Table 3.
Multivariate Analysis of the Association of Calling, Rewarding Hours, Relationships, and Burnout with Career and Life Well-Being (n = 1289)
| Career satisfaction | Life satisfaction | High life meaning | |
|---|---|---|---|
| OR (95% CI) | OR (95% CI) | OR (95% CI) | |
| Female | 1.00 (0.66–1.52) | 0.91 (0.58–1.42) | 1.28 (0.78–2.12) |
| Race/ethnicity | |||
| Non-Hispanic white | – | – | – |
| Asian | 0.56 (0.20–1.52) | 0.55 (0.23–1.30) | 0.55 (0.21–1.46) |
| Hispanic | 0.78 (0.40–1.49) | 0.96 (0.49–1.87) | 0.87 (0.43–1.78) |
| African American | 0.55 (0.22–1.38) | 0.76 (0.27–2.11) | 0.55 (0.19–1.63) |
| Other | 1.12 (0.42–3.03) | 1.73 (0.51–5.89) | 1.39 (0.30–6.34) |
| US born | |||
| Immigrated | – | – | – |
| US born | 0.94 (0.50–1.78) | 1.75 (1.03–2.96) | 1.25 (0.70–2.25) |
| Physician specialty | |||
| Primary care | – | – | – |
| Specialist | 0.86 (0.58–1.27) | 1.00 (0.66–1.51) | 0.76 (0.49–1.17) |
| Years of practice | |||
| Practice years ≥0, <10 | – | – | – |
| Practice years ≥10, <20 | 0.62 (0.35–1.11) | 0.48 (0.25–0.94) | 0.52 (0.26–1.07) |
| Practice years ≥20 | 0.48 (0.25–0.90) | 0.36 (0.19–0.70) | 0.55 (0.26–1.15) |
| Annual income category | |||
| Income <100 K | – | – | – |
| Income ≥100 K, <200 K | 1.14 (0.61–2.15) | 0.98 (0.53–1.83) | 0.73 (0.35–1.52) |
| Income ≥200 K, <300 K | 2.14 (1.06–4.35) | 1.65 (0.83–3.29) | 1.46 (0.61–3.47) |
| Income ≥300 K | 2.97 (1.27–6.97) | 1.37 (0.60–3.13) | 0.85 (0.36–1.99) |
| Academic medical center | |||
| Non-academic | – | – | – |
| Academic | 1.41 (0.90–2.20) | 0.76 (0.51–1.14) | 1.02 (0.65–1.58) |
| Medically underserved populations | |||
| Not underserved | – | – | – |
| Underserved | 1.18 (0.80–1.75) | 0.88 (0.59–1.30) | 0.78 (0.48–1.26) |
| Practice of medicine is a calling | |||
| Strongly or somewhat disagree | – | – | – |
| Somewhat agree | 1.75 (1.04–2.95) | 1.23 (0.70–2.16) | 1.69 (1.01–2.83) |
| Strongly agree | 2.39 (1.31–4.35) | 2.28 (1.21–4.31) | 5.14 (2.87–9.19) |
| Personally rewarding hours a day | |||
| Hours ≥0, <2.5 | – | – | – |
| Hours ≥2.5, <5.0 | 2.57 (1.57–4.20) | 1.85 (1.15–2.95) | 1.19 (0.70–2.02) |
| Hours ≥5.0, <7.5 | 5.28 (2.72–10.2) | 4.46 (2.34–8.48) | 2.37 (1.24–4.54) |
| Hours ≥7.5 | 4.33 (2.11–8.88) | 2.49 (1.34–4.62) | 1.46 (0.76–2.82) |
| Meaningful, long-term relationships with patients | |||
| None | – | – | – |
| A few | 1.71 (1.03–2.82) | 1.42 (0.92–2.20) | 1.24 (0.75–2.03) |
| Many | 1.40 (0.84–2.34) | 1.94 (1.14–3.30) | 2.13 (1.18–3.86) |
| Most | 1.00 (0.46–2.18) | 1.59 (0.76–3.32) | 1.09 (0.51–2.33) |
| Feeling of being burned out | |||
| No | – | – | – |
| Yes | 0.21 (0.13–0.32) | 0.45 (0.29–0.67) | 0.44 (0.28–0.68) |
Note: Odds ratio (OR) and 95% confidence interval (95% CI) were adjusted for probability weight, primary sampling units, and strata in survey data analysis