Gender-based differences in career paths, parenthood and perspectives on professional barriers among Asian ophthalmologists

Background: Gender equality in Asia remains under-researched, especially within medical fields. This study explored gender-related differences among ophthalmologists in Asia. Design: Observational, cross-sectional survey study. Methods: An anonymous online survey was distributed across 21 Asian regi...

Full description

Saved in:
Bibliographic Details
Main Authors: Claire L Peterson, Brian S.Y. Yeo, Shelley Yin-Hsi Chang, Rachel S Chong, Marcus Ang, Anna CS Tan, Tina Wong, Andrew S.H. Tsai
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:AJO International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2950253525000644
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849233481074212864
author Claire L Peterson
Brian S.Y. Yeo
Shelley Yin-Hsi Chang
Rachel S Chong
Marcus Ang
Anna CS Tan
Tina Wong
Andrew S.H. Tsai
author_facet Claire L Peterson
Brian S.Y. Yeo
Shelley Yin-Hsi Chang
Rachel S Chong
Marcus Ang
Anna CS Tan
Tina Wong
Andrew S.H. Tsai
author_sort Claire L Peterson
collection DOAJ
description Background: Gender equality in Asia remains under-researched, especially within medical fields. This study explored gender-related differences among ophthalmologists in Asia. Design: Observational, cross-sectional survey study. Methods: An anonymous online survey was distributed across 21 Asian regions via the Young Ophthalmologist network (June–July 2024), examining career paths, leadership, research, parenthood and gender-related workplace experiences. Results: A total of 242 cisgendered ophthalmologists from 20 regions responded; 163(67%) identified as women. Although most institutions had gender-balanced workforces, gender disparities persisted. Men were more likely than women to pursue surgically-oriented subspecialties such as surgical retina and cornea (M83% VS W52%, p=0.02). Women reported a greater impact on parenthood on subspecialty choice (W54% vs M28%, p<0.001) and career progression (W64% vs M39%, p<0.001). Women were also more likely to work part-time due to family commitments.While overall leadership, academic positions and research output were similar, head of department roles in particular were predominantly held by men (62%), with women perceiving they had less opportunities in leadership (W61% vs M90%, p<0.001) and research (W80%, M93%, p=0.01) compared to their male counterparts, and reporting a need to champion women in these areas. Women also experienced more gender discrimination and sexual harassment from their patients, colleagues, and bosses of the opposite sex compared to men(p<0.05). Conclusion: Women contribute significantly to ophthalmology in Asia but gender-related disparities remain for subspecialty choice, perceived leadership and research opportunities, parenthood, discrimination and harassment. Addressing these through mentorship, education, flexible career support, advocacy and institutional reform is essential to achieving gender equity in all areas of ophthalmology.
format Article
id doaj-art-7ab92c0943cb4e938cdff78923434014
institution Kabale University
issn 2950-2535
language English
publishDate 2025-10-01
publisher Elsevier
record_format Article
series AJO International
spelling doaj-art-7ab92c0943cb4e938cdff789234340142025-08-20T05:08:33ZengElsevierAJO International2950-25352025-10-012310016110.1016/j.ajoint.2025.100161Gender-based differences in career paths, parenthood and perspectives on professional barriers among Asian ophthalmologistsClaire L Peterson0Brian S.Y. Yeo1Shelley Yin-Hsi Chang2Rachel S Chong3Marcus Ang4Anna CS Tan5Tina Wong6Andrew S.H. Tsai7Singapore National Eye Centre, 11 Third Hospital Avenue, 168751, Singapore; Singapore Eye Research Institute, Singapore; Eye-ACP, Duke-NUS Medical School, SingaporeYong Loo Lin School of Medicine, National University of Singapore, SingaporeDepartment of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, TaiwanSingapore National Eye Centre, 11 Third Hospital Avenue, 168751, Singapore; Singapore Eye Research Institute, Singapore; Eye-ACP, Duke-NUS Medical School, SingaporeSingapore National Eye Centre, 11 Third Hospital Avenue, 168751, Singapore; Singapore Eye Research Institute, Singapore; Eye-ACP, Duke-NUS Medical School, SingaporeSingapore National Eye Centre, 11 Third Hospital Avenue, 168751, Singapore; Singapore Eye Research Institute, Singapore; Eye-ACP, Duke-NUS Medical School, SingaporeSingapore National Eye Centre, 11 Third Hospital Avenue, 168751, Singapore; Singapore Eye Research Institute, Singapore; Eye-ACP, Duke-NUS Medical School, SingaporeSingapore National Eye Centre, 11 Third Hospital