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. 2023 Jun 5;89(1):40.
doi: 10.5334/aogh.3904. eCollection 2023.

Open(ing) Access: Top Health Publication Availability to Researchers in Low- and Middle-Income Countries

John L Kilgallon  1 , Saumya Khanna  2 , Tanujit Dey  3 , Timothy R Smith  1   2 , Kavitha Ranganathan  4
Affiliations

Open(ing) Access: Top Health Publication Availability to Researchers in Low- and Middle-Income Countries

John L Kilgallon et al. Ann Glob Health. .

Abstract

Introduction: Improving access to information for health professionals and researchers in low- and middle-income countries (LMICs) is under-prioritized. This study examines publication policies that affect authors and readers from LMICs.

Methods: We used the SHERPA RoMEO database and publicly available publishing protocols to evaluate open access (OA) policies, article processing charges (APCs), subscription costs, and availability of health literature relevant to authors and readers in LMICs. Categorical variables were summarized using frequencies with percentages. Continuous variables were reported with median and interquartile range (IQR). Hypothesis testing procedures were performed using Wilcoxon rank sum tests, Wilcoxon rank sum exact tests, and Kruskal-Wallis test.

Results: A total of 55 journals were included; 6 (11%) were Gold OA (access to readers and large charge for authors), 2 (3.6%) were subscription (charge for readers and small/no charge for authors), 4 (7.3%) were delayed OA (reader access with no charge after embargo), and 43 (78%) were hybrid (author's choice). There was no significant difference between median APC for life sciences, medical, and surgical journals ($4,850 [$3,500-$8,900] vs. $4,592 [$3,500-$5,000] vs. $3,550 [$3,200-$3,860]; p = 0.054). The median US individual subscription costs (USD/Year) were significantly different for life sciences, medical, and surgical journals ($259 [$209-$282] vs. $365 [$212-$744] vs. $455 [$365-$573]; p = 0.038), and similar for international readers. A total of seventeen journals (42%) had a subscription price that was higher for international readers than for US readers.

Conclusions: Most journals offer hybrid access services. Authors may be forced to choose between high cost with greater reach through OA and low cost with less reach publishing under the subscription model under current policies. International readers face higher costs. Such hindrances may be mitigated by a greater awareness and liberal utilization of OA policies.

Keywords: Global Health; LMICs; Open Access; Publishing; Surgery.

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Conflict of interest statement

The authors have no competing interests to declare.

Figures

Comparison of cost by journal type
Figure 1
Comparison of APC costs across journal type. Articles without APC options are excluded from this figure.
Comparisons across journal type of h-5 index and impact factor
Figure 2
Comparisons across journal type for: a) h-5 index; and b) Journal Impact Factor.
Comparisons across Open Access for h-5 index and impact factor
Figure 3
Comparisons across journal Open Access policies for: a) h-5 index; and b) Journal Impact Factor.
See this image and copyright information in PMC

References

    1. Till BM, Rudolfson N, Saluja S, Gnanaraj J, Samad L, Ljungman D, et al. Who is pirating medical literature? A bibliometric review of 28 million Sci-Hub downloads. Lancet Glob Health. 2019; 7(1): e30–e1. Epub 2018/12/18. PubMed PMID: 30554757. DOI: 10.1016/S2214-109X(18)30388-7 - DOI - PubMed
    1. Kruk ME, Gage AD, Arsenault C, Jordan K, Leslie HH, Roder-DeWan S, et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob Health. 2018; 6(11): e1196–e252. Epub 2018/09/10. PubMed PMID: 30196093; PubMed Central PMCID: PMCPMC7734391. DOI: 10.1016/S2214-109X(18)30386-3 - DOI - PMC - PubMed
    1. Drain PK, Parker RA, Robine M, Holmes KK, Bassett IV. Global migration of clinical research during the era of trial registration. PLoS One. 2018; 13(2): e0192413. Epub 2018/03/01. PubMed PMID: 29489839; PubMed Central PMCID: PMCPMC5830297. DOI: 10.1371/journal.pone.0192413 - DOI - PMC - PubMed
    1. Jochem G. Scientists In Africa Wonder If There’s Bias Against Their Research. Goats and Soda. NPR; March 26, 2018. Date Accessed: March 17, 2022. Available from: https://www.npr.org/sections/goatsandsoda/2018/03/26/597067628/scientist....
    1. Dove C, Chan TM, Thoma B, Roland D, Bruijns SR. A cross-sectional description of open access publication costs, policies and impact in emergency medicine and critical care journals. African Journal of Emergency Medicine. 2019; 9(3): 150–5. DOI: 10.1016/j.afjem.2019.01.015 - DOI - PMC - PubMed

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