Citizen science as an instrument for women’s health research


Abstract

Women’s health research is receiving increasing attention globally, but considerable knowledge gaps remain. Across many fields of research, active involvement of citizens in science has emerged as a promising strategy to help align scientific research with societal needs. Citizen science offers researchers the opportunity for large-scale sampling and data acquisition while engaging the public in a co-creative approach that solicits their input on study aims, research design, data gathering and analysis. Here, we argue that citizen science has the potential to generate new data and insights that advance women’s health. Based on our experience with the international Isala project, which used a citizen-science approach to study the female microbiome and its influence on health, we address key challenges and lessons for generating a holistic, community-centered approach to women’s health research. We advocate for interdisciplinary collaborations to fully leverage citizen science in women’s health toward a more inclusive research landscape that amplifies underrepresented voices, challenges taboos around intimate health topics and prioritizes women’s involvement in shaping health research agendas.

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Fig. 1: The citizen science pyramid.
Fig. 2: Isala citizen-science project conduct.
Fig. 3: Communicating study results to participants.

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References

  1. Ojong, S. A., Temmerman, M., Khosla, R. & Bustreo, F. Women’s health and rights in the twenty-first century. Nat. Med. 30, 1547–1555 (2024).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  2. Liu, K. A. & Dipietro Mager, N. A. Women’s involvement in clinical trials: historical perspective and future implications. Pharm. Pract. 14, 708 (2016).

    Google Scholar 

  3. Legato, M. Principles of Gender-Specific Medicine: Gender in the Genomic Era (Academic Press, 2017).

  4. Chapron, C., Marcellin, L., Borghese, B. & Santulli, P. Rethinking mechanisms, diagnosis and management of endometriosis. Nat. Rev. Endocrinol. 15, 666–682 (2019).

    Article 
    PubMed 

    Google Scholar 

  5. Agarwal, S. K. et al. Clinical diagnosis of endometriosis: a call to action. Am. J. Obstet. Gynecol. 220, 354.e1–354.e12 (2019).

    Article 
    PubMed 

    Google Scholar 

  6. Al Wattar, B. H. et al. Harmonizing research outcomes for polycystic ovary syndrome (HARP), a marathon not a sprint: current challenges and future research need. Hum. Reprod. 36, 523–528 (2021).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  7. Dubol, M., Epperson, C. N., Lanzenberger, R., Sundström-Poromaa, I. & Comasco, E. Neuroimaging premenstrual dysphoric disorder: a systematic and critical review. Front. Neuroendocrinol. 57, 100838 (2020).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  8. McEvoy, M., McElvaney, R. & Glover, R. Understanding vaginismus: a biopsychosocial perspective. Sex. Relatsh. Ther. 39, 680–701 (2021).

    Article 

    Google Scholar 

  9. Department of Health & Social Care. Our Vision for the Women’s Health Strategy for England assets.publishing.service.gov.uk/media/61c1b579e90e07196a66be15/dhsc-our-vision-for-the-women_s-health-strategy-for-england.pdf (2021).

  10. Stafford-Smith, M. et al. Integration: the key to implementing the Sustainable Development Goals. Sustain. Sci. 12, 911–919 (2017).

    Article 
    PubMed 

    Google Scholar 

  11. Serrano, M. G. et al. Racioethnic diversity in the dynamics of the vaginal microbiome during pregnancy. Nat. Med. 25, 1001–1011 (2019).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  12. Oftedal, A. M., Busterud, K., Irgens, L. M., Haug, K. & Rasmussen, S. Socio-economic risk factors for preterm birth in Norway 1999–2009. Scand. J. Public Health 44, 587–592 (2016).

    Article 
    PubMed 

    Google Scholar 

  13. Virtanen, S. et al. Vaginal microbiota composition correlates between pap smear microscopy and next generation sequencing and associates to socioeconomic status. Sci. Rep. 9, 7750 (2019).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  14. Dabee, S., Passmore, J.-A. S., Heffron, R. & Jaspan, H. B. The complex link between the female genital microbiota, genital infections, and inflammation. Infect. Immun. 89, e00487-20 (2021).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  15. Haklay, M. Citizen science and volunteered geographic information: overview and typology of participation. In Crowdsourcing Geographic Knowledge 105–122 (2012).

