May 2024
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22 Reads
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2 Citations
Hormones and Behavior
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May 2024
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22 Reads
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2 Citations
Hormones and Behavior
April 2024
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32 Reads
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2 Citations
Biology of Sex Differences
Background Recently implemented research policies requiring the inclusion of females and males have created an urgent need for effective training in how to account for sex, and in some cases gender, in biomedical studies. Methods Here, we evaluated three sets of publicly available online training materials on this topic: (1) Integrating Sex & Gender in Health Research from the Canadian Institutes of Health Research (CIHR); (2) Sex as a Biological Variable: A Primer from the United States National Institutes of Health (NIH); and (3) The Sex and Gender Dimension in Biomedical Research , developed as part of “Leading Innovative measures to reach gender Balance in Research Activities” (LIBRA) from the European Commission. We reviewed each course with respect to their coverage of (1) What is required by the policy; (2) Rationale for the policy; (3) Handling of the concepts “sex” and “gender;” (4) Research design and analysis; and (5) Interpreting and reporting data. Results All three courses discussed the importance of including males and females to better generalize results, discover potential sex differences, and tailor treatments to men and women. The entangled nature of sex and gender, operationalization of sex, and potential downsides of focusing on sex more than other sources of variation were minimally discussed. Notably, all three courses explicitly endorsed invalid analytical approaches that produce bias toward false positive discoveries of difference. Conclusions Our analysis suggests a need for revised or new training materials that incorporate four major topics: precise operationalization of sex, potential risks of over-emphasis on sex as a category, recognition of gender and sex as complex and entangled, and rigorous study design and data analysis.
March 2024
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49 Reads
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28 Citations
Cell
November 2023
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41 Reads
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12 Citations
eLife
To enhance inclusivity and rigor, many funding agencies and journals now mandate the inclusion of females as well as males in biomedical studies. These mandates have enhanced generalizability and created unprecedented opportunities to discover sex differences. However, education in sound methods to consider sex as a subgroup category has lagged behind, resulting in a problematic literature in which study designs, analyses, and interpretations of results are often flawed. Here, we outline best practices for complying with sex-inclusive mandates, both for studies in which sex differences are a primary focus and for those in which they are not. Our recommendations are organized within the “4 Cs of Studying Sex to Strengthen Science: Consideration, Collection, Characterization and Communication,” a framework developed by the Office of Research on Women’s Health at the National Institutes of Health in the United States. Following these guidelines should help researchers include females and males in their studies while at the same time upholding high standards of rigor.
September 2023
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533 Reads
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26 Citations
The Journal of Neuroscience : The Official Journal of the Society for Neuroscience
Long overlooked in neuroscience research, sex and gender are increasingly included as key variables potentially impacting all levels of neurobehavioral analysis. Still, many neuroscientists do not understand the difference between the terms “sex” and “gender,” the complexity and nuance of each, or how to best include them as variables in research designs. This TechSights article outlines rationales for considering the influence of sex and gender across taxa, and provides technical guidance for strengthening the rigor and reproducibility of such analyses. This guidance includes the use of appropriate statistical methods for comparing groups as well as controls for key covariates of sex (e.g., total intracranial volume) and gender (e.g., income, caregiver stress, bias). We also recommend approaches for interpreting and communicating sex- and gender-related findings about the brain, which have often been misconstrued by neuroscientists and the lay public alike.
