Rurik Imre, Szigethy Endre, Langmár Zoltán
Cent Eur J Public Health. 2014 Sep;22(3):183-8. doi: 10.21101/cejph.a3910.
There are few studies from East and Central European countries on health-status, lifestyle and social circumstances of medical professionals. We evaluated data of a cohort of physicians who had graduated 30 years ago in Hungary and compared the data of their professional carrier, life style, health outcomes, and medical specialties. Questionnaires compiled by an expert group and filled in by 208 physicians (83 men and 125 women) were analysed. Men mostly work as surgeons, women were mostly employed as primary care specialists. Women changed their specialty and/or place of work more often than men. Male primary care physicians had more children than women and others specialists. At graduation, most of them had a normal BMI. Since then, a significant increase in weight and BMI was observed in both genders and across all specialty groups. The largest increase in body weight and BMI (mean 5.27) was recorded among female primary care physicians. Recorded physical activity was low in general, with male primary care specialists being most active and female primary care physicians the least. Female doctors in surgical specialties had longer resting time. Male physicians rarely participated in regular health screenings. The incidence of hypertension was higher than the Hungarian national average for that age. About 5% of primary care physicians identified themselves as regular smokers. Abstinence and regular daily alcohol consumption were reported in equal ratio. Burn-out symptoms were rarely experienced. This generation had started its medical profession before the significant progressive changes in the medicine occurred in the last decades. While physicians do not always follow their own professional advices, their lifestyle proved a little bit healthier than that of the population at large, especially for women and their health outcomes, except hypertension, were also better. In general, they were not satisfied with the financial and working conditions of the recent Hungarian healthcare system.
来自东欧和中欧国家的关于医学专业人员健康状况、生活方式和社会环境的研究很少。我们评估了一群30年前在匈牙利毕业的医生的数据,并比较了他们的职业经历、生活方式、健康状况和医学专业的数据。分析了由一个专家组编制并由208名医生(83名男性和125名女性)填写的问卷。男性大多从事外科医生工作,女性大多受雇于初级保健专科医生。女性比男性更频繁地更换专业和/或工作地点。男性初级保健医生比女性和其他专科医生有更多的孩子。毕业时,他们大多数人的体重指数(BMI)正常。从那时起,在所有性别和专业组中都观察到体重和BMI显著增加。女性初级保健医生的体重和BMI增加幅度最大(平均5.27)。总体而言,记录的身体活动水平较低,男性初级保健专科医生最活跃,女性初级保健医生最不活跃。外科专科的女医生休息时间更长。男性医生很少参加定期健康筛查。高血压发病率高于匈牙利该年龄段的全国平均水平。约5%的初级保健医生认为自己是经常吸烟者。戒酒和定期每日饮酒的报告比例相同。很少有倦怠症状。这一代人在过去几十年医学发生重大进步变化之前就开始了他们的医学职业生涯。虽然医生并不总是遵循自己的专业建议,但他们的生活方式比普通人群略健康一些,尤其是对女性而言,而且除了高血压外,她们的健康状况也更好。总体而言,他们对匈牙利近期医疗保健系统的财务和工作条件不满意。