Work–family conflict and prolonged fatigue among Japanese married male physicians

  • Hiroshi Ohta
  • Koji Wada
  • Masatoshi Kawashima
  • Mayuri Arimatsu
  • Toshiaki Higashi
  • Toru Yoshikawa
  • Yoshiharu Aizawa
Original Article

DOI: 10.1007/s00420-011-0613-z

Cite this article as:
Ohta, H., Wada, K., Kawashima, M. et al. Int Arch Occup Environ Health (2011) 84: 937. doi:10.1007/s00420-011-0613-z

Abstract

Purpose

Fatigue experienced by physicians may not only endanger their own health but may also affect the safety of patients. Such fatigue may be associated with the work environment and personal factors such as work–family conflict (WFC). This study aimed to determine the association between WFC and prolonged fatigue among Japanese married male physicians.

Methods

Physicians who graduated from a Japanese medical school answered a mailed anonymous self-report questionnaire. For assessment of WFC and prolonged fatigue, the Japanese versions of the WFC scale and the Checklist of Individual Strength questionnaire (CIS) were used. Prolonged fatigue was defined as the upper quartile of total CIS scores. The WFC scale comprises six dimensions. Total scores were divided into tertiles: low, intermediate, and high levels of WFC. A multiple logistic regression analysis was performed to examine the association between WFC and prolonged fatigue.

Results

A total of 540 male physicians answered the questionnaire, and the data of 444 married male physicians were analyzed. The data were then adjusted for age and work condition factors. Prolonged fatigue was significantly associated with high strain-based work interference with family (WIF; corrected odds ratio, 5.56; 95% confidence interval, 2.55–12.1), intermediate strain-based WIF (2.53, 1.25–5.10), high time-based family interference with work (FIW; 1.92, 1.08–3.40), and there was a weak association with high strain-based FIW (1.93, 0.98–3.83).

Conclusions

Employers should take measures to improve working conditions in hospitals, and give physicians the opportunity to learn how to cope with WFC. These measures could ultimately help prevent prolonged fatigue.

Keywords

Prolonged fatigue Married male physicians Work–family conflict Japan 

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Hiroshi Ohta
    • 1
  • Koji Wada
    • 1
  • Masatoshi Kawashima
    • 2
  • Mayuri Arimatsu
    • 3
  • Toshiaki Higashi
    • 3
  • Toru Yoshikawa
    • 4
  • Yoshiharu Aizawa
    • 1
  1. 1.Department of Preventive Medicine and Public HealthKitasato University School of MedicineMinami-ku, SagamiharaJapan
  2. 2.Department of Occupational Health, Graduate School of Medical SciencesKitasato UniversitySagamiharaJapan
  3. 3.Department of Work Systems and Health, The Institute of Industrial Ecological SciencesUniversity of Occupational and Environmental HealthKitakyushuJapan
  4. 4.Department of ResearchThe Institute for Science of LabourKawasakiJapan

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