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      Who Is Caring for Health Care Workers’ Families Amid COVID-19?

      research-article
      , MD 1 , , MD 2 , , MD 3 ,
      Academic Medicine
      Lippincott Williams & Wilkins

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          Abstract

          Amid the COVID-19 pandemic, women in medicine, including faculty, residents, medical students, and other health care workers (HCWs), are facing unparalleled challenges. The burdens of pandemic-associated increases in domestic and caregiving responsibilities, professional demands, health risks associated with contracting COVID-19, and the resulting psychosocial distress have exacerbated existing gender disparities at home, at work, and in academia. School and day care closures have created additional childcare needs, primarily for women, yet little support exists for parents and families. These increased childcare and domestic responsibilities have forced women HCWs, who make up the overwhelming majority of the workforce, to adapt their schedules and, in some cases, leave their jobs entirely.

          In this article, the authors detail how COVID-19 has exacerbated existing childcare accessibility and affordability issues as well as gender disparities. They argue that unless government and health care organization support for childcare increases, families, specifically women and children, will continue to suffer. Lack of access to affordable childcare can prevent HCWs from doing their jobs, including conducting and publishing academic scholarship. This poses incalculable risks to families, science, and society. COVID-19 should serve as a call to action to all sectors, including the government and health care organizations, to prioritize childcare provision and increase support for women HCWs, both now during the pandemic and going forward.

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          Most cited references27

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          Is Open Access

          Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

          Key Points Question What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)? Findings In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19. Meaning These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.
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            Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic

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              Gender differences in time spent on parenting and domestic responsibilities by high-achieving young physician-researchers.

              Female physician-researchers do not achieve career success at the same rate as men. Differences in nonprofessional responsibilities may partially explain this gap.
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                Author and article information

                Journal
                Acad Med
                Acad Med
                ACM
                Academic Medicine
                Lippincott Williams & Wilkins (Hagerstown, MD )
                1040-2446
                1938-808X
                23 February 2021
                September 2021
                : 96
                : 9
                : 1254-1258
                Affiliations
                [1 ] L.J. Robinson was a fourth-year medical student, University of Minnesota Medical School, Minneapolis, Minnesota, at the time of writing. She is a first-year resident, Department of Medicine, Duke University School of Medicine, Durham, North Carolina, now; ORCID: https://orcid.org/0000-0002-0961-4020.
                [2 ] B.J. Engelson is a second-year resident, Department of Psychiatry, University of Minnesota Medical School, Minneapolis, Minnesota; ORCID: https://orcid.org/0000-0002-6877-520.
                [3 ] S.N. Hayes is professor of medicine and cardiovascular diseases, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota; ORCID: https://orcid.org/0000-0003-3129-362X.
                Author notes
                Correspondence should be addressed to Sharonne N. Hayes, Department of Cardiovascular Medicine, Mayo Clinic, 200 First St. SW, Rochester, MN 55905; telephone: (507) 293-1810; email: Hayes.Sharonne@ 123456mayo.edu ; Twitter: @SharonneHayes.
                Article
                00023
                10.1097/ACM.0000000000004022
                8378425
                33635839
                a4598bf5-82f6-45cb-b804-c6c05352ae03
                Copyright © 2021 by the Association of American Medical Colleges

                This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.

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