/50 GH, 2020, GLOB HLTH 50 50 REP
  2. Guilloux AGA, 2019, BMC MED EDUC, V19, DOI 10.1186/s12909-019-1562-6
  3. Babchenko O, 2020, JAMA SURG, V155, P373, DOI 10.1001/jamasurg.2019.5887
  4. Castro MC, 2019, LANCET, V394, P345, DOI 10.1016/S0140-6736(19)31243-7
  5. Chyu J, 2020, UROLOGY, V150, P16, DOI 10.1016/j.urology.2020.07.079
  6. Cochran A, 2013, AM J SURG, V206, P263, DOI 10.1016/j.amjsurg.2012.07.044
  7. Corley J, 2020, J PUBLIC HLTH EMERG, V4, P21, DOI 10.21037/jphe- 20-86
  8. D'Armiento J, 2019, LANCET, V393, pE15, DOI 10.1016/S0140-6736(19)30234-X
  9. Donaldson K, 2021, J NEUROSURG, V135, P943, DOI 10.3171/2020.7.JNS192647
  10. Edmunds LD, 2016, LANCET, V388, P2948, DOI 10.1016/S0140-6736(15)01091-0
  11. Larsen AMG, 2021, ANN SURG, V273, P1120, DOI 10.1097/SLA.0000000000003618
  12. Heidari S, 2017, EPIDEMIOL SERV SAUDE, V26, P665, DOI 10.5123/S1679-49742017000300025
  13. Instituto Brasileiro de Geografia e Estatistica, IBG
  14. Keane AM, 2021, PLAST RECONSTR SURG, V147, p516E, DOI 10.1097/PRS.0000000000007681
  15. Kin C, 2018, BMC MED EDUC, V18, DOI 10.1186/s12909-018-1373-1
  16. Marrone AF, 2020, J PEDIATR SURG, V55, P2071, DOI 10.1016/j.jpedsurg.2020.05.020
  17. Marten R, 2014, LANCET, V384, P2164, DOI 10.1016/S0140-6736(14)60075-1
  18. Massenburg BB, 2017, BMJ GLOB HEALTH, V2, DOI 10.1136/bmjgh-2016-000226
  19. Meara JG, 2016, INT J OBSTET ANESTH, V25, P75, DOI 10.1016/j.ijoa.2015.09.006
  20. Paim J, 2011, LANCET, V377, P1778, DOI 10.1016/S0140-6736(11)60054-8
  21. Park J, 2005, AM J SURG, V190, P141, DOI 10.1016/j.amjsurg.2005.04.008
  22. Psutka SP, 2021, EUR UROL, V80, P450, DOI 10.1016/j.eururo.2021.07.002
  23. R Core Team, 2021, R LANG ENV STAT COMP
  24. Scheffer M, 2015, DEMOGRAFIA MED BRASI
  25. Scheffer M, 2020, DEMOGRAFIA MED BRASI
  26. Scheffer M, 2020, DEMOGRAFIA MED BRASI, P312
  27. Scheffer MC, 2017, SURGERY, V161, P556, DOI 10.1016/j.surg.2016.09.008
  28. Scheffer MC, 2016, REV ASSOC MED BRAS, V62, P853, DOI 10.1590/1806-9282.62.09.853
  29. Sharoky CE, 2018, ANN SURG, V267, P1069, DOI 10.1097/SLA.0000000000002460
  30. Stephens EH, 2020, JAMA SURG, V155, P876, DOI 10.1001/jamasurg.2020.0312
  31. Teoh JYC, 2021, EUR UROL, V80, P442, DOI 10.1016/j.eururo.2021.05.031
  32. Wells K, 2020, CLIN COLON RECT SURG, V33, P238, DOI 10.1055/s-0040-1712977
  33. Wickham H, 2009, USE R, P1, DOI 10.1007/978-0-387-98141-3_1
  34. Wu B, 2019, CUREUS, V11, DOI 10.7759/cureus.6285

Coleções
Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - FM/MPR
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/04
Artigos e Materiais de Revistas Científicas - LIM/39
Artigos e Materiais de Revistas Científicas - ODS/10