Multivariate analysis of factors linked with general burnout (Copenhagen Burnout Inventory) among emergency physicians and among a representative sample of French physicians
| Representative sample of French salaried physicians (N=1499) | Emergency physicians (N=500) | Female emergency physicians (N=199) | Male emergency physicians (N=309) | |||||||||||||
| N | Adj OR | p | 95% CI | N | Adj OR | p | 95% CI | N | Adj OR | p | 95% CI | N | Adj OR | p | 95% CI | |
| Sex | ||||||||||||||||
| Male | 878 | 1.00 | 310 | 1.00 | ||||||||||||
| Female | 621 | 2.01 | *** | 1.57 to 2.57 | 190 | 3.44 | *** | 2.20 to 5.37 | ||||||||
| Continuous education (1 year) | ||||||||||||||||
| Yes | 465 | 1.00 | 289 | 1.00 | ||||||||||||
| No | 35 | 3.14 | ** | 1.23 to 8.00 | 20 | 6.23 | * | 1.45 to 26.76 | ||||||||
| Age | ||||||||||||||||
| ≥45 years | 822 | 1.00 | 207 | 1.00 | ||||||||||||
| <45 years | 677 | 1.60 | *** | 1.26 to 2.02 | 102 | 1.95 | * | 1.03 to 3.70 | ||||||||
| Sport | ||||||||||||||||
| Monthly+ | 291 | 1.00 | 184 | 1.00 | ||||||||||||
| Seldom | 209 | 1.49 | ns (0.07) | 0.97 to 2.29 | 125 | 2.20 | ** | 1.21 to 3.98 | ||||||||
| Meal break working days | ||||||||||||||||
| Sometimes-always | 203 | 1.00 | 131 | 1.00 | ||||||||||||
| Seldom-never | 297 | 1.95 | ** | 1.26 to 3.01 | 178 | 2.38 | ** | 1.29 to 4.39 | ||||||||
| Work/family conflict | ||||||||||||||||
| Low | 326 | 1.00 | 68 | 1.00 | 20 | 1.00 | 46 | 1.00 | ||||||||
| Medium | 494 | 2.28 | *** | 1.55 to 3.34 | 180 | 2.36 | ** | 1.11 to 5.05 | 74 | 1.64 | ns | 0.56 to 4.81 | 111 | 4.34 | * | 1.28 to 14.70 |
| High | 679 | 4.47 | *** | 3.05 to 6.54 | 252 | 6.14 | *** | 2.89 to 13.04 | 105 | 5.87 | ** | 1.96 to 17.59 | 152 | 7.99 | *** | 2.43 to 26.26 |
| Quantitative demand | ||||||||||||||||
| Low | 126 | 1.00 | ||||||||||||||
| Medium | 708 | 1.84 | * | 1.03 to 3.28 | ||||||||||||
| High | 665 | 3.32 | *** | 1.84 to 5.99 | ||||||||||||
| Quality of teamwork | ||||||||||||||||
| High | 561 | 1.00 | 113 | 1.00 | 70 | 1.00 | ||||||||||
| Medium | 521 | 1.39 | * | 1.05 to 1.84 | 242 | 2.26 | ** | 1.29 to 3.97 | 145 | 5.20 | ** | 1.86 to 14.59 | ||||
| Low | 417 | 2.21 | *** | 1.61 to 3.03 | 145 | 5.44 | *** | 2.81 to 10.53 | 94 | 14.31 | *** | 4.71 to 43.43 | ||||
| Satisfaction with psychological support | ||||||||||||||||
| Yes | 50 | 1.00 | ||||||||||||||
| No | 149 | 2.33 | ** | 1.12 to 4.83 | ||||||||||||
| Satisfaction with quality of care | ||||||||||||||||
| Yes | 90 | 1.00 | ||||||||||||||
| No | 109 | 1.81 | ns (0.07) | 0.94 to 3.48 | ||||||||||||
| Interpersonal relationships | ||||||||||||||||
| Friendly | 1021 | 1.00 | ||||||||||||||
| Hostile-tense | 478 | 1.71 | *** | 1.31 to 2.23 | ||||||||||||
| Support from colleagues | ||||||||||||||||
| High | 175 | 1.00 | ||||||||||||||
| Low | 134 | 1.75 | ns (0.07) | 0.96 to 3.18 | ||||||||||||
| Worried about making mistakes | ||||||||||||||||
| Seldom | 590 | 1.00 | 148 | 1.00 | ||||||||||||
| Often | 909 | 1.87 | *** | 1.45 to 2.41 | 352 | 1.70 | ** | 1.07 to 2.71 | ||||||||
| Nights worked/month | ||||||||||||||||
| 0 to 4 | 816 | 1.00 | ||||||||||||||
| 5 or more | 470 | 1.30 | ns (0.06) | 0.99 to 1.71 | ||||||||||||
| Satisfaction with pay | ||||||||||||||||
| High | 874 | 1.00 | ||||||||||||||
| Medium | 625 | 1.30 | * | 1.02 to 1.66 | ||||||||||||
All the significant variables in bivariate analysis were included in the multivariate model and removed step by step when non-significant.
*p<0.05; **p<0.01; ***p<0.001; ns, not significant.