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BOSTON – The divorce rate for physicians isn’t as bad as it’s cracked up to be.
That’s according to a recent analysis comparing divorce rates of physicians to other healthcare professionals in the United States.
Among the findings of the analysis, published recently by BMJ (formerly the British Medical Journal), is that physicians had among the lowest rates of having been married more than once as compared with most other occupations in the study. Only pharmacists had a lower rate.
“While it has historically been suggested that long and sometimes unpredictable work hours among physicians may lead to higher rates of divorce, evidence on whether divorce rates among physicians exceed those in the general population has been limited and mixed,” according to background information in the article.
The adjusted probability of being ever divorced was 24.3% among physicians compared to 22.9% among pharmacists, report the authors, led by researchers from Massachusetts General Hospital. That is compared to 33% among nurses, 30.9% among health executives, 26.9% among lawyers, and 35% among other non-healthcare professionals.
For the retrospective analysis of nationally representative surveys conducted by the U.S. census from 2008-13, the researchers had data available on 48,881 physicians, 13,883 pharmacists, 10,086 dentists, 159,044 nurses, 18,920 healthcare executives, 59,284 lawyers, and 6,339,310 other non-healthcare professionals.
The main outcome measures were logistic models of divorce adjusted for age, sex, race, annual income, weekly hours worked, number of years since marriage, calendar year, and state of residence. The authors looked at both divorce prevalence – whether an individual had ever been divorced – and divorce incidence – whether an individual became divorced in the past year.
Physicians tied with pharmacists and dentists on adjusted probability of becoming divorced in the past year, 1%, compared to 1.3% among nurses, 1.1% among healthcare executives, 1.2% among lawyers, and 1.4% among other non-healthcare professionals.
For physicians, divorce prevalence was greater among women at 1.51, and longer weekly work hours were associated with increased divorce prevalence only for female physicians.
Average hours worked per week were at the highest among physicians at 50.4, compared to the lower range of 38.5 for pharmacists, 37.6 hours for dentists and 37.1 hours for nurses. Healthcare executives had 46-hour work weeks, slightly more than lawyers with 45.1.
The study found that, in analyses stratified by physician sex, greater weekly work hours were associated with increased divorce prevalence only for female physicians.
“Divorce among physicians is less common than among non-healthcare workers and several health professions,” the authors conclude. “Female physicians have a substantially higher prevalence of divorce than male physicians, which may be partly attributable to a differential effect of hours worked on divorce.”