Avenue, 168751, Singapore; Singapore Eye Research Institute, Singapore; Eye-ACP, Duke-NUS Medical School, Singapore; Corresponding author at: Singapore National Eye Centre, 11 Third Hospital Avenue, 168751, SingaporeBackground: Gender equality in Asia remains under-researched, especially within medical fields. This study explored gender-related differences among ophthalmologists in Asia. Design: Observational, cross-sectional survey study. Methods: An anonymous online survey was distributed across 21 Asian regions via the Young Ophthalmologist network (June–July 2024), examining career paths, leadership, research, parenthood and gender-related workplace experiences. Results: A total of 242 cisgendered ophthalmologists from 20 regions responded; 163(67%) identified as women. Although most institutions had gender-balanced workforces, gender disparities persisted. Men were more likely than women to pursue surgically-oriented subspecialties such as surgical retina and cornea (M83% VS W52%, p=0.02). Women reported a greater impact on parenthood on subspecialty choice (W54% vs M28%, p<0.001) and career progression (W64% vs M39%, p<0.001). Women were also more likely to work part-time due to family commitments.While overall leadership, academic positions and research output were similar, head of department roles in particular were predominantly held by men (62%), with women perceiving they had less opportunities in leadership (W61% vs M90%, p<0.001) and research (W80%, M93%, p=0.01) compared to their male counterparts, and reporting a need to champion women in these areas. Women also experienced more gender discrimination and sexual harassment from their patients, colleagues, and bosses of the opposite sex compared to men(p<0.05). Conclusion: Women contribute significantly to ophthalmology in Asia but gender-related disparities remain for subspecialty choice, perceived leadership and research opportunities, parenthood, discrimination and harassment. Addressing these through mentorship, education, flexible career support, advocacy and institutional reform is essential to achieving gender equity in all areas of ophthalmology.http://www.sciencedirect.com/science/article/pii/S2950253525000644Gender equityGender diversityGender advocacyWomen in ophthalmologyWomen in leadershipWomen in research
spellingShingle Claire L Peterson
Brian S.Y. Yeo
Shelley Yin-Hsi Chang
Rachel S Chong
Marcus Ang
Anna CS Tan
Tina Wong
Andrew S.H. Tsai
Gender-based differences in career paths, parenthood and perspectives on professional barriers among Asian ophthalmologists
AJO International
Gender equity
Gender diversity
Gender advocacy
Women in ophthalmology
Women in leadership
Women in research
title Gender-based differences in career paths, parenthood and perspectives on professional barriers among Asian ophthalmologists
title_full Gender-based differences in career paths, parenthood and perspectives on professional barriers among Asian ophthalmologists
title_fullStr Gender-based differences in career paths, parenthood and perspectives on professional barriers among Asian ophthalmologists
title_full_unstemmed Gender-based differences in career paths, parenthood and perspectives on professional barriers among Asian ophthalmologists
title_short Gender-based differences in career paths, parenthood and perspectives on professional barriers among Asian ophthalmologists
title_sort gender based differences in career paths parenthood and perspectives on professional barriers among asian ophthalmologists
topic Gender equity
Gender diversity
Gender advocacy
Women in ophthalmology
Women in leadership
Women in research
url http://www.sciencedirect.com/science/article/pii/S2950253525000644
work_keys_str_mv AT clairelpeterson genderbaseddifferencesincareerpathsparenthoodandperspectivesonprofessionalbarriersamongasianophthalmologists
AT briansyyeo genderbaseddifferencesincareerpathsparenthoodandperspectivesonprofessionalbarriersamongasianophthalmologists
AT shelleyyinhsichang genderbaseddifferencesincareerpathsparenthoodandperspectivesonprofessionalbarriersamongasianophthalmologists
AT rachelschong genderbaseddifferencesincareerpathsparenthoodandperspectivesonprofessionalbarriersamongasianophthalmologists
AT marcusang genderbaseddifferencesincareerpathsparenthoodandperspectivesonprofessionalbarriersamongasianophthalmologists
AT annacstan genderbaseddifferencesincareerpathsparenthoodandperspectivesonprofessionalbarriersamongasianophthalmologists
AT tinawong genderbaseddifferencesincareerpathsparenthoodandperspectivesonprofessionalbarriersamongasianophthalmologists
AT andrewshtsai genderbaseddifferencesincareerpathsparenthoodandperspectivesonprofessionalbarriersamongasianophthalmologists