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. 2025 Sep 8.
doi: 10.1007/s10384-025-01275-3. Online ahead of print.

Association of work-family conflict with turnover intention among hospital ophthalmologists in Japan: a cross-sectional study

Yukiko Tsubota  1   2 , Atsushi Miyawaki  3   4 , Masashi Izumiya  5 , Yuho Shimizu  6 , Hideo Yasunaga  7 , Makoto Aihara  8   5 , Masato Eto  5
Affiliations

Association of work-family conflict with turnover intention among hospital ophthalmologists in Japan: a cross-sectional study

Yukiko Tsubota et al. Jpn J Ophthalmol. .

Abstract

Purpose: To examine the associations between work-family conflict, implicit gender bias, and turnover intention among hospital ophthalmologists.

Study design: Cross-sectional study.

Methods: We conducted a web-based questionnaire survey between January and February 2024. The participants were full-time ophthalmologists working in 37 hospitals in the Kanto region of Japan. We assessed the associations between work-family conflict, implicit gender bias, and turnover intention using multivariable regression analysis, with adjustments for job fit and position.

Results: We analyzed data from 74 ophthalmologists (mean age: 41.5 years, standard deviation: 10.8; 51.4% women). The median intention to leave score was 2.50 (interquartile range: 2.00-3.00). Work interference with family was significantly associated with turnover intention (adjusted difference: 0.30; 95% confidence interval: 0.075-0.53; p=0.010). However, family interference with work and implicit gender bias were not significantly associated with turnover intention.

Conclusions: This is the first study to examine the associations between work-family conflict, implicit gender bias, and turnover intention among Japanese hospital ophthalmologists. Work interference with family was associated with increased turnover intention but not with family interference with work or implicit gender bias.

Keywords: Gender bias; Hospital; Ophthalmology; Turnover intention; Work–family conflict.

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Conflict of interest statement

Declarations. Conflicts of interest: Y. Tsubota, None; A. Miyawaki, None; M. Izumiya, None; Y. Shimizu, None; H. Yasunaga, None; M. Aihara, None; M. Eto, None.

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