August 2023
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25 Reads
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6 Citations
Journal of Women's Health
Biomedical research has a history of excluding females as research subjects, which threatens rigor, reproducibility, and inclusivity. In 2016, to redress this bias, the U.S. National Institutes of Health (NIH) implemented a policy requiring the consideration of sex as a biological variable (SABV) in all studies involving vertebrate animals, including humans. Unless strongly justified, females and males must be included in all studies and results reported disaggregated by sex. Recent evidence indicates, however, that misunderstandings of the policy and other significant barriers impede its implementation. To shed light on those barriers at our home institution, we conducted a study funded by the Emory University Specialized Center of Research Excellence on Sex Differences (SCORE). In semistructured interviews of Emory principal investigators in the biological sciences, we noted their knowledge of what the policy entails and why it was implemented, their attitudes toward it, and the extent to which it has or has not changed their research practices. Although attitudes toward SABV were generally positive, most researchers face challenges with respect to its implementation. We suggest interventions that can be mounted at the level of home institutions, such as raising awareness of locally available core facilities, to help address these challenges. More training is needed on what the policy asks of researchers, how sex is defined, the nonhormonal ways that sex differences can manifest, and best practices for statistical analysis of sex-based data. Home institutions may also want to explore ways to lessen the stress associated with rollout of SABV policy.
May 2023
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117 Reads
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2 Citations
In species with vocal learning, acquiring species-typical vocalizations relies on early social orienting. In songbirds, for example, learning song requires dynamic social interactions with a “tutor” during an early sensitive period. Here, we hypothesized that the attentional and motivational processes that support song learning recruit the oxytocin system, which is well-understood to play a role in social orienting in other species. Juvenile male zebra finches naïve to song were each tutored by two unfamiliar adult males. Before exposure to one tutor, juveniles were injected subcutaneously with oxytocin receptor antagonist (OTA; ornithine vasotocin) and before exposure to the other, saline (control). Treatment with OTA reduced behaviors associated with approach and attention during tutoring sessions. Using a novel operant paradigm to measure preference while balancing exposure to the two tutor songs, we showed that the juveniles preferred to hear the song of the control tutor. Their adult songs more closely resembled the control tutor’s song, and the magnitude of this difference was predicted by early preference for control over OTA song. Overall, oxytocin antagonism during exposure to a tutor seemed to bias juveniles against that tutor and his song. Our results suggest that oxytocin receptors are important for socially-guided vocal learning.
April 2023
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14 Reads
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10 Citations
Women s Health Issues
February 2023
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4 Reads
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4 Citations
Pediatrics International
January 2023
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68 Reads
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6 Citations
In songbirds, learning to sing is a highly social process that likely involves social reward. Here, we tested the hypothesis that during song learning, the reward value of hearing a particular song predicts the degree to which that song will ultimately be learned. We measured the early song preferences of young male zebra finches (Taeniopygia guttata) in an operant key-pressing assay; each of two keys was associated with a higher likelihood of playing the song of the father or that of another familiar adult (“neighbor”). To minimize the effects of exposure on learning, we implemented a novel reinforcement schedule that allowed us to detect preferences while balancing exposure to each song. On average, the juveniles significantly preferred the father’s song early during song learning, before actual singing occurs in this species. When they reached adulthood, all the birds copied the father’s song. The accuracy with which the father’s song was imitated was positively correlated with the peak strength of the preference for the father’s song during the sensitive period of song learning. Our results show that preference for the song of a chosen tutor, in this case the father, predicted vocal learning during development.
... Animal models, particularly mouse models, are widely used to investigate the role of biological sex in both health and disease. The recent emphasis on understanding how biological sex influences physiology has led to increased inclusion of both male and female mice in preclinical studies, and the inclusion of sex as a biological variable in preclinical and clinical research is now expected by major biomedical research funding agencies in the United States, Canada, and the European Union [1]. ...
April 2024
Biology of Sex Differences
... Another area of controversy relates to whether sex and gender should be examined categorically by comparing outcomes between females versus males or by focusing on specific sex-and gender-related variables, such as hormone levels, chromosomes, or alignment with gender norms (12,13). This debate has arisen in part from the valid desire to ensure that already marginalized sex and gender groups such as people with innate variations in sex characteristics, trans, and non-binary, do not get left behind as we improve the representation of cisgender women in research. ...
March 2024
Cell
... Additionally, captive data suggest that relatively low concentrations of circulating testosterone are generally adequate to maintain male reproductive function 91 , while elevated testosterone levels imply costs 92 , including increased metabolic rates and immunosuppression 93 , which would prove unnecessary in captive settings. ...
