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Under-representation of developing countries in the research literature: ethical issues arising from a survey of five leading medical journals

机译：研究文献中发展中国家的代表性不足：对五种主要医学期刊的调查引起的伦理问题

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Background It is widely acknowledged that there is a global divide on health care and health research known as the 10/90 divide. Methods A retrospective survey of articles published in the BMJ, Lancet, NEJM, Annals of Internal Medicine & JAMA in a calendar year to examine the contribution of the developing world to medical literature. We categorized countries into four regions: UK, USA, Other Euro-American countries (OEAC) and (RoW). OEAC were European countries other than the UK but including Australia, New Zealand and Canada. RoW comprised all other countries. Results The average contribution of the RoW to the research literature in the five journals was 6.5%. In the two British journals 7.6% of the articles were from the RoW; in the three American journals 4.8% of articles were from RoW. The highest proportion of papers from the RoW was in the Lancet (12%). An analysis of the authorship of 151 articles from RoW showed that 104 (68.9%) involved authorship with developed countries in Europe or North America. There were 15 original papers in these journals with data from RoW but without any authors from RoW. Conclusions There is a marked under-representation of countries in high-impact general medical journals. The ethical implications of this inequity and ways of reducing it are discussed.
机译：背景技术众所周知，医疗保健和健康研究存在全球鸿沟，即10/90鸿沟。方法回顾性研究历年在BMJ，Lancet，NEJM，内科医学年鉴和JAMA上发表的文章，以研究发展中国家对医学文献的贡献。我们将国家分为四个区域：英国，美国，其他欧美国家（OEAC）和（RoW）。 OEAC是英国以外的欧洲国家，但包括澳大利亚，新西兰和加拿大。 RoW包括所有其他国家。结果在5种期刊中，《化学著作》对研究文献的平均贡献为6.5％。在这两个英国期刊中，有7.6％的文章来自《自然》。在这三种美国期刊中，有4.8％的文章来自RoW。 RoW论文的比例最高的是柳叶刀（12％）。对RoW的151篇文章的作者身份的分析表明，有104篇（68.9％）涉及欧洲或北美发达国家的作者身份。这些期刊上有15篇原始论文，其中包含RoW的数据，但RoW则没有任何作者。结论在影响较大的普通医学期刊中，国家的代表性明显不足。讨论了这种不平等的伦理意义以及减少这种不平等的方式。

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