Table 4.
Multivariable analysis of factors associated with anxiety in endoscopy trainees
| Factor | No. of cases | Anxiety (%) | Univariable analysis |
Multivariable analysis |
||
|---|---|---|---|---|---|---|
| Odds ratio (95% confidence interval) | P value | Odds ratio (95% confidence interval) | P value | |||
| Trainee age | ||||||
| Per year | N/A | 1.01 (.98-1.05) | .577 | |||
| Sex | ||||||
| Male | 288 | 46.8 | Reference | |||
| Female | 380 | 66.0 | 2.20 (1.64-3.02) | <.001∗ | 2.15 (1.52-3.05) | <.001∗ |
| Region | ||||||
| North America | 194 | 55.7 | Reference | |||
| Europe | 288 | 55.9 | 1.01 (.70-1.46) | .960 | ||
| South America | 87 | 63.2 | 1.37 (.81-2.30) | .237 | ||
| Australia | 39 | 43.6 | .62 (.31-1.23) | .170 | ||
| Asia | 75 | 48.0 | .74 (.43-1.25) | .259 | ||
| Africa | 12 | 58.3 | 1.12 (.34-3.64) | .857 | ||
| Years in training | ||||||
| Per year | N/A | .96 (.89-1.02) | .170 | |||
| Specialty | ||||||
| Surgery | 50 | 56.0 | Reference | |||
| Adult GI | 546 | 54.0 | .92 (.52-1.66) | .789 | ||
| Internal medicine | 20 | 70.0 | 1.83 (.60-5.55) | .283 | ||
| Pediatric GI | 73 | 57.5 | 1.07 (.52-2.20) | .866 | ||
| Other | 6 | 83.3 | 3.93 (.43-36.12) | .227 | ||
| Reduced endoscopy exposure | ||||||
| Yes | 654 | 55.8 | Reference | |||
| No | 41 | 46.3 | .68 (.36-1.29) | .239 | ||
| Redeployment | ||||||
| No | 536 | 58.5 | Reference | |||
| Yes | 159 | 54.3 | 1.19 (.83-1.70) | .350 | ||
| Perceived adequacy of PPE | ||||||
| Yes | 471 | 50.3 | Reference | |||
| No | 224 | 65.6 | 1.89 (1.36-2.62) | <.001 | 1.75 (1.18-2.57) | .005∗ |
| Training on PPE | ||||||
| Yes | 513 | 54.0 | Reference | |||
| No | 182 | 58.8 | 1.22 (.86-1.71) | .264 | ||
| Time off work because of COVID-19 | ||||||
| No | 528 | 54.5 | Reference | |||
| Yes | 167 | 57.5 | .89 (.63-1.26) | .506 | ||
| Concerns with developing COVID-19 | ||||||
| No | 81 | 51.9 | ||||
| Yes | 614 | 55.7 | 1.17 (.73-1.86) | .513 | ||
| Concerns with competency acquisition | ||||||
| No | 69 | 43.5 | ||||
| Yes | 626 | 56.5 | 1.69 (1.03-2.79) | .040∗ | ||
| Concerns with prolongation of training | ||||||
| No | 82 | 42.1 | Reference | |||
| Yes | 302 | 60.4 | 2.10 (1.50-2.94) | <.001∗ | 1.60 (1.10-2.32) | .013∗ |
| Availability of institutional support for emotional / mental health | ||||||
| Yes | 467 | 50.7 | Reference | |||
| No | 226 | 64.2 | 1.74 (1.25-2.41) | .001∗ | 1.67 (1.14-2.45) | .008∗ |
PPE, Personal protective equipment; N/A, not appropriate.
∗
P < .05.