Format

Send to:

Choose Destination
See comment in PubMed Commons below
BMC Med Ethics. 2004 Oct 4;5:E5.

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

Author information

  • 1Section of Epidemiology, Institute of Psychiatry, Kings College, London SE5 8AF UK. spjuats@iop.kcl.ac.uk.

Abstract

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.

PMID:
15461820
[PubMed - indexed for MEDLINE]
PMCID:
PMC524359
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for BioMed Central Icon for PubMed Central
    Loading ...
    Write to the Help Desk