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首页> 外文期刊>JAMA surgery >Associations Between Career Satisfaction, Personal Life Factors, and Work-Life Integration Practices Among US Surgeons by Gender
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Associations Between Career Satisfaction, Personal Life Factors, and Work-Life Integration Practices Among US Surgeons by Gender

机译：性别的职业满意度，个人生活因素和工作 - 生活中的工作生活整合实践的协会

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Importance Burnout among US surgeons is alarmingly high, particularly among women, and work-life integration conflicts contribute to career dissatisfaction. Objective To evaluate associations between surgical career satisfaction and personal life factors such as time requirements for outside interests, household chores, and parenting responsibilities and to explore similarities and differences between men and women. Design, Setting, and Participants This cross-sectional survey study of practicing US surgeons was conducted between June 4 and August 1, 2018. The 257-item online survey was sent to 25.748 fellows of the American College of Surgeons. A 31-item subanalysis was performed from August 13 to November 4, 2019. Main Outcomes and Measures Degree of career satisfaction was measured on a 5-point Likert scale. Professional and personal life factors associated with career satisfaction were evaluated with gender-stratified multivariable proportional odds models. Results Among 3807 respondents, 3166 self-identified as male (83%) and 639 (17%) as female. Fewer women reported career satisfaction (483 [77%] vs 2514 [82%]) and relatively more women reported problematic interruption of personal life owing to work (315 [50%] vs 1381 [45%]). A higher proportion of women reported being primarily responsible for meal preparation (282 [46%] vs 355 [12%]) and housekeeping (149 [24%] vs 161 [5%]). On multivariable analyses, factors independently associated with career satisfaction were generally similar between genders. Stronger collegial support of work-life integration efforts was significantly associated with higher career satisfaction for both genders (P < .001), although the odds ratio (OR) for women was higher than for men (OR, 4.52; 95% CI, 2.60-7.87 vs OR, 2.45; 95% CI, 1.88-3.21). For men and women, increasing age was significantly associated with higher career satisfaction (men: OR, 1.04; 95% CI, 1.03-1.05; P < .001; women: OR, 1.04; 95% CI, 1.02-1.06; P = .001), and insufficient time for family owing to work was associated with lower satisfaction (men: OR, 0.66; 95% CI, 0.49-0.90; P = 009; women: OR, 0.49; 95% CI, 0.30-0.81; P = .006). For women only, there was a significant association between primary responsibility for at least 1 household chore and lower career satisfaction (OR, 0.66; 95% CI, 0.45-0.98; P = .04). Conclusions and Relevance In this study, although women had relatively lower surgical career satisfaction than men, the associations between career satisfaction and personal life factors were largely similar. Collegial support of work-life integration efforts appeared to be the most influential factor, particularly for women. Optimization of work-life integration may not only decrease physician burnout but also promote gender equity in surgery.
机译：美国外科医生的重要性倦怠令人惊讶地高，特别是女性，工作生活融合冲突有助于职业不满。目的探讨外科职业满意度与个人生活因素的协会，如外部利益，家庭琐事和养育责任的时间要求，并探讨男女的相似之处和差异。设计，环境和参与者在2018年6月4日至8月1日之间练习美国外科医生的这种横断面调查研究。257项在线调查被送到美国外科医生学院的25.748人。从2019年8月13日至11月4日开始进行31项分析。在5点李克特规模上测量主要结果和职业满意度的程度。与职业生涯满意相关的专业和个人生活因素进行了性别分层多变量比例赔率模型。结果3807名受访者之间，3166人自我鉴定为男性（83％）和639（17％）作为女性。较少的女性报告职业满意度（483 [77％]与2514 [82％]），相对较多的女性报告的女性报告的是由于工作的人们的个人生活中断（315 [50％] VS 1381 [45％]）。报告的妇女主要负责膳食准备（282 [46％] vs 355 [12％]）和家务（149 [24％] vs 161 [5％]）。在多变量分析上，与职业满意度独立相关的因素通常相似。更强大的工作生活融合努力的支持与双方的职业生涯效力显着相关（P <.001），尽管女性的赔率比（或）高于男性（或4.52; 95％CI，2.60 -7.87 VS或2.45; 95％CI，1.88-3.21）。对于男女而言，增加的年龄与更高的职业满意度显着相关（男性：或1.04; 95％CI，1.03-1.05; P <.001;女性：或1.04; 95％CI，1.02-1.06; P = .001），由于工作的工作时间不足与较低的满意度有关（男性：或0.66％; 95％CI，0.49-0.90; P = 009;女性：或0.49; 95％CI，0.30-0.81; p = .006）。仅限女性，至少有1个家庭核心和较低的职业满意度（或0.66％CI，0.45-0.98; P = .04）之间存在重大关联。结论和相关本研究的相关性，尽管女性的手术职业满意度比男性相对较低，但职业满意度和个人生活因素之间的协会在很大程度上。工作生活整合努力的大学支持似乎是最有影响力的因素，特别是女性。优化工作 - 生活整合可能不仅可以减少医生倦怠，还可以促进手术中的性别股权。

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