  16. Kimura, A. H. & Kinchy, A. Citizen science: probing the virtues and contexts of participatory research. Engag. Sci. Technol. Soc. 2, 331–361 (2016).

    Google Scholar 

  17. Fiske, A., Prainsack, B. & Buyx, A. Meeting the needs of underserved populations: setting the agenda for more inclusive citizen science of medicine. J. Med. Ethics 45, 617–622 (2019).

    Article 
    PubMed 

    Google Scholar 

  18. Schwartz-Marín, E., Wade, P., Cruz-Santiago, A. & Cárdenas, R. Colombian forensic genetics as a form of public science: the role of race, nation and common sense in the stabilization of DNA populations. Soc. Stud. Sci. 45, 862–885 (2015).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  19. Ottinger, G. Citizen science. In the Routledge Encyclopedia of Citizen Media 6 (Routledge, 2020).

  20. Hager, E. et al. A model for engaging citizen scientists: a community-partnered research collaboration to address inequities for Black birthing people. Matern. Child Health J. 28, 1495–1505 (2024).

    Article 
    PubMed 

    Google Scholar 

  21. Irwin, A. Citizen science comes of ages. Efforts to engage the public in research are bigger and more diverse than ever. But how much more room is there to grow? Nature 562, 480–482 (2018).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  22. A life-course approach to women’s health. Nat. Med. 30, 1 (2024).

  23. Lebeer, S. et al. A citizen-science-enabled catalogue of the vaginal microbiome and associated factors. Nat. Microbiol. 8, 2183–2195 (2023).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  24. David, M. Albert and Gustav Döderlein — a critical view to the biographies of two German professors. Zentralbl. Gynakol. 128, 56–59 (2006).

    Article 
    CAS 

    Google Scholar 

  25. Wyklicky, H. & Skopec, M. Ignaz Philipp Semmelweis, prophet of bacteriology. Infect. Control 4, 367–370 (1983).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  26. Khabele, D., Holcomb, K., Connors, N. K. & Bradley, L. A perspective on James Marion Sims, MD, and antiblack racism in obstetrics and gynecology. J. Minim. Invasive Gynecol. 28, 153–155 (2021).

  27. Christmas, M. #SayHerName: should obstetrics and gynecology reckon with the legacy of JM Sims? Reprod. Sci. 28, 3282–3284 (2021).

    Article 
    PubMed 

    Google Scholar 

  28. Spettel, S. & White, M. D. The portrayal of J. Marion Sims’ controversial surgical legacy. J. Urol. 185, 2424–2427 (2011).

    Article 
    PubMed 

    Google Scholar 

  29. Gutiérrez, E. R. Fertile Matters: the Politics of Mexican-Origin Women’s Reproduction (University of Texas Press, 2008).

  30. López, I. Matters of Choice: Puerto Rican Women’s Struggle for Reproductive Freedom (Rutgers University Press, 2008).

  31. Stephenson, H. & Zeldes, K. Write a chapter and change the world: how the Boston Women’s Health Book Collective transformed women’s health then—and now. Am. J. Public Health 98, 1741–1746 (2008).

    Article 

    Google Scholar 

  32. Boston Women’s Health Collective. Women and Their Bodies (New England Free Press, 1970).

  33. Gijsel, L., Huyse, T. & Van Hoyweghen, I. Citizen Science: Hoe Burgers de Wetenschap Uitdagen (Pelckmans Pro, 2019).

  34. Bonney, R. et al. Citizen science: a developing tool for expanding science knowledge and scientific literacy. Bioscience 59, 977–984 (2009).

    Article 

    Google Scholar 

  35. Fritz, S. et al. Geo-wiki.org: the use of crowdsourcing to improve global land cover. Remote Sens. 1, 345–354 (2009).

    Article 

    Google Scholar 

  36. Van Brussel, S. & Huyse, H. Citizen science on speed? Realising the triple objective of scientific rigour, policy influence and deep citizen engagement in a large-scale citizen science project on ambient air quality in Antwerp. J. Environ. Plan. Manag. 62, 534–551 (2019).

