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The aims of our study were to explore the burden of noncommunicable diseases and the physical demands of the job and their impact on intent to leave midwifery. A cross-sectional, correlational study was conducted among 231 midwives in hospital-based midwifery units in Hungary. Spearman rank correlation coefficients, Mann–Whitney test and Linear regression were performed for statistical analysis. Prevalence of noncommunicable diseases was over 30% for the top five diseases. Varicose veins and musculoskeletal problems were dominant symptoms. Smoking and alcohol consumption (often vs. sometimes) reached greater proportions (18.2% vs 12.6% smoking; 0.4% vs. 49.4% alcohol). Aspects of work-related physical burden were positively associated with intent to leave. Physical burden and noncommunicable diseases explained 26.2% of variance in staff turnover intentions, with diabetes making the biggest contribution. Physical burden and noncommunicable diseases explained over one-fourth of the variance in midwives’ intent to leave the profession. Interventions aimed at reducing loss of midwives should address the physical burden of work as well as the impact of chronic symptoms developed as a consequence of high workloads.

Impact of noncommunicable disease conditions and physical burden on intent to leave midwifery in Hungary