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. 2022 Mar:242:145-151.e1.
doi: 10.1016/j.jpeds.2021.11.002. Epub 2021 Nov 6.

Effect of Coronavirus Disease-2019 on the Workload of Neonatologists

Kerri Z Machut  1 , Alla Kushnir  2 , Christiana N Oji-Mmuo  3 , Jasmeet Kataria-Hale  4 , Krithika Lingappan  5 , Soyang Kwon  6 , Christiane E L Dammann  7
Affiliations

Effect of Coronavirus Disease-2019 on the Workload of Neonatologists

Kerri Z Machut et al. J Pediatr. 2022 Mar.

Abstract

Objective: To describe the impact of coronavirus disease-2019 (COVID-19) on the neonatology workforce, focusing on professional and domestic workloads.

Study design: We surveyed US neonatologists in December 2020 regarding the impact of COVID-19 on professional and domestic work during the pandemic. We estimated associations between changes in time spent on types of professional and domestic work and demographic variables with multivariable logistic regression analyses.

Results: Two-thirds (67.6%) of the 758 participants were women. Higher proportions of women than men were in the younger age group (63.3% vs 29.3%), held no leadership position (61.4% vs 46.3%), had dependents at home (68.8% vs 56.3%), did not have a partner or other adult at home (10.6% vs 3.2%), and had an employed partner (88.1% vs 64.6%) (P < .01 for all). A higher proportion of women than men reported a decrease in time spent on scholarly work (35.0% vs 29.0%; P = .02) and career development (44.2% vs 34.9%; P < .01). A higher proportion of women than men reported spending more time caring for children (74.2% vs 55.8%; P < .01). Reduced time spent on career development was associated with younger age (aOR, 2.21; 95% CI, 1.20-4.08) and number of dependents (aOR, 1.21; 95% CI, 1.01-1.45). Women were more likely to report an increase in time spent time doing domestic work (aOR, 1.53; 95% CI, 1.07-2.19) and a reduction in time on self-care (aOR, 0.49; 95% CI, 0.29-0.81).

Conclusions: COVID-19 significantly impacts the neonatology workforce, disproportionately affecting younger, parent, and women physicians. Targeted interventions are needed to support postpandemic career recovery and advance physician contributions to the field.

Keywords: gender differences; pediatrics; workforce.

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Figures

Figure 2
Figure 2
Multivariable analysis of factors associated with reduced time spent on career development (n = 671).
Figure 3
Figure 3
Multivariable analysis of factors associated with increased time spent on housework (n = 694).
Figure 1
Figure 1
Multivariable analysis of factors associated with reduced time spent on scholarly work (n = 653).
See this image and copyright information in PMC

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