RT Journal Article SR Electronic T1 Gender bias in sports medicine: an international assessment of sports medicine physicians’ perceptions of their interactions with athletes, coaches, athletic trainers and other physicians JF British Journal of Sports Medicine JO Br J Sports Med FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine SP bjsports-2021-104695 DO 10.1136/bjsports-2021-104695 A1 Yuka Tsukahara A1 Melissa Novak A1 Seira Takei A1 Irfan M Asif A1 Fumihiro Yamasawa A1 Suguru Torii A1 Takao Akama A1 Hideo Matsumoto A1 Carly Day YR 2022 UL http://bjsm.bmj.com/content/early/2022/06/22/bjsports-2021-104695.abstract AB Objectives To evaluate the difference between female and male sports medicine physicians regarding disrespectful attitudes and sexual harassment perceived from athletes, coaches, physicians, athletic trainers (ATs) and organisations/administrations.Methods and study design anonymous survey was distributed to sports medicine physicians practicing in 51 countries. χ2 analysis was used to detect differences between female and male sports medicine physicians and logistic regression analysis was used to determine the independent variables that affect disrespectful attitudes and sexual harassment from sports participants.Results 1193 sports medicine physicians (31.9% female) participated from 51 countries. The survey revealed that female physicians, compared with male physicians, perceive significantly more disrespect or have their judgement questioned more by the following categories: male and female athletes, male and female coaches, female physicians with more years of experience, male physicians (regardless of years of experience), male and female ATs and organisation/administrations (all p<0.05). The only category where the frequency of disrespect was perceived equally by male and female physicians was during their interactions with female physicians who have the same or lesser years of experience. Female sports medicine physicians noted more sexual harassment than male physicians during interactions with male athletes, coaches, ATs and physicians (all p<0.001). In the logistic regression, gender was a related factor for perceiving disrespect, especially from male coaches (OR=2.01) and physicians with more years of experience (OR=2.18).Conclusions Female sports medicine physicians around the world experience disrespectful attitudes, questioning of their judgement and are sexually harassed significantly more often than male counterparts.Data are available upon reasonable request. Data are available upon reasonable request. The data that support the findings of this study are available on request from the corresponding author, Yuka Tsukahara, via email: yuka.voila@gmail.com.