Ishikawa Masatoshi, Seto Ryoma, Oguro Michiko, Sato Yoshino
Research Institute, Tokyo Healthcare University, Higashi Gotanda, Shinagawa City, Tokyo 141-0022, Japan.
Okoge Co., Ltd., Higashiikebukuro, Tokyo 170-0013, Japan.
Healthcare (Basel). 2024 Nov 26;12(23):2364. doi: 10.3390/healthcare12232364.
The Ministry of Health, Labor and Welfare in Japan has been promoting physicians' working style reforms since 2019. This study aimed to update the relationship between working hours, depressive symptoms, and suicidal ideation among obstetricians and gynecologists, based on the physicians' working style reforms. A questionnaire-based survey was conducted among obstetricians and gynecologists, and valid responses were obtained from 1164 physicians. Multivariable logistic regression analysis was performed to identify significant associations. Of the respondents, 49.8% were female, and most physicians were aged 30-39 (32.1%). Precisely, 57.4% worked in public hospitals, and 47.9% worked in urban areas. Physicians working 40 ≤ x < 60 h per week accounted for the largest proportion of physicians. Depressive symptoms and suicidal ideation accounted for 16.4% and 3.6% of participants, respectively. The following factors were significantly associated with depressive symptoms as a dependent variable: other occupation, having two or three children, working 60-80 h or >100 h per week, and working in rural areas. None of these variables was significantly associated with suicidal ideation. The physicians' working style reforms have reduced the number of working hours for obstetricians and gynecologists. However, rates of depressive symptoms and suicidal ideation have not improved.
自2019年以来，日本厚生劳动省一直在推动医生工作方式改革。本研究旨在根据医生工作方式改革，更新妇产科医生工作时长、抑郁症状和自杀意念之间的关系。对妇产科医生进行了问卷调查，共获得1164名医生的有效回复。进行多变量逻辑回归分析以确定显著关联。在受访者中，49.8%为女性，大多数医生年龄在30-39岁之间（32.1%）。具体而言，57.4%在公立医院工作，47.9%在城市地区工作。每周工作40≤x<60小时的医生占比最大。抑郁症状和自杀意念分别占参与者的16.4%和3.6%。以下因素与作为因变量的抑郁症状显著相关：其他职业、育有两三个孩子、每周工作60-80小时或>100小时，以及在农村地区工作。这些变量均与自杀意念无显著关联。医生工作方式改革减少了妇产科医生的工作时长。然而，抑郁症状和自杀意念的发生率并未改善。
