Cardiology Department Interventional Cardiology Unit Santa Corona Hospital Pietra Ligure Italy.
Interventional Cardiology Unit San Luigi Gonzaga University Hospital Orbassano and Infermi Hospital Rivoli Turin Italy.
J Am Heart Assoc. 2021 Feb;10(5):e017537. doi: 10.1161/JAHA.120.017537. Epub 2021 Feb 23.
Background Women represent an increasing percentage of interventional cardiologists in Italy compared with other countries. However, gaps exist in understanding and adapting to the impact of these changing demographics. Methods and Results We performed a national survey to analyze demographics, gender-based professional difference, needs in terms of catheterization laboratory (Cath-Lab) abstention, and radiation safety issues in Italian Cath-Lab settings. A survey supported by the Italian Society of Interventional Cardiology (Società Italiana di Cardiologia Interventistica-Gruppo Italiano di Studi Emodinamici SICI-GISE) was mailed to all SICI-GISE members. Categorical data were compared using the χ test. <0.05 was considered significant. There were 326 respondents: 20.2% were <35 years old, and 64.4% had >10 years of Cath-Lab experience. Notably, 26.4% were women. Workload was not gender-influenced (women performed "on-call" duty 69.8% versus men 68.3%; =0.97). Women were more frequently unmarried (22.1% women versus 8.7% men; =0.002) and childless (43.9% versus 56.1%; <0.001). Interestingly, 69.8% of women versus 44.6% of men (<0.001) argued that pregnancy/breastfeeding negatively impacts professional skill development and career advancement. For Cath-Lab abstention, 38.9% and 69.6% of respondents considered it useful to perform percutaneous coronary intervention robotic simulations and "refresh-skill" sessions while they were absent or on return to work, respectively, without gender differences. Overall, 80% of respondents described current radioprotection counseling efforts as inadequate and not gender specific. Finally, 26.7% faced some type of job discrimination, a significantly higher proportion of whom were women. Conclusions Several gender-based differences exist or are perceived to exist among interventional cardiologists in Italian Cath-Labs. Joint strategies addressing Cath-Lab abstention and radiation exposure education should be developed to promote gender equity in interventional cardiologists.
背景 与其他国家相比，意大利女性在介入心脏病学家中的比例不断增加。然而，在理解和适应这些人口统计数据变化的影响方面仍存在差距。
方法和结果 我们进行了一项全国性调查，以分析意大利介入心脏病学中心的人口统计学、基于性别的专业差异、导管插入实验室（Cath-Lab）回避方面的需求以及辐射安全问题。该调查由意大利介入心脏病学会（Società Italiana di Cardiologia Interventistica-Gruppo Italiano di Studi Emodinamici SICI-GISE）支持，并通过邮件发送给所有 SICI-GISE 成员。使用卡方检验比较分类数据。<0.05 被认为具有统计学意义。共有 326 名受访者：20.2%的人年龄<35 岁，64.4%的人有>10 年的 Cath-Lab 经验。值得注意的是，其中 26.4%是女性。工作量不受性别影响（女性执行“随叫随到”职责的比例为 69.8%，男性为 68.3%；=0.97）。女性未婚的比例更高（22.1%的女性和 8.7%的男性；=0.002），且未育的比例更高（43.9%和 56.1%；<0.001）。有趣的是，69.8%的女性和 44.6%的男性认为（<0.001）怀孕/哺乳期会对专业技能发展和职业发展产生负面影响。关于 Cath-Lab 回避，38.9%和 69.6%的受访者分别认为在缺席或返回工作岗位时进行经皮冠状动脉介入机器人模拟和“刷新技能”课程是有用的，而这与性别无关。总体而言，80%的受访者认为当前的放射防护咨询工作不足，且不具有性别针对性。最后，26.7%的受访者面临某种类型的工作歧视，其中女性的比例明显更高。
结论 在意大利 Cath-Lab 的介入心脏病学家中存在或被认为存在一些基于性别的差异。应制定联合策略来解决 Cath-Lab 回避和辐射暴露教育问题，以促进介入心脏病学家中的性别平等。
