O'Sullivan Ciara C, Jenkins Sarah, Leep Hunderfund Andrea N, Ruddy Kathryn J, West Colin P, Marshall Ariela L
Department of Oncology, Mayo Clinic, Rochester, Minnesota.
Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota.
JAMA Netw Open. 2025 May 1;8(5):e259507. doi: 10.1001/jamanetworkopen.2025.9507.
Few studies have assessed whether factors outside the workplace, such as support from a spouse or partner, are associated with work-life integration (WLI) satisfaction and burnout among physicians. Evaluating such an association may help with developing novel strategies to address burnout and improve WLI satisfaction among this group.
To compare spousal support among female and male physicians and explore associations of spousal support with WLI satisfaction and burnout.
DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional, multispecialty survey study was conducted among 661 faculty physicians employed at an academic medical center from March 26 to May 22, 2024.
Survey items measured spousal support (5 items), WLI satisfaction (1 item), and burnout (2 Maslach Burnout Inventory items). Associations of spousal support and gender with WLI and burnout were assessed using logistic regression analyses adjusting for age, race and ethnicity, weekly work hours, and weekly hours spent on household or childcare duties.
Overall, 739 of 2103 faculty physicians (response rate, 35.1%) completed the survey, of whom 661 (89.4%) were currently married or partnered (359 of 661 men [54.3%]). In this subset, 322 of 351 male physicians (91.7%) and 276 of 298 of female physicians (92.6%) reported frequent career support (defined as often, most of the time, or always) over the last year from their spouse or partner. Physicians reporting high levels of career support from their spouse or partner had higher odds of WLI satisfaction (odds ratio [OR], 1.50 [95% CI, 1.22-1.86]; P < .001) and lower odds of burnout (OR, 0.73 [95% CI, 0.61-0.87]; P < .001), independent of gender and adjusted for age, race and ethnicity, weekly work hours, and weekly hours spent on household or childcare duties. Male physicians had higher odds of WLI satisfaction than female physicians (OR, 1.95 [95% CI, 1.32-2.90]; P < .001), even after adjusting for spousal career support and other covariates listed, whereas odds of burnout did not significantly differ by gender (OR, 0.84 [95% CI, 0.57-1.23]; P = .37).
This study suggests that the level of career support from a spouse or partner is associated with WLI satisfaction and burnout among physicians, independent of gender. Future studies should explore whether interventions designed to enhance career support can improve WLI and well-being among physicians.
很少有研究评估工作场所之外的因素，比如配偶或伴侣的支持，是否与医生的工作生活整合（WLI）满意度和职业倦怠相关。评估这种关联可能有助于制定新策略来解决职业倦怠问题，并提高该群体的WLI满意度。
比较男性和女性医生的配偶支持情况，并探讨配偶支持与WLI满意度和职业倦怠之间的关联。
设计、背景和参与者：这项横断面、多专业的调查研究于2024年3月26日至5月22日在一家学术医疗中心的661名教职医生中进行。
调查项目测量了配偶支持（5项）、WLI满意度（1项）和职业倦怠（2项马氏职业倦怠量表项目）。使用逻辑回归分析评估配偶支持和性别与WLI及职业倦怠的关联，并对年龄、种族和族裔、每周工作小时数以及每周花在家务或育儿职责上的小时数进行了调整。
总体而言，2103名教职医生中有739人（回复率为35.1%）完成了调查，其中661人（89.4%）目前已婚或有伴侣（661名男性中有359人[54.3%]）。在这个子集中，351名男性医生中有322人（91.7%），298名女性医生中有276人（92.6%）报告在过去一年中经常得到配偶或伴侣的职业支持（定义为经常、大部分时间或总是）。报告从配偶或伴侣那里获得高水平职业支持的医生，其WLI满意度较高的几率（优势比[OR]，1.50[95%置信区间，1.22 - 1.86]；P <.001），职业倦怠几率较低（OR，0.73[95%置信区间，0.61 - 0.87]；P <.001），不受性别影响，并对年龄、种族和族裔、每周工作小时数以及每周花在家务或育儿职责上的小时数进行了调整。即使在对配偶职业支持和其他列出的协变量进行调整后，男性医生的WLI满意度几率仍高于女性医生（OR，1.95[95%置信区间，1.32 - 2.90]；P <.001），而职业倦怠几率在性别上没有显著差异（OR，0.84[95%置信区间，0.57 - 1.23]；P = 0.37）。
本研究表明，配偶或伴侣的职业支持水平与医生的WLI满意度和职业倦怠相关，不受性别影响。未来的研究应探讨旨在增强职业支持的干预措施是否能改善医生的WLI和幸福感。