    Article 

    Google Scholar 

  37. Kenens, J., Van Oudheusden, M., Yoshizawa, G. & Van Hoyweghen, I. Science by, with and for citizens: rethinking ‘citizen science’ after the 2011 Fukushima disaster. Palgrave Commun. 6, 1–8 (2020).

    Google Scholar 

  38. Strasser, B. J., Baudry, J., Mahr, D., Sanchez, G. & Tancoigne, E. Rethinking science and public participation. EPFL Sci. Publ. 32, 52–76 (2019).

    Google Scholar 

  39. van Oudheusden, M., Suman, A. B., Huyse, T., Huyse, H. & Medvecky, F. The valuable plurality of the citizen sciences. Sci. Technol. Stud. 13, 10–20 (2024).

    Google Scholar 

  40. Piña-Romero, J. Citizen science ‘from the margins’: epistemologies of ignorance in the Movement of Women with Endometriosis in Mexico. Tapuya Lat. Am. Sci. Technol. Soc. https://doi.org/10.1080/25729861.2023.2247834 (2023).

  41. del Savio, L., Prainsack, B. & Buyx, A. Crowdsourcing the human gut. Is crowdsourcing also ‘citizen science’? J. Sci. Commun. 15, A03 (2016).

  42. Savio, L. Del, Prainsack, B. & Buyx, A. Motivations of participants in the citizen science of microbiomics: data from the British Gut Project. Genet. Med. 19, 959–961 (2017).

    Article 
    PubMed 

    Google Scholar 

  43. McDonald, D. et al. American Gut: an open platform for citizen science microbiome research. mSystems 3, e00031-18 (2018).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  44. Falony, G. et al. Population-level analysis of gut microbiome variation. Science 352, 560–564 (2016).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  45. Willis, J. R. et al. Citizen science charts two major ‘stomatotypes’ in the oral microbiome of adolescents and reveals links with habits and drinking water composition. Microbiome 6, 218 (2018).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  46. Lebeer, S. T. et al. A citizen-science-enabled catalogue of the vaginal microbiome and associated factors. Nat. Microbiol. 8, 2183–2195 (2023).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  47. Stunkel, L. & Grady, C. More than the money: a review of the literature examining healthy volunteer motivations. Contemp. Clin. Trials 32, 342–352 (2011).

    Article 
    PubMed 

    Google Scholar 

  48. McCann, S. K., Campbell, M. K. & Entwistle, V. A. Reasons for participating in randomised controlled trials: conditional altruism and considerations for self. Trials 11, 31 (2010).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  49. Haklay, M. M. et al. What is citizen science? The challenges of definition. In the Science of Citizen Science 13–33 (Springer, 2021).

  50. Fraisl, D. et al. Mapping citizen science contributions to the UN Sustainable Development Goals. Sustain. Sci. 15, 1735–1751 (2020).

    Article 

    Google Scholar 

  51. Irwin, A. Citizen science and scientific citizenship: same words, different meanings? In Science Communication Today — Current Strategies and Means of Action (eds Schiele, B. et al.) (Presses Universitaires de Nancy, 2015).

  52. Kimura, A. & Kinchy, A. Science by the People: Participation, Power and the Politics of Environmental Knowledge (Rutgers University Press, 2019).

  53. Füchslin, T., Schäfer, M. S. & Metag, J. Who wants to be a citizen scientist? Identifying the potential of citizen science and target segments in Switzerland. Public Underst. Sci. 28, 652–668 (2019).

    Article 
    PubMed 

    Google Scholar 

  54. Bonney, R., Phillips, T. B., Ballard, H. L. & Enck, J. W. Can citizen science enhance public understanding of science? Public Underst. Sci. 25, 2–16 (2016).

    Article 
    PubMed 

    Google Scholar 

  55. Curtis, V. Online Citizen Science and the Widening of Academia: Distributed Engagement with Research and Knowledge Production (Palgrave Macmillan, 2018).

  56. Paleco, C., Peter, S. G., Seoane, N. S., Kaufmann, J. & Argyri, P. Inclusiveness and diversity in citizen science. In the Science of Citizen Science 261–281 (Springer Nature, 2021).

