Self-reported Patient-perpetrated Sexual Harassment and Subsequent Reporting Among Health Care Clinicians in Urology and Obstetrics-Gynecology: A Cohort Survey

Abstract

To understand the experiences of urologists and obstetricians-gynecologists (obgyns) with patient-perpetrated sexual harassment (PPSH) since the clinical focus of these specialists may make them particularly vulnerable to PPSH. A multiple-choice anonymous online survey was administered in the Departments of Urology and Obgyn at a single institution from 22 September, 2022-18 October, 2022. The survey assessed if clinicians had experienced PPSH, including gender harassment, unwanted sexual attention, and/or sexual coercion from patients, where PPSH was witnessed or experienced, and whether implementation of chaperones impacted their experiences with PPSH. We conducted descriptive analysis by clinician sex, department, and form of PPSH experienced. We also performed logistic regression analysis to identify clinician factors associated with experiencing PPSH. Majority of respondents reported that they experienced or witnessed PPSH (78%, N=100). Gender harassment was the most common form of PPSH experienced by clinicians (53%, N=68). PPSH was most often experienced or witnessed in clinic (74%, N=70) and inpatient wards (66%, N=62). Of those who utilized chaperones, 80% (N=57) of clinicians reported they either did not reduce or were unsure if they reduced PPSH. When adjusting for clinician factors, being a female clinician (adjusted odd ratio [aOR]=5.1, 95% confidence interval (CI) 1.5-17.3), trainee (aOR=6.9, 95% CI 1.1-44.6), or a urologist (aOR=18.1, 95% CI 2.0-166.1) were associated with experiencing PPSH. Our study highlights the pervasiveness of PPSH among urologists and obgyns. Future studies should elucidate what policy changes can be effective in protecting clinicians from PPSH.