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{
    "pk": 48527,
    "title": "Gender- and Sex-equitable Submission Guidelines in Emergency Medicine Journals Are Associated with Enhanced Publication Metrics",
    "subtitle": null,
    "abstract": "<p><strong>Introduction:</strong> Gender and sex equity-promoting (GSEP) clinical research is essential to improving diversity and inclusivity in medicine. In this study we aimed to compare journal impact metrics in emergency medicine (EM) between journals that integrated gender- and sex-based considerations and those that did not.</p>\n<p><strong>Methods:</strong> We searched the 2023 Journal Citations Report (Clarivate Analytics) for EM journals. Submission guidelines of each EM journal were examined according to the SAGER (Sex and Gender Equity in Research) guidelines and stratified as conforming or non-conforming depending on whether at least one SAGER criterion was met. Our primary outcome measure was the journal impact factor. Secondary outcome measures included other citation and influence metrics: total citations; 5-year journal impact factor; journal citation indicator; article influence score, normalized Eigenfactor score; citable items; total articles; and immediacy index.</p>\n<p><strong>Results:</strong> Based on our classification system informed by the SAGER criteria, most journals (66%, 31/47) were classified as non-compliant. The EM journals that conformed to the sex and gender equity guidelines were rated higher than non-conforming journals across all studied journal metrics. We found that conforming journals had a significantly higher median difference (MD) than non-conforming EM journals in total citations (MD 1,586; GSEP: 3,599 vs non-GSEP: 901); 2023 2-year journal impact factor (MD 0.8; 2.3 vs 1.4); 5-year journal impact factor (MD 0.7; 2.5 vs 1.9); article influence score (MD 0.26; 0.76 vs 0.47); normalized Eigenfactor score (MD 0.79; 1.06 vs 0.26); citable items (MD 37; 103 vs 56), and total articles (MD 41; 87 vs 42). All differences were statistically significant (P &lt; 0.05). </p>\n<p><strong>Conclusion:</strong> Using criteria informed by the Sex and Gender Equity in Research guidelines, most EM journals (66%) were classified as non-conforming to these guidelines. This indicates a significant gap in the integration of gender- and sex-based considerations in EM research publication practices.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Diversity"
        },
        {
            "word": "Inclusion"
        },
        {
            "word": "Emergency Medicine"
        }
    ],
    "section": "Population Health Research Design",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/6ct1w42s",
    "frozenauthors": [
        {
            "first_name": "Akash",
            "middle_name": "",
            "last_name": "Manes",
            "name_suffix": "",
            "institution": "University of British Columbia, Faculty of Medicine, Vancouver, British Columbia, Canada",
            "department": ""
        },
        {
            "first_name": "Michelle",
            "middle_name": "D.",
            "last_name": "Lall",
            "name_suffix": "",
            "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia",
            "department": ""
        },
        {
            "first_name": "Starr",
            "middle_name": "",
            "last_name": "Knight",
            "name_suffix": "",
            "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California",
            "department": ""
        },
        {
            "first_name": "Ali",
            "middle_name": "S.",
            "last_name": "Raja",
            "name_suffix": "",
            "institution": "Harvard Medical School and Mass General Brigham, Department of Emergency Medicine, Boston, Massachusetts",
            "department": ""
        },
        {
            "first_name": "Faisal",
            "middle_name": "",
            "last_name": "Khosa",
            "name_suffix": "",
            "institution": "University of British Columbia, Faculty of Medicine, Vancouver, British Columbia, Canada",
            "department": ""
        }
    ],
    "date_submitted": "2025-06-11T00:34:54.851000Z",
    "date_accepted": "2025-10-12T23:58:16.758000Z",
    "date_published": "2026-01-16T14:14:00Z",
    "render_galley": null,
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            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/48527/galley/49073/download/"
        }
    ]
}