  57. Aicardi, C. et al. Could DTC genome testing exacerbate research inequities? The Hastings Center — Clinical Trials & Research Ethics www.thehastingscenter.org/response-to-call-for-essays-could-dtc-genome-testing-exacerbate-research-inequities/ (2016).

  58. Edwards, R. et al. Learning and developing science capital through citizen science. In Citizen Science: Innovation in Open Science, Society and Policy 381–390 (UCL Press, 2018).

  59. Allali, I. et al. Human microbiota research in Africa: a systematic review reveals gaps and priorities for future research. Microbiome 10, 241 (2022).

    Article 

    Google Scholar 

  60. Ortega, R. P. Microbiome data dominated by wealthy countries. Science 375, 709 (2022).

    Article 
    PubMed 

    Google Scholar 

  61. Murphy, M. Seizing the Means of Reproduction: Entanglements of Feminism, Health, and Technoscience (Duke University Press, 2012).

  62. Wallerstein, N. & Duran, B. Community-based participatory research contributions to intervention research: the intersection of science and practice to improve health equity. Am. J. Public Health 100, 40–46 (2010).

    Article 

    Google Scholar 

  63. Flores, C. & Bagwell, J. Social justice leadership as inclusion: promoting inclusive practices to ensure equity for all. Educ. Leadersh. Adm. Teach. Program Dev. 31–43 (2021).

  64. Tang, K. & Estrada-Reveles, U. A collective approach to building an equitable and inclusive system that meets the needs of marginalized populations in education. Educ. Leadersh. Adm. Teach. Program Dev. 44–56 (2021).

  65. Kapoor, A. & McKinnon, M. The elephant in the room: tackling taboos in women’s healthcare. J. Sci. Commun. 20, C1 (2021).

    Article 

    Google Scholar 

  66. Sundstrom, B. Breaking women’s health taboos: integrating diffusion of innovations theory with social marketing. Soc. Mar. Q. 20, 87–102 (2014).

    Article 

    Google Scholar 

  67. Kulczycki, A. A comparative study of abortion policymaking in Brazil and South America: the salience of issue networks and policy windows. J. Comp. Policy Anal. Res. Pract. 16, 62–78 (2014).

    Article 

    Google Scholar 

  68. Wehn, U. et al. Impact assessment of citizen science: state of the art and guiding principles for a consolidated approach. Sustain. Sci. 16, 1683–1699 (2021).

    Article 

    Google Scholar 

  69. Ahannach, S. et al. Microbial enrichment and storage for metagenomics of vaginal, skin, and saliva samples. iScience 24, 103306 (2021).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  70. Crain, R., Cooper, C. & Dickinson, J. L. Citizen science: a tool for integrating studies of human and natural systems. Annu. Rev. Environ. Resour. 39, 641–665 (2014).

    Article 

    Google Scholar 

  71. Burns, T. W., O’Connor, D. J. & Stocklmayer, S. M. Science communication: a contemporary definition. Public Underst. Sci. 12, 183–202 (2003).

    Article 

    Google Scholar 

  72. Loomba, S., de Figueiredo, A., Piatek, S. J., de Graaf, K. & Larson, H. J. Measuring the impact of COVID-19 vaccine misinformation on vaccination intent in the UK and USA. Nat. Hum. Behav. 5, 960 (2021).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  73. Goldberg, M. H., Gustafson, A., Rosenthal, S. A. & Leiserowitz, A. Shifting Republican views on climate change through targeted advertising. Nat. Clim. Change 11, 573–577 (2021).

    Article 

    Google Scholar 

  74. Weingart, P. & Guenther, L. Science communication and the issue of trust. J. Sci. Commun. 15, C01 (2016).

    Article 

    Google Scholar 

  75. National Academies of Sciences Engineering and Medicine. Open Science by Design: Realizing a Vision for 21st Century Research (National Academies Press, 2018).

  76. Grand, A., Wilkinson, C., Bultitude, K. & Winfield, A. F. T. Open science: a new ‘trust technology’? Sci. Commun. 34, 679–689 (2012).

