Department of Urology, Beaumont Health, Royal Oak, Michigan, USA.
William Beaumont School of Medicine, Rochester, Michigan, USA.
J Womens Health (Larchmt). 2024 Jan;33(1):33-38. doi: 10.1089/jwh.2023.0054. Epub 2023 Aug 3.
The objective of this study was to compare maternity leave satisfaction between physicians and nonphysicians. Currently, paid maternal leave is not guaranteed in the United States, resulting in palpable dissatisfaction among parents. Previous studies have shown associations between length of paid leave and career satisfaction and maternal happiness. A Qualtrics electronic survey was distributed to female professionals through email and social media from April 2019 to March 2020. Inclusion criterion was ≥1 child by birth or adoption, or active pregnancy. Continuous and categorical data were analyzed using two-sample -test and chi-square, respectively. Of 808 respondents, 77% were physicians. Mean age at birth/adoption of first child was higher in physicians versus nonphysicians (32.1 years vs. 29.7 years; < 0.001). Physicians took shorter maternity leave than nonphysicians (10.9 weeks vs. 12.0 weeks, = 0.017) with half of that time paid by employers (5.4 weeks vs. 5.9 weeks, = 0.2). Dissatisfaction was high among physicians (85.1%) and nonphysicians (92.4%) that correlates with maternity leave compensation dissatisfaction (49% vs. 71.3%, < 0.001). Thirty-four percent of physicians versus 41% of nonphysicians stated that their health was negatively impacted by maternity leave length. Physicians and nonphysicians reported similar incidences of depression, and breastfeeding, delivery, and other postpartum complications. When queried, 38.8% of physicians and 57% of nonphysicians said they would desire >16 weeks of paid maternity leave ( < 0.001). In conclusion, dissatisfaction among professional women on maternity leave duration and compensation is high in the United States. Given health implications for both mother and child, this should invite further discussion and changes.
本研究旨在比较医生和非医生的产假满意度。目前,美国没有保障带薪产假,导致父母明显不满。先前的研究表明,带薪休假的长短与职业满意度和产妇幸福感之间存在关联。2019 年 4 月至 2020 年 3 月,通过电子邮件和社交媒体向女性专业人士分发了一份 Qualtrics 电子调查。纳入标准是至少有 1 个通过出生或收养的孩子,或处于活跃孕期。连续和分类数据分别使用两样本 t 检验和卡方检验进行分析。在 808 名受访者中,77%是医生。医生组首次生育/收养第一胎的平均年龄高于非医生组(32.1 岁对 29.7 岁;<0.001)。与非医生相比,医生的产假时间更短(10.9 周对 12.0 周,=0.017),其中一半时间由雇主支付(5.4 周对 5.9 周,=0.2)。医生(85.1%)和非医生(92.4%)的不满率都很高,这与产假补偿不满有关(49%对 71.3%,<0.001)。34%的医生和 41%的非医生表示,产假时间对他们的健康产生了负面影响。医生和非医生报告的抑郁发生率、母乳喂养、分娩和其他产后并发症相似。在被询问时,38.8%的医生和 57%的非医生表示他们希望有超过 16 周的带薪产假(<0.001)。总之,美国职业女性对产假时间和薪酬的不满率很高。鉴于母婴健康的影响,这应该会引发进一步的讨论和改变。