Female authorship trends in a high-impact Canadian medical journal: a 10-year cross-sectional series, 2013–2023

Women were under-represented in authorship overall, though female first and last authorship increased over time, with first authorship exceeding parity in recent years and last authorship nearing equal representation. Female editors-in-chief and a higher proportion of female coauthors were associated with greater female first and last authorship, while female last authorship was additionally associated with higher odds of female first authorship. These findings provide insight into authorship trends in a high-impact Canadian medical journal and may inform future efforts to support gender equity in academic publishing.