The Lancet Global Health, Volume 9, July 2021

This Comment article advances SDG 3 and 10 by highlighting the disproportionate imbalance of power in global health research, and calls for reforms in publishing and academia to ensure greater representation of global health researchers from low-income and middle-income countries in prestigious, high-impact journals.
Background: Clinical and preclinical studies have shown that there are sex-based differences at the genetic, cellular, biochemical, and physiological levels. Despite this, numerous studies have shown poor levels of inclusion of female populations into medical research. These disparities in sex inclusion in research are further complicated by the absence of sufficient reporting and analysis by sex of study populations. Disparities in the inclusion of the sexes in medical research substantially reduce the utility of the results of such research for the entire population.