Surgeon Attitudes and Beliefs Toward Abdominal Wall Hernia Repair in Female Patients of Childbearing Age

Residents were more likely to report discrimination if female (odds ratio [OR], 1.48 [95% CI, 1.27-1.74]; P < .001), nonwhite (Black: OR, 20.91 [95% CI, 14.39-30.38]; P < .001; Hispanic: OR, 2.62 [95% CI, 1.99-3.47]; P < .001; Asian: OR, 6.29 [95% CI, 5.18-7.63]; P < .001), more senior (program year 2 or 3: OR, 1.30 [95% CI, 1.08-1.57]; P = .005; program year 4 or 5: OR, 1.57 [95% CI, 1.28-1.92]; P < .001; compared with program year 1), and after experiencing violations of the 80-hour duty limit (>5 times in 6 months: OR, 2.26 [95% CI, 1.69-3.02]; P < .001; vs never; Table Stratification by sex revealed higher odds in women for every nonwhite race/ethnicity (black men: OR, 18.6 [95% CI, 11.44-30.32] vs black women: OR, 23.93 [95% CI, 13.93-41.12]; Hispanic men: OR, 2.32 [95% CI, 1.57-3.42] vs Hispanic women: 3.09 [95% CI, 2.06-4.64]; Asian men: OR, 5.66 [95% CI, 4.36-7.34] vs Asian women: 7.35 [95% CI, 5.57-9.72]). Geographic location, program type (academic, community, or military), and the racial/ethnic compositions of the faculty and residency members were not associated with the likelihood of experiencing discrimination. Residents who experienced discrimination reported higher rates of burnout (51.6% vs 40.0%; P < .001), thoughts of attrition (16.2% vs 10.1%; P < .001), and suicidal thoughts (6.5% vs 3.8%; P < .001).