    Article 

    Google Scholar 

  77. Bromme, R., Mede, N. G., Thomm, E., Kremer, B. & Ziegler, R. An anchor in troubled times: trust in science before and within the COVID-19 pandemic. PLoS ONE 17, e0262823 (2022).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  78. Kreps, S. E. & Kriner, D. L. Model uncertainty, political contestation, and public trust in science: evidence from the COVID-19 pandemic. Sci. Adv. 6, eabd4563 (2020).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  79. Ahannach, S. et al. Microbial enrichment and storage for metagenomics of vaginal, skin and saliva samples. iScience 24, 103306 (2021).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  80. Haguenoer, K. et al. Vaginal self-sampling is a cost-effective way to increase participation in a cervical cancer screening programme: a randomised trial. Br. J. Cancer 111, 2187–2196 (2014).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  81. Karwalajtys, T., Howard, M., Sellors, J. W. & Kaczorowski, J. Vaginal self sampling versus physician cervical sampling for HPV among younger and older women. Sex. Transm. Infect. 82, 337–339 (2006).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  82. Barnard, S. et al. Comparing the characteristics of users of an online service for STI self-sampling with clinic service users: a cross-sectional analysis. Sex. Transm. Infect. 94, 377–383 (2018).

    Article 
    PubMed 

    Google Scholar 

  83. Camus, C. et al. Acceptability and efficacy of vaginal self-sampling for genital infection and bacterial vaginosis: a cross-sectional study. PLoS ONE 16, e0260021 (2021).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  84. Morgan, K., Azzani, M., Khaing, S. L., Wong, Y.-L. & Su, T. T. Acceptability of women self-sampling versus clinician-collected samples for HPV DNA testing: a systematic review. J. Low. Genit. Tract Dis. 23, 193–199 (2019).

    Article 
    PubMed 

    Google Scholar 

  85. Jean-Christophe Lagier, N. D., Fenollar, F., Tamalet, C., Sokhna, C. & Raoult, D. Vaginal self-sampling as a diagnosis tool in low-income countries and potential applications for exploring the infectious causes of miscarriage. Future Microbiol. 12, 609–620 (2017).

    Article 
    PubMed 

    Google Scholar 

  86. Costa, T., Bateson, D. & Woo, Y. L. Enhancing equity in cervical screening — initiatives to increase screening participation. Curr. Opin. Obstet. Gynecol. 36, 345–352 (2024).

    Article 
    PubMed 

    Google Scholar 

  87. Tiro, J. A. et al. Understanding patients’ perspectives and information needs following a positive home human papillomavirus self-sampling kit result. J. Womens Health 28, 384–392 (2019).

    Article 

    Google Scholar 

  88. Vega-Crespo, B. et al. Barriers and advantages of self-sampling tests, for HPV diagnosis: a qualitative field experience before implementation in a rural community in Ecuador. Int. J. Womens Health 16, 947–960 (2024).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  89. Viviano, M. et al. Self-sampling to improve cervical cancer screening coverage in Switzerland: a randomised controlled trial. Br. J. Cancer 116, 1382–1388 (2017).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  90. Myria Federaal Migratiecentrum. Migratie in Cijfers en in Rechten 2018 11 https://www.myria.be/nl/publicaties/migratie-in-cijfers-en-in-rechten-2018 (2020).

  91. Van Dyck, L. Samen met Isala naar een inclusievere wetenschapswereld. Isala isala.be/samen-met-isala-naar-een-inclusievere-wetenschapswereld/ (2021).

  92. Vohland, K. et al. Editorial: the science of citizen science evolves. In The Science of Citizen Science 1–12 (Springer, 2021).

  93. Haklay, M. et al. Contours of citizen science: a vignette study. R. Soc. Open Sci. 8, 202108 (2021).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  94. Kullenberg, C. & Kasperowski, D. What is citizen science? — A scientometric meta-analysis. PLoS ONE 11, e0147152 (2016).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  95. Irwin, A. Citizen Science: A Study of People, Expertise and Sustainable Development https://doi.org/10.4324/9780203202395 (1995).

  96. Bonney, R. et al. Public Participation in Scientific Research: Defining the Field and Assessing its Potential for Informal Science Education. A CAISE Inquiry Group Report (CAISE, 2009).

