Of 332 independently verified nominations 14 were ruled out of the analysis because they were shared by male and females - usually overly adventurous couples in compromising positions.
Of the 318 valid cases remaining, 282 (88.7 per cent) were awarded to males and just 36 to females.
Writing in the Christmas edition of the British Medical Journal, the researchers say it is puzzling that men are willing to take such unnecessary risks - simply as a rite of passage, in pursuit of male social esteem or solely in exchange for "bragging rights".
Although sex differences in risk-seeking behaviour are well documented, little is known about the gender gap in idiotic risk-taking behaviour, so the researchers reviewed data on the Darwin Awards between 1995 and 2014, noting the sex of the winner.
Dr Dennis Lendrem, of the University of Newcastle, said: "Idiotic risks are defined as senseless risks, where the apparent payoff is negligible or non-existent, and the outcome is often extremely negative and often final.
"According to 'male idiot theory' (MIT) many of the differences in risk-seeking behaviour, emergency department admissions, and mortality may be explained by the observation that men are idiots and idiots do stupid things.
"There are anecdotal data supporting MIT, but to date there has been no systematic analysis of sex differences in idiotic risk taking behaviour."
He said an honourable mention goes to the man who slipped when using a belt sander as an auto erotic device and lost a testicle. Repairing his scrotum with a staple gun, he was able to salvage his remaining testicle thus failing to eliminate himself completely from the gene pool, so he was eliminated from the analysis.
The researchers admitted the study has limitations because women may be more likely to nominate men for a Darwin Award, or the sex difference may reflect differences in alcohol use between men and women.
But Lendrem said: "Despite these limitations there can be little doubt Darwin Award winners seem to make little or no real assessment of the risk or attempt at risk management. They just do it anyway. In some cases, the intelligence of the award winner may be questioned."
The researchers believe male idiot theory deserves further investigation, and, "with the festive season upon us, we intend to follow up with observational field studies and an experimental study - males and females, with and without alcohol - in a semi-naturalistic Christmas party setting".