Gender Issues in Italian Catheterization Laboratories: The Gender-CATH Study. in Journal of the American Heart Association / J Am Heart Assoc. 2021 Feb;10(5):e017537. doi: 10.1161/JAHA.120.017537. Epub 2021 Feb 23.
2021
ASL Torino 3
AOU San Luigi di Orbassano
AO Ordine Mauriziano
Tipo pubblicazione
Research Support, Non-U.S. Gov't
Autori/Collaboratori (12)Vedi tutti...
Mehran R
Icahn School of Medicine at Mount Sinai New York NY.
Tarantini G
Interventional Cardiology Unit University Hospital of Padova Padua Italy.
Musumeci G
Cardiology Unit Mauriziano Hospital Turin Italy.
et alii...
Abstract
Background Women represent an increasing percentage of interventional cardiologists in Italy compared with other countries. However, gaps exist in understanding and adapting to the impact of these changing demographics. Methods and Results We performed a national survey to analyze demographics, gender-based professional difference, needs in terms of catheterization laboratory (Cath-Lab) abstention, and radiation safety issues in Italian Cath-Lab settings. A survey supported by the Italian Society of Interventional Cardiology (Società Italiana di Cardiologia Interventistica-Gruppo Italiano di Studi Emodinamici SICI-GISE) was mailed to all SICI-GISE members. Categorical data were compared using the ?(2) test. P<0.05 was considered significant. There were 326 respondents: 20.2% were <35 years old, and 64.4% had >10 years of Cath-Lab experience. Notably, 26.4% were women. Workload was not gender-influenced (women performed "on-call" duty 69.8% versus men 68.3%; P=0.97). Women were more frequently unmarried (22.1% women versus 8.7% men; P=0.002) and childless (43.9% versus 56.1%; P<0.001). Interestingly, 69.8% of women versus 44.6% of men (P<0.001) argued that pregnancy/breastfeeding negatively impacts professional skill development and career advancement. For Cath-Lab abstention, 38.9% and 69.6% of respondents considered it useful to perform percutaneous coronary intervention robotic simulations and "refresh-skill" sessions while they were absent or on return to work, respectively, without gender differences. Overall, 80% of respondents described current radioprotection counseling efforts as inadequate and not gender specific. Finally, 26.7% faced some type of job discrimination, a significantly higher proportion of whom were women. Conclusions Several gender-based differences exist or are perceived to exist among interventional cardiologists in Italian Cath-Labs. Joint strategies addressing Cath-Lab abstention and radiation exposure education should be developed to promote gender equity in interventional cardiologists.
Accesso banca dati bibliografica
Accedi alla scheda bibliografica del documento in PUBMED
PMID : 33618540
DOI : 10.1161/JAHA.120.017537
Keywords
women; radiation safety; pregnancy; gender; ethics; catheterization laboratory; Retrospective Studies; Sex Factors; Laboratories/statistics & numerical data; Male; Italy; Interpersonal Relations; Cardiac Catheterization/psychology/statistics & numerical data; Female; Humans; Cardiologists/psychology; Adult; Adaptation, Psychological;