AUTHOR=Yan Shijiao , Li Changjun , Zhang Jiali , Wu Yafei , Tian Mengge , Liu Li , Zhou Xuan , Zheng Jianwei , Jiang Nan 

TITLE=Work-family conflict and its related factors among emergency department physicians in China: A national cross-sectional study

JOURNAL=Frontiers in Public Health

VOLUME=Volume 11 - 2023

YEAR=2023

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1092025

DOI=10.3389/fpubh.2023.1092025

ISSN=2296-2565

ABSTRACT=Background: Work-family conflict is common among emergency department physicians. The work-family conflict of Chinese emergency department physicians and the related factors have been scarcely studied. 
Objective: This study aimed to investigate the current status and related factors of work-family conflict among Chinese emergency department physicians.
Methods: A national cross-sectional study was conducted among emergency department physicians in China from June 2018 to August 2018. A standard questionnaire was used to investigate the demographic characteristics, work-related factors, and work-family conflict of emergency department physicians. The generalized linear regression analysis was used to identify the related factors of work-family conflict.
Results: 10,457 licensed emergency department physicians participated in the study. The average score of work-family conflict among the enrolled emergency department physicians was 19.27±3.94, and the prevalence of high levels of work-family conflict was 69.19%. The multivariable regression analysis showed that emergency physicians who were female (linear regression coefficient, -0.25; SE, 0.08; P=0.002), older than 40 years (linear regression coefficient, -0.53; SE, 0.14; P<0.001), and earning more than 4000 CNY per month (e.g., 4001~6000 vs. ≤4000 CNY: linear regression coefficient, -0.17; SE, 0.09; P=0.04) had lower work-family conflicts. However, emergency department physicians who were married (linear regression coefficient, 0.37; SE, 0.11; P<0.001), highly educated (linear regression coefficient, 0.46; SE, 0.10; P<0.001), had high a technical title (e.g., intermediate vs. junior technical title: linear regression coefficient, 0.61; SE, 0.09; P<0.001), worked in a high-grade hospital (e.g., tertiary hospital vs. emergency center: linear regression coefficient, 0.38; SE, 0.11; P<0.001), had a higher frequency of night shifts (e.g., 6~10 night shifts per month vs. 0~5 night shifts per month: linear regression coefficient, 0.43; SE, 0.10; P<0.001), self-perceived shortage of physicians in the department (linear regression coefficient, 2.22; SE, 0.08; P<0.001), and experienced verbal (linear regression coefficient, 1.48; SE, 0.10; P<0.001) and physical violence (linear regression coefficient, 0.84; SE, 0.08; P<0.001) in the workplace had higher work-family conflict scores.
Conclusion: Most emergency department physicians in China experience a high-level work-family conflict. Hospital administrations are recommended to take measures to reduce work-family conflict.