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УДК: 616.8 DOI:10.33920/med-01-2106-07

Sexism in Russian neurosurgery

Kovalenko R.A. Candidate of Medical Sciences, FSBEI HE Pavlov First Saint Petersburg State Medical University of the Ministry of Health of Russia (6–8, Lev Tolstoy str., Saint Petersburg, 197022, Russian Federation), neurosurgeon of the Department of Neurosurgery No. 6, FSBI National Medical Research Center named after V.A. Almazov of the Ministry of Health of Russia (12, Mayakovsky str., Saint Petersburg, 191104, Russian Federation), https://orcid.org/0000-0002-7940-7086, roman.kovalenko@my.com +7-921-396-21-09
Cherebillo V.Yu. Doctor of Medical Sciences, Professor, Head of the Department of Neurosurgery, FSBEI HE Pavlov First Saint Petersburg State Medical University of the Ministry of Health of Russia (6–8, Lev Tolstoy str., Saint Petersburg, 197022, Russian Federation), Prof., FSBI National Medical Research Center named after V.A. Almazov of the Ministry of Health of Russia (12, Mayakovsky str., Saint Petersburg, 191104, Russian Federation), FSBMEI HE Military Medical Academy named after S.M. Kirov of the Ministry of Defense of Russia (6, Lebedeva str., Saint Petersburg, 194044, Russian Federation), http://orcid.org/0000-0001-6803-9954, cherebillo@mail.ru, +7-921-903-63-87
Mukhitova Yu.V. Ph. D., Associate Professor of the Department of General and Clinical Psychology, FSBEI HE Pavlov First Saint Petersburg State Medical University of the Ministry of Health of Russia, 6–8, Lev Tolstoy str., Saint Petersburg, 197022, Russian Federation, Che88@mail.ru, https://orcid.org/0000-0003-4172-6257, +7-921-570-13-43
Isayeva E.R. Doctor of Medical Sciences, Professor, Head of the Department of General and Clinical Psychology, FSBEI HE Pavlov First Saint Petersburg State Medical University of the Ministry of Health of Russia, 6–8, Lev Tolstoy str., Saint Petersburg, 197022, Russian Federation, isajeva@yandex.ru, https://orcid.org/0000-0002-2969-7847, +7-921-956-33-41
Kurnukhina M.Yu. Senior Laboratory Assistant, Post-graduate student of the Department of Neurosurgery, FSBEI HE Pavlov First Saint Petersburg State Medical University of the Ministry of Health of Russia, 6–8, Lev Tolstoy str., Saint Petersburg, 197022, Russian Federation, http://orcid.org/0000-0002-0254-4066, al-mary@mail.ru, +7-921-383-19-17
Chemurzieva F.A. FSBI National Medical Research Center named after V.A. Almazov of the Ministry of Health of Russia, 12, Mayakovsky str., Saint Petersburg, 191104, Russian Federation https://orcid.org/0000-0002-1461-0286, f-chemurzieva@yandex.ru, +79214135610
Valchuk S.N. Resident of the Department of Neurosurgery, FSBMEI HE Military Medical Academy named after S.M. Kirov of the Ministry of Defense of Russia, 6, Lebedeva str., Saint Petersburg, 194044, Russian Federation, https://orcid.org/0000-0001-8866-9611, svetasvetavalchuk@mail.ru, +7 (911) 141-33-17

The work is devoted to the gender inequality problem study in Russian neurosurgery. Materials and methods: the study is based on an anonymous survey of neurosurgeons working in Russia. The authors developed two questionnaires separately for men and women. 103 certified neurosurgeons were interviewed, 53 of them were men and 50 were women. Findings: male neurosurgeons, on average, were older, with more work experience, more often had a medical category (p<0.05) and performed more independent tasks (p<0.01). Significant differences were revealed between men and women (p <0.01) for all identical questions characterizing the female neurosurgeon perception. Women do not have less confidence in their work quality because of their gender, but they regularly face the belief that neurosurgery is not a suitable profession for women throughout their medical education and work. Harassment is not a typical phenomenon in Russian neurosurgery. There were 20.7% of women among the authors of articles in the five most cited Russian neurosurgical journals for 2016–2018, 15% of the first authors were women. Conclusions: female neurosurgeons in Russia face gender discrimination in the professional environment, which is an additional obstacle to becoming a neurosurgeon. The perception of a female neurosurgeon depending on their gender differs significantly among neurosurgeons.

Литература:

1. Spetzler RF. Progress of women in neurosurgery. Asian J Neurosurg. 2011;6:6–12.

2. Venes JL, Parent AD. Women in neurological surgery. Matson Memorial Lecture. J Neurosurg. 2006 Apr;104 (4 Suppl):227–32.

3. Kato Y. Women in neurosurgery: a new paradigm of thought will emerge. World Neurosurg. 2016;86: A16-A17.

4. KatoY, Mihara C, Matsuyama J, Ochi S, Ono H,Yamaguchi S, et al. Role of women in medicine: a look at the history, the present condition and the future status of women in the surgical field, especially neurosurgery. Minim Invasive Neurosurg. 2004;47:65–71.

5. Zanon N. Women in neurosurgery: a challenge to change historye Brazil, Sao Paulo. Childs Nerv Syst. 2011;27:337– 340.

6. Renfrow JJ, Rodriguez A, Liu A, Pilitsis JG, Samadani U, Ganju A, et al. Positive trends in neurosurgery enrollment and attrition: analysis of the 2000–2009 female neurosurgery resident cohort. J Neurosurg. 2016;124:834–839.

7. Woodrow SI, Gilmer-Hill H, Rutka JT. The neurosurgical workforce in North America: a critical review of gender issues. Neurosurgery. 2006; 59:749–755 [discussion: 755–758].

