# Awareness of sustainability among gynecologists in Germany: results of a semirepresentative nationwide survey

## TL;DR

This study surveyed German gynecologists about their awareness of sustainability and found that while awareness is high, implementation of sustainable practices is limited by time, cost, and lack of alternatives.

## Contribution

The paper provides the first empirical data on sustainability awareness and practices among gynecologists in Germany.

## Key findings

- Most gynecologists in Germany are aware of climate change, with women reporting higher personal contribution.
- Sustainable practices like waste separation are more common in private practices than in hospitals.
- Barriers to sustainability include time constraints, financial costs, and lack of sustainable alternatives.

## Abstract

To assess the level of awareness, attitudes, and implementation of sustainability practices among gynecologists in Germany, and to identify barriers to sustainable behavior within the field.

Climate change increasingly affects gynecological and obstetric care. The world health organization (WHO) and the International federation of gynecology and obstetrics (FIGO) have emphasized the need for stronger climate action in healthcare. In response, the German society for gynecology and obstetrics (DGGG) established a working group on sustainability. However, empirical data on sustainability awareness among gynecologists worldwide are lacking. Understanding current attitudes is essential for developing targeted strategies to enhance sustainability in clinical and academic settings.

A cross-sectional, nationwide online survey was conducted from February to June 2024 in Germany using a self-developed questionnaire. The survey assessed sustainability awareness, perceived relevance of climate change, and implementation of environmentally sustainable measures in both clinical and private practice contexts. Descriptive and comparative statistical analyses were performed.

Most respondents reported a high level of awareness regarding climate change, with female participants rating their individual contribution more strongly. Sustainable measures such as waste separation and the reduction of single-use packaging were more frequently implemented in private practices than in hospitals. A large proportion of participants reported using environmentally friendly transportation and avoiding short-haul flights. Virtual participation in conferences was common, and many respondents expressed willingness to pay higher fees for sustainable conference formats. The main barriers to implementation were time constraints, financial limitations, and a lack of sustainable alternatives.

Sustainability awareness among gynecologists in Germany is increasing, particularly in personal and outpatient practice contexts. Greater dissemination of information and stronger professional networks are needed to promote sustainable practices and strengthen the contribution of gynecology and obstetrics to climate protection in healthcare.