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新冠疫情对女性医生和高级执业医疗人员家务分工的影响。

The Impact of COVID-19 on the Division of Household Labor Among Women Physicians and Advanced Practice Providers.

作者信息

Sewell Marisa, Nobel Tamar, Lynch Kathleen A, Gilliland Jaime, Harrington Caitlin, Boerner Thomas, Mehta Laxmi S, Antonoff Mara B, Kane Lauren, Stein Sharon L, Luc Jessica G Y, Atkinson Thomas M, Molena Daniela

机构信息

Thoracic Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.

Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

出版信息

J Gen Intern Med. 2025 May;40(7):1646-1654. doi: 10.1007/s11606-024-09342-0. Epub 2025 Jan 17.

DOI:10.1007/s11606-024-09342-0
PMID:39825178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12052665/
Abstract

BACKGROUND

COVID-19 increased the burden of childcare on parents, leaving women vulnerable to increased disparities in the division of domestic labor. Women healthcare workers may be at heightened risk of worsening gender parity in the workplace as a result.

OBJECTIVE

To examine the impact of the COVID-19 pandemic on gender parity in the division of household responsibilities among women healthcare workers.

DESIGN

Cross-sectional survey assessing changes in the workplace and changes in the balance of domestic duties with partners via multiple open-ended and Likert-scale type questions. Data were analyzed descriptively, including thematic analysis of free-text responses.

PARTICIPANTS

This survey study included 1459 women healthcare workers and 244 of their partners.

MAIN MEASURES

Primary outcomes were levels of responsibility for domestic labor, including housework, childcare, and child education. Free-text questions focused on the impact of household responsibilities on the workplace.

KEY RESULTS

In total, 1459 healthcare workers identifying as women responded to this survey. Of them, 655 (45%) practice in an academic setting, and 1025 (70%) are physicians. Additionally, 244 self-identifying partners of women healthcare workers responded; the majority were men (204 [84%]), and over one-third (91 [38%]) work in healthcare. Among respondents overall, women reported doing most of the housework (52% of respondents [756/1459] versus 27% of partners [61/244]) and child education, compared with their partners (31% of respondents [451/1459] versus 23% of partners [55/244]). Thematic analysis of free-text questions revealed that women experienced worsened gender parity in the workplace because of increased household responsibilities.

CONCLUSIONS

We observed significant gender-based disparities in the division of household labor among healthcare workers, with negative impacts on work performance, focus, and academic productivity. Our results support the notion that the COVID-19 pandemic worsened gender parity in the homes of healthcare workers, thus negatively affecting gender parity in the medical workplace.

摘要

背景

新冠疫情增加了父母照顾孩子的负担,使女性更容易面临家庭劳动分工差距加大的问题。因此,女性医护人员在工作场所性别平等状况恶化的风险可能更高。

目的

研究新冠疫情对女性医护人员家庭责任分工中性别平等的影响。

设计

横断面调查,通过多个开放式和李克特量表式问题评估工作场所的变化以及与伴侣分担家务的平衡变化。对数据进行描述性分析,包括对自由文本回复的主题分析。

参与者

这项调查研究包括1459名女性医护人员及其244名伴侣。

主要测量指标

主要结果是家庭劳动责任水平,包括家务、儿童照料和儿童教育。自由文本问题聚焦于家庭责任对工作场所的影响。

关键结果

共有1459名自认为是女性的医护人员回复了此项调查。其中,655人(45%)在学术机构工作,1025人(70%)是医生。此外,244名女性医护人员的自认为是伴侣的人进行了回复;大多数是男性(204人[84%]),超过三分之一(91人[38%])从事医疗工作。在所有受访者中与伴侣相比,女性承担了大部分家务(52%的受访者[756/1459],而伴侣为27%[61/244])和儿童教育(31%的受访者[451/1459],而伴侣为23%[55/244])。对自由文本问题的主题分析显示,由于家庭责任增加,女性在工作场所的性别平等状况恶化。

结论

我们观察到医护人员在家务分工中存在显著的性别差异,对工作表现、注意力和学术生产力产生负面影响。我们的结果支持这样一种观点,即新冠疫情使医护人员家庭中的性别平等状况恶化,从而对医疗工作场所的性别平等产生负面影响。

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本文引用的文献

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Gender and intention to leave healthcare during the COVID-19 pandemic among U.S. healthcare workers: A cross sectional analysis of the HERO registry.在美国医护人员中,COVID-19 大流行期间的性别与离开医疗保健行业的意愿:HERO 登记处的横断面分析。
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Gender discrimination among women healthcare workers during the COVID-19 pandemic: Findings from a mixed methods study.新冠疫情期间女性医护工作者中的性别歧视:一项混合方法研究的结果。
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The effect of the COVID-19 pandemic on gendered research productivity and its correlates.新冠疫情对性别化研究生产力及其相关因素的影响。
J Informetr. 2023 Feb;17(1):101380. doi: 10.1016/j.joi.2023.101380. Epub 2023 Jan 11.
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The relationship between parenting engagement and academic performance.父母参与度与学业表现之间的关系。
Sci Rep. 2022 Dec 24;12(1):22300. doi: 10.1038/s41598-022-26258-z.
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The extreme gendering of COVID-19: Household tasks and division of labour satisfaction during the pandemic.新冠疫情下的极端性别化:大流行期间的家务劳动和分工满意度。
Can Rev Sociol. 2022 Oct;59(S1):26-47. doi: 10.1111/cars.12391. Epub 2022 Aug 10.
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COVID-19 and gender disparities: Labour market outcomes.新冠疫情与性别差异:劳动力市场成果
Res Econ. 2022 Sep;76(3):206-217. doi: 10.1016/j.rie.2022.07.011. Epub 2022 Jul 27.
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Pay gap: Women in healthcare sector earn 24% less than men, international report finds.薪酬差距:国际报告发现,医疗保健行业女性的收入比男性低24%。
BMJ. 2022 Jul 13;378:o1748. doi: 10.1136/bmj.o1748.
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