Parental leave, childcare policies, and workplace bias for hepatology professionals: A national survey.
Journal
Hepatology communications
ISSN: 2471-254X
Titre abrégé: Hepatol Commun
Pays: United States
ID NLM: 101695860
Informations de publication
Date de publication:
01 09 2023
01 09 2023
Historique:
received:
22
12
2022
accepted:
22
05
2023
medline:
31
8
2023
pubmed:
28
8
2023
entrez:
28
8
2023
Statut:
epublish
Résumé
The presence of workplace bias around child-rearing and inadequate parental leave may negatively impact childbearing decisions and sex equity in hepatology. This study aimed to understand the influence of parental leave and child-rearing on career advancement in hepatology. A cross-sectional survey of physician members of the American Association for the Study of Liver Diseases (AASLD) was distributed through email listserv in January 2021. The 33-item survey included demographic questions, questions about bias, altering training, career plans, family planning, parental leave, and work accommodations. Among 199 US physician respondents, 65.3% were women, and 83.4% (n = 166) were attendings. Sex and racial differences were reported in several domains, including paid leave, perceptions of bias, and child-rearing. Most women (79.3%) took fewer than the recommended 12 paid weeks of parental leave for their first child (average paid leave 7.5 wk for women and 1.7 for men). A majority (75.2%) of women reported workplace discrimination, including 83.3% of Black and 62.5% of Hispanic women. Twenty percent of women were asked about their/their partners' pregnancy intentions or child-rearing plans during interviews for training. Women were more likely to alter career plans due to child-rearing (30.0% vs. 15.9%, p = 0.030). Women were also more likely to delay having children than men (69.5% vs.35.9%). Women reported sex and maternity bias in the workplace and during training interviews, which was more frequently experienced by Black and Hispanic women. As two-thirds of women had children during training, it is a particularly influential time to reevaluate programmatic support to address long-term gender disparities in career advancement.
Sections du résumé
BACKGROUND
The presence of workplace bias around child-rearing and inadequate parental leave may negatively impact childbearing decisions and sex equity in hepatology. This study aimed to understand the influence of parental leave and child-rearing on career advancement in hepatology.
METHODS
A cross-sectional survey of physician members of the American Association for the Study of Liver Diseases (AASLD) was distributed through email listserv in January 2021. The 33-item survey included demographic questions, questions about bias, altering training, career plans, family planning, parental leave, and work accommodations.
RESULTS
Among 199 US physician respondents, 65.3% were women, and 83.4% (n = 166) were attendings. Sex and racial differences were reported in several domains, including paid leave, perceptions of bias, and child-rearing. Most women (79.3%) took fewer than the recommended 12 paid weeks of parental leave for their first child (average paid leave 7.5 wk for women and 1.7 for men). A majority (75.2%) of women reported workplace discrimination, including 83.3% of Black and 62.5% of Hispanic women. Twenty percent of women were asked about their/their partners' pregnancy intentions or child-rearing plans during interviews for training. Women were more likely to alter career plans due to child-rearing (30.0% vs. 15.9%, p = 0.030). Women were also more likely to delay having children than men (69.5% vs.35.9%).
CONCLUSIONS
Women reported sex and maternity bias in the workplace and during training interviews, which was more frequently experienced by Black and Hispanic women. As two-thirds of women had children during training, it is a particularly influential time to reevaluate programmatic support to address long-term gender disparities in career advancement.
Identifiants
pubmed: 37639705
doi: 10.1097/HC9.0000000000000214
pii: 02009842-202309010-00008
pmc: PMC10461944
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : NIDDK NIH HHS
ID : K23 DK111944
Pays : United States
Organisme : NIDDK NIH HHS
ID : R03 DK131238
Pays : United States
Organisme : NCATS NIH HHS
ID : TL1 TR002318
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR002319
Pays : United States
Organisme : NCATS NIH HHS
ID : KL2 TR002317
Pays : United States
Informations de copyright
Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Association for the Study of Liver Diseases.
Références
Soc Sci Med. 2015 Apr;130:32-41
pubmed: 25680101
JAMA. 2016 Feb 16;315(7):643-5
pubmed: 26881357
J Am Coll Cardiol. 2022 Nov 29;80(22):2135-2155
pubmed: 36244862
JAMA Netw Open. 2019 Oct 2;2(10):e1913054
pubmed: 31603485
BMJ. 2018 Dec 12;363:k4926
pubmed: 30541926
Acad Med. 2016 Jul;91(7):972-8
pubmed: 26606722
Am J Gastroenterol. 2021 Nov 1;116(11):2300
pubmed: 34049320
J Am Coll Cardiol. 2022 Mar 22;79(11):1076-1087
pubmed: 35300820
Hepatology. 2020 Oct;72(4):1444-1454
pubmed: 32898922
Am J Gastroenterol. 2021 Nov 1;116(11):2302
pubmed: 34212894
Am J Gastroenterol. 2022 Dec 1;117(12):1954-1962
pubmed: 36040427
Acad Med. 2010 Apr;85(4):640-6
pubmed: 20354380
Acad Med. 2019 Nov;94(11):1654-1657
pubmed: 31299674
Acad Med. 2019 Nov;94(11):1738-1745
pubmed: 31094723
Milbank Q. 2018 Sep;96(3):434-471
pubmed: 30277601
Gastrointest Endosc. 2021 May;93(5):1047-1056.e5
pubmed: 32858002
N Engl J Med. 2020 Jul 30;383(5):e34
pubmed: 32663911
Pediatrics. 2020 Sep;146(3):
pubmed: 32759381
Am J Gastroenterol. 2008 Jul;103(7):1589-95
pubmed: 18691187
Am J Gastroenterol. 2021 Mar 1;116(3):505-508
pubmed: 33481380
BMC Med Educ. 2018 Nov 13;18(1):260
pubmed: 30424762
JAMA Cardiol. 2018 Aug 1;3(8):682-691
pubmed: 29847674
Acad Med. 2016 Aug;91(8):1068-73
pubmed: 27276007
Am J Gastroenterol. 2023 Aug 21;:
pubmed: 37463424
Pediatrics. 2013 Feb;131(2):387-90
pubmed: 23359582
Am J Gastroenterol. 2005 Feb;100(2):259-64
pubmed: 15667479
Acad Med. 2014 May;89(5):817-27
pubmed: 24667512
JAMA Intern Med. 2021 Jul 1;181(7):905-912
pubmed: 33938909
JAMA Intern Med. 2017 Jul 1;177(7):1033-1036
pubmed: 28492824
Am J Med. 2019 Mar;132(3):385-389
pubmed: 30503884
J Palliat Med. 2019 Sep;22(9):1024-1025
pubmed: 31498729
Gastroenterology. 2021 Sep;161(3):756-760
pubmed: 34089733
Am J Gastroenterol. 2021 Sep 1;116(9):1876-1884
pubmed: 34140455
Am J Gastroenterol. 2002 Feb;97(2):459-69
pubmed: 11866288
Lancet Gastroenterol Hepatol. 2019 Dec;4(12):898-900
pubmed: 31696820
JAMA. 2019 May 7;321(17):1665-1666
pubmed: 30951141
J Gen Intern Med. 2017 Jun;32(6):648-653
pubmed: 28194690
J Obstet Gynaecol Can. 2015 Jan;37(1):25-31
pubmed: 25764033
Acad Med. 2019 Nov;94(11):1631-1634
pubmed: 30946132
J Gen Intern Med. 2021 Dec;36(12):3697-3703
pubmed: 33959880
Am J Gastroenterol. 2021 Mar 1;116(3):445-446
pubmed: 33306504