  97. Groves, C. Remaking participation: science, environment and emergent publics. Sci. Cult. 26, 408–412 (2017).

    Article 

    Google Scholar 

  98. Kasperowski, D. & Kullenberg, C. The many modes of citizen science. Sci. Technol. Stud. 32, 2–7 (2019).

    Google Scholar 

  99. Shirk, J. L. et al. Public participation in scientific research: a framework for deliberate design. Ecol. Soc. 17, 29 (2012).

  100. Wiggins, A. & Crowston, K. From conservation to crowdsourcing: a typology of citizen science. In Proc. Annual Hawaii International Conference on System Science 1–10 (2011).

  101. Arnstein, S. R. A ladder of citizen participation. J. Am. Plan. Assoc. 35, 216–224 (1969).

    Google Scholar 

  102. Glimmerveen, L., Ybema, S. & Nies, H. Who participates in public participation? The exclusionary effects of inclusionary efforts. Adm. Soc. 54, 543–574 (2022).

    Article 

    Google Scholar 

  103. Engel, N., Van Hoyweghen, I. & Krumeich, A. Making Global Health Care Innovation Work: Standardization and Localization (Palgrave Macmillan, 2014).

  104. Ahannach, S. et al. Microbial and seminal traces of sexual intercourse and forensic implications. Preprint at Research Square https://doi.org/10.21203/rs.3.rs-4302243/v1 (2024).

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Acknowledgements

We foremost thank all Isala volunteers and citizens who co-created our citizen-science project. The entire Isala team (S. Condori, T. Gehrmann, S. Wittouck, I. Erreygers, J. Dillen, L. Vander Donck, I. Rahou, C. Dricot, M. Victor, M. Pinedo Bardales, K. Michiels, M. Sillen, I. De Boeck, I. Tuyaerts, N. Van de Vliet, C. Allonsius, A. Groenwals, M. Ticlla Ccenhua, J. Kenfrack) and students were instrumental for science communication, the sampling campaign and processing. Strategic support was provided by the Isala advisory board: L. Talboom and L. Haesevoets (Studio Maria), C. Varszegi (Little Big Things), R. Broms and S. Vergauwen (Sensoa), E. Den Hond and C. Franken (Provinciaal Instituut voor Hygiëne Antwerpen), C. Masquillier, L. Van Dyck, C. De Backer and K. Poels (Communication Sciences, University of Antwerp), N. Van Eekert (Sociology, UAntwerpen) and G. Donders (Gynecology expertise; UAntwerp, University Hospital Antwerp and Femicare). For funding, we acknowledge the European Research Council (starting grant Lacto-Be 852600 to S.L., with S.A. appointed on the project), the Special Research Fund of the Universiteit Antwerpen (UA BOF; DOCPRO 37054 grant to S.A.), the Research Foundation—Flanders (FWO; research projects G049022N to S.L., FWO ODYSSEUS research project 3H140131 to I.V.H. and FWO WOG W000419N to I.V.H.).

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S.L. is a voluntary academic board member of the International Scientific Association on Probiotics and Prebiotics (https://isappscience.org), a cofounder of Yun and a scientific advisor for Freya Biosciences. She declares research funding from Yun, BioOrg, Puratos, DSM and Lesaffre–Gnosis. None of these organizations or companies were involved in the design, communication or data analysis of the Isala study, which was the inspiration for this Perspective. This work is fully funded by university, governmental and European funding, with the largest part funded by the European Research Council StG project Lacto-Be. S.A. is a voluntary academic board member of the International Scientific Association on Probiotics and Prebiotics, Students and Fellows Association (https://www.isapp-sfa.com). The remaining authors declare no competing interests.

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Ahannach, S., Van Hoyweghen, I., Verhoeven, V. et al. Citizen science as an instrument for women’s health research.
Nat Med (2024). https://doi.org/10.1038/s41591-024-03371-2

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  • Received: 28 June 2024

  • Accepted: 22 October 2024

  • Published: 22 November 2024

  • DOI: https://doi.org/10.1038/s41591-024-03371-2


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