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Background <p>Gender and geographic inequities persist in academic medicine. This study examined the gender and country of affiliation of editors-in-chief (EICs) of general internal medicine journals and assessed disparities across journal impact levels.</p> Methods <p>We conducted a cross-sectional analysis of all journals indexed in the 2024 Journal Citation Reports under “MEDICINE, GENERAL &amp; INTERNAL” with an impact factor ≥ 0.2. Gender and country of affiliation of EICs were extracted from journal websites, and journal country from the SCImago Journal &amp; Country Rank. Countries were categorized by World Bank income level. Descriptive statistics and weighted logistic regression models examined differences across impact quartiles (Q1–Q4). To contextualize findings, gender and geographic distributions of EICs in Q1 journals were compared with previously published authorship benchmarks from 202,092 publications in the 50 highest-impact journals (2012–2021).</p> Results <p>Among 304 eligible journals, 347 EICs were identified; 77.8% were men and 22.2% were women, with no significant variation across impact quartiles. Most EICs were affiliated with high-income countries (67.2%), decreasing with journal impact (Q1: 85.9%; Q2: 75.7%; Q3–Q4: 48.6%; <i>p</i> &lt; 0.001). In Q1 journals, 25.0% of EICs were women versus 40.6% female first authors and 33.0% female last authors in the benchmark study, indicating a more pronounced gender imbalance at the leadership level, while geographic patterns were similar.</p> Conclusion <p>EICs of general internal medicine journals are predominantly men and mainly affiliated with institutions in high-income countries, especially in high-impact journals. Initiatives promoting equity in scientific publishing should include editorial leadership, where disparities remain substantial.</p>

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Gender and Geographic Representation Among Editors-in-chief of General Internal Medicine Journals: A Cross-sectional Study

  • 期刊论文

  • 发表日期：

    2026年3月30日

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  • Paul Sebo,
  • Ting Wang,
  • Amrollah Shamsi

摘要

Background

Gender and geographic inequities persist in academic medicine. This study examined the gender and country of affiliation of editors-in-chief (EICs) of general internal medicine journals and assessed disparities across journal impact levels.

Methods

We conducted a cross-sectional analysis of all journals indexed in the 2024 Journal Citation Reports under “MEDICINE, GENERAL & INTERNAL” with an impact factor ≥ 0.2. Gender and country of affiliation of EICs were extracted from journal websites, and journal country from the SCImago Journal & Country Rank. Countries were categorized by World Bank income level. Descriptive statistics and weighted logistic regression models examined differences across impact quartiles (Q1–Q4). To contextualize findings, gender and geographic distributions of EICs in Q1 journals were compared with previously published authorship benchmarks from 202,092 publications in the 50 highest-impact journals (2012–2021).

Results

Among 304 eligible journals, 347 EICs were identified; 77.8% were men and 22.2% were women, with no significant variation across impact quartiles. Most EICs were affiliated with high-income countries (67.2%), decreasing with journal impact (Q1: 85.9%; Q2: 75.7%; Q3–Q4: 48.6%; p < 0.001). In Q1 journals, 25.0% of EICs were women versus 40.6% female first authors and 33.0% female last authors in the benchmark study, indicating a more pronounced gender imbalance at the leadership level, while geographic patterns were similar.

Conclusion

EICs of general internal medicine journals are predominantly men and mainly affiliated with institutions in high-income countries, especially in high-impact journals. Initiatives promoting equity in scientific publishing should include editorial leadership, where disparities remain substantial.