Evidence map›Paper›PMID 39010123›Full record

ArticleHealth research policy and systems2024

Theory of change for addressing sex and gender bias, invisibility and exclusion in Australian health and medical research, policy and practice.

Thomas Gadsden, Laura Hallam, Cheryl Carcel, Robyn Norton, Mark Woodward, Louise Chappell, Laura E Downey

Abstract read
In one paragraph

Article in Health research policy and systems, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Thomas Gadsden *The George Institute for Global Health, University of New South Wales, Sydney, Australia.
Laura Hallam *The George Institute for Global Health, University of New South Wales, Sydney, Australia.
Cheryl CarcelThe George Institute for Global Health, University of New South Wales, Sydney, Australia.
Robyn NortonThe George Institute for Global Health, University of New South Wales, Sydney, Australia.
Mark WoodwardThe George Institute for Global Health, University of New South Wales, Sydney, Australia.
Louise ChappellThe Human Rights Institute, University of New South Wales, Sydney, Australia.
Laura E DowneyThe George Institute for Global Health, University of New South Wales, Sydney, Australia. ldowney@georgeinstitute.org.ORCID http://orcid.org/0000-0002-9563-7113

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sex and gender are inadequately considered in health and medical research, policy and practice, leading to preventable disparities in health and wellbeing. Several global institutions, journals, and funding bodies have developed policies and guidelines to improve the inclusion of diverse participants and consideration of sex and gender in research design and reporting and the delivery of clinical care. However, according to recent evaluations, these policies have had limited impact on the inclusion of diverse research participants, adequate reporting of sex and gender data and reducing preventable inequities in access to, and quality provision of, healthcare. In Australia, the Sex and Gender Policies in Medical Research (SGPMR) project aims to address sex and gender bias in health and medical research by (i) examining how sex and gender are currently considered in Australian research policy and practice; (ii) working with stakeholders to develop policy interventions; and (iii) understanding the wider impacts, including economic, of improved sex and gender consideration in Australian health and medical research. In this paper we describe the development of a theory of change (ToC) for the SGPMR project. The ToC evolved from a two-stage process consisting of key stakeholder interviews and a consultation event. The ToC aims to identify the pathways to impact from improved consideration of sex and gender in health and medical research, policy and practice, and highlight how key activities and policy levers can lead to improvements in clinical practice and health outcomes. In describing the development of the ToC, we present an entirely novel framework for outlining how sex and gender can be appropriately considered within the confines of health and medical research, policy and practice.

Indexed as

Biomedical ResearchHealth PolicySexismAustraliaFemaleHealthcare DisparitiesHumansMaleResearch DesignResearch SubjectsSex FactorsStakeholder ParticipationEvidence-based practiceHealth policyMedical researchSex and genderTheory of change

Identifiers

PMID39010123
PMCPMC11251305

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.