8. Committee WWP, Benzil DL, Abosch A, Germano I, Gilmer H, Maraire JN, Muraszko K, et al.The future of neurosurgery: a white paper on the recruitment and retention of women in neurosurgery. J Neurosurg. 2008;109:378–386.

9. Corley J, Williamson T Women in Neurosurgery: Final Frontier of Career Women’s Movement. World Neurosurg. 2018 Mar;111:130–131. doi: 10.1016/j.wneu.2017.12.086. Epub 2017 Dec 21.

10. Abosch A, Rutka JT. Women in neurosurgery: inequality redux. J Neurosurg. 2018 Aug;129 (2):277–281. doi: 10.3171/2018.4. JNS172878. Epub 2018 Jun 1.

11. Steklacova A, Bradac O, de Lacy P, Benes V. E-WIN Project 2016: Evaluating the Current Gender Situation in Neurosurgery Across Europe-An Interactive, Multiple-Level Survey. World Neurosurg. 2017 Aug;104:48–60. doi: 10.1016/j. wneu.2017.04.094. Epub 2017 Apr 26.

12. Kadrovye resursy uchrezhdenii zdravookhraneniia [Human resources of health care institutions] / Ministerstvo zdravookhraneniia Rossiiskoi Federatsii i FGBU «Tsentralnyi nauchno-issledovatelskii institut organizatsii i informatizatsii zdravookhraneniia» [Ministry of Health of the Russian Federation and the FSBI Central Research Institute for Organization and Informatization of Health Care]. — M., 2014. — 80 p. (In Russ.)

13. Resursy i deiatelnost meditsinskikh organizatsii zdravookhraneniia. I Chast (Meditsinskie kadry) [Resources and activities of medical healthcare organizations. Part I (Medical personnel)] / Departament monitoringa, analiza i strategicheskogo razvitiia Ministerstva zdravookhraneniia Rossiiskoi Federatsii i FGBU «Tsentralnyi nauchno-issledovatelskii institut organizatsii i informatizatsii zdravookhraneniia» [Department of Monitoring, Analysis and Strategic Development of the Ministry of Health of the Russian Federation and the FSBI Central Research Institute for Organization and Informatization of Health Care]. — M., 2016. — 270 p. (In Russ.)

14. Resursy i deiatelnost meditsinskikh organizatsii zdravookhraneniia. Chast VI (Osnovnye pokazateli zdravookhraneniia) [Resources and activities of medical healthcare organizations. Part VI (Main indicators of health care)] / Departament monitoringa, analiza i strategicheskogo razvitiia Ministerstva zdravookhraneniia Rossiiskoi Federatsii i FGBU «Tsentralnyi nauchno-issledovatelskii institut organizatsii i informatizatsii zdravookhraneniia» [Department of Monitoring, Analysis and Strategic Development of the Ministry of Health of the Russian Federation and the FSBI Central Research Institute for Organization and Informatization of Health Care]. — M., 2016. — 53 p. (In Russ.)

15. Otchet o sostoianii narodnogo zdraviia i okazanii vrachebnoi pomoshchi v Rossii za 1914 god [Report on the state of public health and the provision of medical care in Russia for 1914]. — Petrograd: Typogr. Ministry of Internal Affairs, 1916. — 211 p. (In Russ.)

16. Konovalov, Alexander & Potapov, Alexander. (2015). Neurosurgery in Russia and USSR. International Neuroscience Journal. 1. 10.17795/inj870.

17. V.V. Krylov, A.N. Konovalov, V.G. Dashyan. Neurosurgery in the Russian Federation. Zh Vopr Neirokhir Im N N Burdenko. 2017;81 (1):5–12. doi: 10.17116/engneiro20178115–10

Today women are taking an increasingly active role in the political, economic, scientific and cultural life of various countries. A similar trend is observed in medicine: if the famous doctors of the past were overwhelmingly represented by men, then a tendency towards an increase in the women role in the medical community has become increasingly evident since the second half of the 20th century. In particular, there has been an increase in the number of female neurosurgeons over the past decades, but their percentage remains significantly lower in comparison with both other medical specialities and sex ratio of medical graduates, which is largely due to gender discrimination [1–3]. The degree of professional gender inequality is also influenced by cultural, historical, political and other factors that determine the general level of sexism in a particular society [4-5]. Since any discrimination leads to a competition decrease, recently in some countries, not only the problem of gender inequality in medicine is being discussed more and more actively, but also concrete actions are being taken to eliminate it [6].

Research objective: to determine the structure of a female neurosurgeon perception in the Russian neurosurgical community.

Materials and methods The research is based on an anonymous survey of neurosurgeons working in Russia. The authors developed two questionnaires separately for men and women. The questionnaires included several blocks containing information on the individual and professional characteristics and perception characteristics of a neurosurgeon woman role. Many questions were identical in both questionnaires. The number of doctors interviewed was 103, 53 of which were men and 50 were women. Statistical data processing was carried out using the STATISTICA 10 program, the distribution normality was assessed using the Shapiro-Wilk test, and the Mann-Whitney test was used to assess the significance of differences in the compared groups. The distribution was described as mean value ± standard deviation (M±SD) for quantitative indicators and as a median with maximum and minimum values (Mdn [max;min]).

Для Цитирования:
Kovalenko R.A., Cherebillo V.Yu., Mukhitova Yu.V., Isayeva E.R., Kurnukhina M.Yu., Chemurzieva F.A., Valchuk S.N., Sexism in Russian neurosurgery. Вестник неврологии, психиатрии и нейрохирургии. 2021;6.
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