Wang Yi-Jen, Chiang Shu-Chiung, Chen Tzeng-Ji, Chou Li-Fang, Hwang Shinn-Jang, Liu Jui-Yao
Department of Family Medicine, Taipei Veterans General Hospital, 201, Taipei 112, Taiwan.
Institute of Hospital and Health Care Administration, National Yang-Ming University, Taipei 112, Taiwan.
Int J Environ Res Public Health. 2017 Jul 9;14(7):746. doi: 10.3390/ijerph14070746.
: Although more and more women are becoming physicians, their decisions regarding pregnancy may be affected by the lengthy period of medical education and postgraduate training. The aim of this study was to explore the birth trends among female physicians in Taiwan; Retrospective analyses of maternal ages at delivery from 1996 to 2013, both for physicians and the general population, were conducted using a nationwide dataset called National Health Insurance Research Database; : During the study period, 8540 female physicians were identified. The physicians delivered a total of 4940 births in that time, with a rise from 210 in 1996 to 440 in 2013. In addition, the mean maternal age of the physicians at delivery increased from 32.19 years (standard deviations (SD) 2.80) in 1996 to 33.61 (SD 3.21) in 2013, values significantly higher than those for non-physicians of 27.81 (SD 4.74) in 1996 ( < 0.001) and 31.36 (SD 4.78) in 2013 ( < 0.001); : Female physicians usually gave birth at an older age than non-physicians, but the discrepancy between the two groups gradually declined over the 18-year course of the study. The establishment of a maternity-friendly environment for female physicians should be considered by those who determine healthcare system policies.
尽管越来越多的女性成为医生，但她们关于怀孕的决定可能会受到漫长的医学教育和研究生培训阶段的影响。本研究的目的是探讨台湾女性医生的生育趋势；利用一个名为“国民健康保险研究数据库”的全国性数据集，对1996年至2013年医生和普通人群的分娩时产妇年龄进行回顾性分析；在研究期间，共识别出8540名女性医生。这些医生在那段时间共分娩4940次，从1996年的210次上升至2013年的440次。此外，医生分娩时的平均产妇年龄从1996年的32.19岁（标准差（SD）2.80）增至2013年的33.61岁（SD 3.21），这些数值显著高于非医生群体在1996年的27.81岁（SD 4.74）（<0.001）和2013年的31.36岁（SD 4.78）（<0.001）；女性医生通常比非医生生育年龄更大，但在18年的研究过程中，两组之间的差异逐渐缩小。那些制定医疗保健系统政策的人应考虑为女性医生建立一个有利于生育的环境。
