OBJECTIVE To compare divorce prevalence among surgeons with that of non-surgeon physicians. SUMMARY BACKGROUND DATA The demanding nature of a career in surgery uniquely challenges the social wellbeing of a surgeon; however, its impact on marital health has not yet been well described. METHODS A cross-sectional study was conducted using publicly available U.S. Census data from 2017-2021 to investigate prevalence of divorce across different occupations. Survey respondents were divided into two groups, surgeons and non-surgeon physicians, with the remaining Census participants as a control. All participants under the age of 18 were excluded to focus on the U.S. adult population. Lifetime prevalence of divorce was measured across occupations and multivariable logistic regression analyses were performed to identify factors independently associated with divorce. Secondarily, the occurrence of more than one marriage was used to supplement understanding of marital health. RESULTS A total of 3,171 surgeons and 51,660 non-surgeon physicians were identified, with both groups similarly aged (51.6 and 50.2 y, respectively) and predominately male (82.9% and 61.9%, respectively). In unadjusted analysis, 21.3% (676/3,171) of surgeons had undergone a divorce compared to only 17.9% (9,252/51,660) of non-surgeon physicians, a 19% increase in risk of divorce (Risk ratio [RR]=1.19; 95% confidence interval [95% CI], 1.11-1.28). Both surgeons and non-surgeon physicians were significantly less likely to report being divorced compared with the general population. The increased divorce prevalence among surgeons persisted in multivariable analysis that adjusted for age, age at time of marriage, sex, race, income, hours worked per week, and number of children in the household, with surgeons experiencing a 22% increased prevalence of divorce over non-surgical physicians (adjusted divorce prevalence of 21.8% vs. 18.7%, respectively; odds ratio [OR]=1.22; 95% CI, 1.09-1.35). In subgroup analysis, the finding of higher divorce prevalence for surgeons over non-surgeon physicians was concentrated among men (adjusted divorce prevalence: 22.6% of male surgeons vs. 18.9% of male non-surgeon physicians; adjusted OR 1.26, 95% CI, 1.11-1.42), White (adjusted divorce prevalence: 22.4% of white surgeons vs. 19.1% of white non-surgeons; adjusted OR 1.22, 95% CI, 1.09-1.38) and Asian surgeons (adjusted divorce prevalence: 12.0% of Asian surgeons vs. 8.1% of Asian non-surgeons; adjusted OR 1.55, 95% CI, 1.06-2.26), with the effect not present in other measured subgroups. CONCLUSIONS Both surgeons and physicians have lower divorce prevalence than the general population. Surgeons exhibit higher prevalence of divorce compared with non-surgeon physicians, with measured demographic and work characteristics insufficient to explain this difference.

中文翻译：

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美国外科医生和其他医生之间的离婚。


目的 比较外科医生与非外科医生的离婚率。摘要背景数据 外科手术职业的高要求性质对外科医生的社会福祉提出了独特的挑战。然而，其对婚姻健康的影响尚未得到很好的描述。方法 使用 2017 年至 2021 年公开的美国人口普查数据进行横断面研究，调查不同职业的离婚率。调查受访者分为两组：外科医生和非外科医生，其余人口普查参与者作为对照。所有 18 岁以下的参与者都被排除在外，以关注美国成年人口。对不同职业的终生离婚率进行了测量，并进行了多变量逻辑回归分析，以确定与离婚独立相关的因素。其次，通过多次婚姻的发生来补充对婚姻健康的认识。结果 总共确定了 3,171 名外科医生和 51,660 名非外科医生，两组年龄相似（分别为 51.6 岁和 50.2 岁），且以男性为主（分别为 82.9% 和 61.9%）。在未经调整的分析中，21.3% (676/3,171) 的外科医生经历过离婚，而非外科医生的这一比例仅为 17.9% (9,252/51,660)，离婚风险增加了 19%（风险比 [RR]=1.19； 95% 置信区间 [95% CI], 1.11-1.28)。与一般人群相比，外科医生和非外科医生报告离婚的可能性明显较低。 在根据年龄、结婚年龄、性别、种族、收入、每周工作时间和家庭子女数量进行调整的多变量分析中，外科医生的离婚率持续上升，外科医生的离婚率增加了 22%高于非外科医师（调整后离婚率分别为 21.8% 和 18.7%；比值比 [OR]=1.22；95% CI，1.09-1.35）。在亚组分析中，发现外科医生的离婚率高于非外科医生，主要集中在男性（调整后离婚率：男性外科医生为 22.6%，男性非外科医生为 18.9%；调整后 OR 1.26，95% CI， 1.11-1.42）、白人（调整后离婚率：白人外科医生为 22.4%，白人外科医生为 19.1%；调整后 OR 1.22，95% CI，1.09-1.38）和亚裔外科医生（调整后离婚率：亚裔外科医生为 12.0%）外科医生 vs. 8.1% 的亚洲非外科医生；调整后 OR 1.55，95% CI，1.06-2.26），其他测量亚组中不存在这种影响。结论 外科医生和内科医生的离婚率均低于一般人群。与非外科医生相比，外科医生的离婚率更高，测量的人口和工作特征不足以解释这种差异。