October 1999
... Women from ethnic minority groups have disproportionately borne the brunt of the inadequacies within the UK's technological birthing system, which is frequently underfunded and understaffed [32,33]. The technocratic approach, which emphasises clinical tasks and safety measures over patientcentred care, has been linked to adverse psychological and social outcomes [32,34]. Recognising the particularly severe impact of this approach on ethnic minority women as evidenced by MBRRACE mortality and morbidity statistics-the Continuity of Midwifery Care (CMC) policy was developed [18]. ...
November 2023
eLife
... The influence of changing hormone levels on cognition and affect throughout the female reproductive lifecycle has often been either ignored or perceived as an unwanted source of variance, even though hormones have significant neurobiological effects 88 . This has led to biased recruitment, and a lack of understanding of how hormonal fluctuations can influence affective symptoms, such as in the premenstrual dysphoric syndrome [89][90][91] . Computational modelling of the dynamic interplay between affect, symptoms and hormones in females can therefore not only importantly inform future treatment development studies but can also serve as an excellent use-case for developing tools that are sensitive enough to capture subtle changes in affect over long time periods. ...
September 2023
The Journal of Neuroscience : The Official Journal of the Society for Neuroscience
... Further, even when sex is included as a factor, appropriate analytical approaches are infrequently employed [10]. Studies of policy implementation have identified gaps in researcher knowledge of the policies and how to implement them [11,12], for example whether sample sizes reviewed each course with respect to their coverage of (1) What is required by the policy; (2) Rationale for the policy; (3) Handling of the concepts "sex" and "gender;" (4) Research design and analysis; and (5) Interpreting and reporting data. All three discussed the importance of including males and females to better generalize results, discover potential sex differences, and tailor treatments to men and women. ...
August 2023
Journal of Women's Health
... In the short time it has been published, our methodology and proposal for a universal vertebrate gene nomenclature for the OT-VT ligand and receptor families has been adopted in a variety of studies across vertebrate lineages [52][53][54][55] and it has influenced the NCBI and ENSEMBL annotation groups in using synteny as the primary evidence when it comes to annotate newly sequenced genomes, such as those that I contributed to in the context of the Vertebrate Genomes Project [56]. Further, our methods for synteny analyses have worked as the foundation of a subsequent project I co-coordinated on the evolution of the OT pathway genes in both vertebrates and invertebrates [57]. ...
May 2023
... LIBRA stated, for example, "Study outcome measures, that is the effects of treatment, separately in each sex. " Although separate analyses do not allow for statistical comparison between females and males and in fact constitute a widespread and well-described logical error [10,11,20,[26][27][28], CIHR and LIBRA clearly considered such an approach an acceptable method to look for sex differences. CIHR stated, "Sex considerations [can] be taken into account by performing analyses in males and females separately;" in CIHR's quizzes, approaches with separate analyses were marked as "correct, " e.g., a proper sex comparison can be achieved by "separating the data into two groups and then running the analyses separately for each group. ...
April 2023
Women s Health Issues
... For example, in a recent study of abdominal obesity in children (AO), the authors missed a large sex difference in the association between AO and a measure of lipoprotein particle number because their within-sex p-values showed nonsignificant associations in both girls and boys (Akiyama et al., 2022). In fact, the interaction between sex and AO was highly significant (P=0.001); the association in girls was positive and among boys, negative (Vorland et al., 2023). The significant interaction serves as strong evidence that the association between AO and this measure of lipoprotein does depend on sex -a potentially important finding that was masked by a DISS approach. ...
February 2023
Pediatrics International
... To investigate this, traditional behavioral paradigms that rely on operant conditioning, such as key-pressing assays [19][20][21] or operant discrimination tasks [22][23][24][25][26] are insufficient. While these methods are valuable for many behavioral studies, they do not require the birds to use their vocalizations, which is essential for studying the flexibility and contextual use of calls. ...
January 2023