OBJECTIVE To assess if gender inequities exist for pediatric physiatrists and, if affirmative, what factors account for this difference. DESIGN Cohort study SETTING: Online REDCap survey administered via email. PARTICIPANTS Pediatric physiatrists practicing in the United States in 2017. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES Respondents reported on their gender, training, practice type and location, leadership positions, years in practice and years at their current location, salary, research and clinical productivity. RESULTS Of the 307 Surveys sent, 235 individuals responded, yielding a response rate of 76.5%. Pediatric physiatrists who identified as women were more likely to work part-time but were demographically similar to their colleagues who identified as men. The odds of having no leadership role were higher for women (OR=2.17, p=0.02) than men. Pediatric physiatrists who identified as men made on average $244,798 annually (STD =$52,906) compared to those who identified as women $224,497 (STD =$60,756). The average annual difference in full-time salary was $20,311 in favor of those who identified as men (95% CI: $3,135-$37,486). The set of predictors in the multivariable model explained about 40% of the total variability in annual full-time salary (R2 =0.389, Adjusted R2 =0.339; F(15,197) =7.734, p < .001). Gender was not a significant predictor in the model, but model prediction of the salaries of pediatric physiatrists who identified as men was better than model prediction of the salaries of those who identified as women. CONCLUSIONS AND RELEVANCE Despite representing a majority of the field, pediatric physiatrists who identified as women were paid less than their counterparts who identified as men. The traditional predictors associated with the salaries of men were not enough to explain salary variation among those who identified as women; providing evidence of the importance of intangible and unmeasured aspects of a women's career, such as bias and institutional culture.

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美国儿科康复医师中基于性别的薪酬不平等

目的 评估儿科理疗师是否存在性别不平等，如果是肯定的，则是哪些因素导致了这种差异。设计队列研究设置：通过电子邮件进行的在线 REDCap 调查。参与者 2017 年在美国执业的儿科理疗师。 干预 不适用。主要结果指标 受访者报告了他们的性别、培训、执业类型和地点、领导职位、执业年限和在目前所在地的年限、工资、研究和临床生产力。结果 在发送的 307 份调查中，235 人做出了回应，回应率为 76.5%。认定为女性的儿科理疗师更有可能从事兼职工作，但在人口统计学上与认定为男性的同事相似。女性没有领导角色的几率更高（OR=2.17，p=0.02) 比男性。认定为男性的儿科理疗师平均年收入为 244,798 美元（STD = 52,906 美元），而认定为女性的儿童理疗师为 224,497 美元（STD = 60,756 美元）。全职工资的平均年差为 20,311 美元，有利于确定为男性的人（95% CI：3,135-37,486 美元）。多变量模型中的一组预测变量解释了全职年薪总变异的 40%（R2 =0.389，调整后的 R2 =0.339；F(15,197) =7.734，p < .001）。性别不是模型中的重要预测因素，但对确定为男性的儿科理疗师薪水的模型预测优于对确定为女性的人的薪水的模型预测。结论和相关性 尽管代表了该领域的大多数，认定为女性的儿科理疗师的薪酬低于认定为男性的同行。与男性薪水相关的传统预测因素不足以解释被认定为女性的人的薪水差异；提供证据证明女性职业生涯中无形和无法衡量的方面的重要性，例如偏见和制度文化。