LAUSR

Key Points Question What is the gender, racial, and ethnic diversity of elite National Institutes of Health investigators from 1991 to 2020? Findings In this cross-sectional study, while the number of principal investigators holding 3 or more research project grants increased 3-fold between 1991 and 2020, female and Black principal investigators were significantly underrepresented in this group, even after adjusting for career stage and degree. Meaning These results suggest that there is a growing funding gap among National Institutes of Health investigators, along with a persistent gender, race, and ethnic inequity among an elite class of SPIs. Consideration of the persistent gender, racial, and ethnic gaps in this elite class of investigators.