Peters Chloe E, Lee Jenney, Holt Sarah K, Wolff Erika, Gore John L, Seideman Casey A
University of Washington, Department of Urology, Seattle, WA.
University of Washington, Department of Urology, Seattle, WA.
Urology. 2023 Oct;180:295-302. doi: 10.1016/j.urology.2023.04.044. Epub 2023 Jun 28.
To evaluate attitudes of women in urology regarding the Supreme Court ruling Dobbs v. Jackson Women's Health Organization, including impacts on personal/professional decision-making and the urology workforce.
An IRB-exempt survey including Likert questions on participant views and free text questions was distributed to 1200 members of the Society of Women in Urology on 9/2/2022. Participants were medical students, urology residents, fellows, and practicing/retired urologists over 18. Responses were anonymous and aggregated. Quantitative responses were characterized with descriptive statistics and free-text responses were analyzed using thematic mapping. To complement this analysis, urologist density was mapped by county using 2021 National Provider Identifier data. State abortion laws were categorized based on Guttmacher Institute data on 10/20/2022. Data were analyzed using logistic regression, Poisson regression, and multiple linear regression.
329 respondents completed the survey. 88% disagree/strongly disagree with the Dobbs ruling. 42% of trainees may have changed their rank list if current abortion laws existed during their match. 60% of respondents said Dobbs will impact where they choose their next job. 61.5% of counties had zero urologists in 2021, 76% of which were in states with restrictive abortion laws. Urologist density was inversely associated with abortion law restrictiveness compared with the most protective counties.
The Dobbs ruling will significantly impact the urology workforce. Trainees may change how they rank programs in states with restrictive abortion laws, and urologists may consider abortion laws when choosing jobs. Restrictive states are at higher risk for worsening access to urologic care.
评估泌尿外科领域女性对最高法院关于多布斯诉杰克逊妇女健康组织案裁决的态度，包括对个人/职业决策及泌尿外科劳动力的影响。
2022年9月2日，一项豁免机构审查委员会批准的调查被分发给1200名美国泌尿外科女性协会成员，该调查包括关于参与者观点的李克特量表问题和自由文本问题。参与者为18岁以上的医学生、泌尿外科住院医师、研究员以及执业/退休泌尿外科医生。回答是匿名且汇总的。定量回答采用描述性统计进行特征分析，自由文本回答采用主题映射进行分析。为补充此分析，利用2021年国家提供者识别码数据按县绘制泌尿外科医生密度图。根据古特马赫研究所2022年10月20日的数据对各州堕胎法律进行分类。数据采用逻辑回归、泊松回归和多元线性回归进行分析。
329名受访者完成了调查。88%的人不同意/强烈不同意多布斯裁决。如果在住院医师匹配期间就存在当前的堕胎法律，42%的受训人员可能会更改他们的排名清单。60%的受访者表示多布斯裁决将影响他们选择下一份工作的地点。2021年，61.5%的县没有泌尿外科医生，其中76%位于堕胎法律限制严格的州。与保护力度最大的县相比，泌尿外科医生密度与堕胎法律的限制程度呈负相关。
多布斯裁决将对泌尿外科劳动力产生重大影响。受训人员可能会改变他们对堕胎法律限制严格州项目的排名方式，泌尿外科医生在选择工作时可能会考虑堕胎法律。限制严格的州获得泌尿外科护理的难度增加的风险更高。
