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职业危害?医师母亲生育结局分析

Occupational Hazard? An Analysis of Birth Outcomes Among Physician Mothers
Journal of Public Economics · 2026 · Anupam B. Jena、David Slusky、Lilly Springer

中文摘要

医师,尤其是外科医师,在培训期间工作时间长、对体力要求高,这可能影响医师母亲的生育结局。我们使用2007年至2014年得克萨斯州的出生数据,比较了医师与律师之间以及外科医师与非外科医师之间的生育结局。随后,我们考察了2011年缩短受训医师工作时间的工时改革是否影响了这些生育结局。我们发现,医师生育低出生体重儿和小于胎龄儿的发生率更高,这一结果由外科医师驱动。此外,我们发现,工时改革与较年轻医师生育小于胎龄儿的发生率下降相关。

Abstract

The long, physically demanding hours that physicians, particularly surgeons, work during their training could impact physician mothers’ birth outcomes. Using Texas birth data from 2007 to 2014, we compare birth outcomes between physicians and lawyers and between surgeons and non-surgeon physicians. We then examine whether the 2011 duty hour reform, which lowered trainee work hours, impacted those birth outcomes. We find that physicians have an increased incidence of having low birth weight and small for gestational age infants, with the results driven by surgeons. In addition, we find that the duty hour reform is associated with a reduction in the incidence of small for gestational age infants for younger physicians.
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