Exploring female otolaryngologists’ experiences with gender bias and microaggressions: a cross sectional Canadian survey

Abstract Background Gender bias is behavior that shows favoritism towards one gender over another. Microaggressions are defined as subtle, often unconscious, discriminatory, or insulting actions that communicate demeaning or negative attitudes. Our objective was to explore how female otolaryngologis...

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Main Authors: Amanda C. Hu, Kelly Nguyen, Tanya K. Meyer
Format: Article
Language:English
Published: SAGE Publishing 2023-03-01
Series:Journal of Otolaryngology - Head and Neck Surgery
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Online Access:https://doi.org/10.1186/s40463-022-00618-1
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author Amanda C. Hu
Kelly Nguyen
Tanya K. Meyer
author_facet Amanda C. Hu
Kelly Nguyen
Tanya K. Meyer
author_sort Amanda C. Hu
collection DOAJ
description Abstract Background Gender bias is behavior that shows favoritism towards one gender over another. Microaggressions are defined as subtle, often unconscious, discriminatory, or insulting actions that communicate demeaning or negative attitudes. Our objective was to explore how female otolaryngologists experience gender bias and microaggressions in the workplace. Methods Anonymous web-based cross-sectional Canadian survey was distributed to all female otolaryngologists (attendings and trainees) using the Dillman’s Tailored Design Method from July to August of 2021. Quantitative survey included demographic data, validated 44-item Sexist Microaggressions Experiences and Stress Scale (MESS) and validated 10-item General Self-efficacy scale (GSES). Statistical analysis included descriptive and bivariate analysis. Results Sixty out of 200 participants (30% response rate) completed the survey (mean age 37 ± 8.3 years, 55.0% white, 41.7% trainee, 50% fellowship-trained, 50% with children, mean 9.2 ± 7.4 years of practice). Participants scored mild to moderate on the Sexist MESS—Frequency (mean ± standard deviation) 55.8 ± 24.2 (42.3% ± 18.3%), Severity 46.0 ± 23.9 (34.8% ± 18.1%), Total 104.5 ± 43.7 (39.6% ± 16.6%) and high on GSES (32.7 ± 5.7). Sexist MESS score was not associated with age, ethnicity, fellowship-training, having children, years of practice, or GSES. In the sexual objectification domain, trainees had higher frequency (p = 0.04), severity (p = 0.02) and total MESS (p = 0.02) scores than attendings. Conclusions This was the first multicenter, Canada-wide study exploring how female otolaryngologists experience gender bias and microaggressions in the workplace. Female otolaryngologists experience mild to moderate gender bias, but have high self-efficacy to manage this issue. Trainees had more severe and frequent microaggressions than attendings in the sexual objectification domain. Future efforts should help develop strategies for all otolaryngologists to manage these experiences, and thereby improve the culture of inclusiveness and diversity in our specialty. Graphical Abstract
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spelling doaj-art-8121d5f783354a159d5ea14276e8454e2025-02-03T11:13:52ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162023-03-0152111210.1186/s40463-022-00618-1Exploring female otolaryngologists’ experiences with gender bias and microaggressions: a cross sectional Canadian surveyAmanda C. Hu0Kelly Nguyen1Tanya K. Meyer2Division of Otolaryngology-Head and Neck Surgery, University of British ColumbiaUniversity of British ColumbiaDepartment of Otolaryngology Head & Neck Surgery, University of WashingtonAbstract Background Gender bias is behavior that shows favoritism towards one gender over another. Microaggressions are defined as subtle, often unconscious, discriminatory, or insulting actions that communicate demeaning or negative attitudes. Our objective was to explore how female otolaryngologists experience gender bias and microaggressions in the workplace. Methods Anonymous web-based cross-sectional Canadian survey was distributed to all female otolaryngologists (attendings and trainees) using the Dillman’s Tailored Design Method from July to August of 2021. Quantitative survey included demographic data, validated 44-item Sexist Microaggressions Experiences and Stress Scale (MESS) and validated 10-item General Self-efficacy scale (GSES). Statistical analysis included descriptive and bivariate analysis. Results Sixty out of 200 participants (30% response rate) completed the survey (mean age 37 ± 8.3 years, 55.0% white, 41.7% trainee, 50% fellowship-trained, 50% with children, mean 9.2 ± 7.4 years of practice). Participants scored mild to moderate on the Sexist MESS—Frequency (mean ± standard deviation) 55.8 ± 24.2 (42.3% ± 18.3%), Severity 46.0 ± 23.9 (34.8% ± 18.1%), Total 104.5 ± 43.7 (39.6% ± 16.6%) and high on GSES (32.7 ± 5.7). Sexist MESS score was not associated with age, ethnicity, fellowship-training, having children, years of practice, or GSES. In the sexual objectification domain, trainees had higher frequency (p = 0.04), severity (p = 0.02) and total MESS (p = 0.02) scores than attendings. Conclusions This was the first multicenter, Canada-wide study exploring how female otolaryngologists experience gender bias and microaggressions in the workplace. Female otolaryngologists experience mild to moderate gender bias, but have high self-efficacy to manage this issue. Trainees had more severe and frequent microaggressions than attendings in the sexual objectification domain. Future efforts should help develop strategies for all otolaryngologists to manage these experiences, and thereby improve the culture of inclusiveness and diversity in our specialty. Graphical Abstracthttps://doi.org/10.1186/s40463-022-00618-1Gender biasOtolaryngologyMicroaggressionFemale surgeonsWomen in surgerySelf-efficacy
spellingShingle Amanda C. Hu
Kelly Nguyen
Tanya K. Meyer
Exploring female otolaryngologists’ experiences with gender bias and microaggressions: a cross sectional Canadian survey
Journal of Otolaryngology - Head and Neck Surgery
Gender bias
Otolaryngology
Microaggression
Female surgeons
Women in surgery
Self-efficacy
title Exploring female otolaryngologists’ experiences with gender bias and microaggressions: a cross sectional Canadian survey
title_full Exploring female otolaryngologists’ experiences with gender bias and microaggressions: a cross sectional Canadian survey
title_fullStr Exploring female otolaryngologists’ experiences with gender bias and microaggressions: a cross sectional Canadian survey
title_full_unstemmed Exploring female otolaryngologists’ experiences with gender bias and microaggressions: a cross sectional Canadian survey
title_short Exploring female otolaryngologists’ experiences with gender bias and microaggressions: a cross sectional Canadian survey
title_sort exploring female otolaryngologists experiences with gender bias and microaggressions a cross sectional canadian survey
topic Gender bias
Otolaryngology
Microaggression
Female surgeons
Women in surgery
Self-efficacy
url https://doi.org/10.1186/s40463-022-00618-1
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