Table 3.
Factors associated with burnout among paediatric residents in France
| No burnout | Burnout | OR, 95%CI | p value | |||
|---|---|---|---|---|---|---|
| n/N | % (95%CI) | n/N | % (95%CI) | |||
| Sex | 0.01 | |||||
| Men | 26 /213 | 12.2 (8.1–17.4) | 29/127 | 22.8 (15.9–31.1) | 1 | |
| Women | 187/213 | 87.8 (82.6–91.9) | 98/127 | 77.2 (68.9–84.1) | 0.47 (0.26–0.84) | |
| Age, median (IQR) | 27 | (25–28) | 27 | (25–28) | 1.00 (0.88–1.14) | 0.97 |
| Residency start year | 0.44 | |||||
| ≤ 2016 | 70/213 | 32.9 (26.6–39.6) | 36/127 | 28.3 (20.7–37.0) | 1 | |
| 2017 | 46/213 | 21.6 (16.2–27.7) | 35/127 | 27.6 (20.0–36.2) | 1.48 (0.82–2.69) | |
| 2018 | 44/213 | 20.6 (15.4–26.7) | 30/127 | 23.6 (16.5–32.0) | 1.33 (0.72–2.45) | |
| 2019 | 53/213 | 24.9 (19.2–31.2) | 26/127 | 20.5 (13.8–28.5) | 0.95 (0.51–1.77) | |
| Living status | 0.07 | |||||
| Living alone | 54/213 | 25.4 (19.7–31.7) | 44/127 | 34.6 (26.4–43.6) | 1 | |
| Living with a partner | 159/213 | 74.6 (68.3–80.3) | 83/127 | 65.4 (56.4–73.6) | 0.64 (0.40–1.04) | |
| Number of night shifts per month, median (IQR) | 4 | (3–5) | 4 | (3–5) | 1.08 (0.95–1.24) | 0.24 |
| Hours worked per week | < 0.001 | |||||
| < 48 h | 21/213 | 9.9 (6.2–14.7) | 6/127 | 4.7 (2.2–11.0) | 1 | |
| 48–60 h | 148/213 | 69.5 (62.8–75.6) | 71/127 | 55.9 (46.8–64.7) | 1.68 (0.69–4.74) | |
| > 60 h | 44/213 | 20.6 (15.4–26.7) | 50/127 | 39.4 (30.8–48.4) | 3.98 (1.55–11.65) | |
| Change in professional activity due to the COVID-19 outbreak | 0.24 | |||||
| No | 39/213 | 18.3 (13.4–24.1) | 30/127 | 23.6 (16.5–32.0) | 1 | |
| Yes | 174/213 | 81.7 (75.8–86.6) | 97/127 | 76.4 (68.0–83.5) | 0.72 (0.42–1.25) | |
| Direct involvement in the care of patients with COVID-19 | 0.52 | |||||
| No | 125/213 | 58.7 (51.8–65.3) | 79/127 | 62.2 (53.1–70.7) | 1 | |
| Yes | 88/213 | 41.3 (34.6–48.2) | 48/127 | 37.8 (29.3–46.8) | 0.86 (0.55–1.35) | |
| ICU admissions for COVID-19 per 100,000 inhabitants | 0.46 | |||||
| [0–0.5] | 45/213 | 21.2 (15.8–27.2) | 10/127 | 15.0 (3.8–14.0) | 1 | |
| [0.5–1] | 64/213 | 30.0 (24.0–36.7) | 44/127 | 34.6 (26.4–43.6) | 1.63 (0.85–3.19) | |
| [1–2] | 49/213 | 23.0 (17.5–29.2) | 27/127 | 21.3 (14.5–29.4) | 1.31 (0.64–2.69) | |
| > 2 | 55/213 | 25.8 (20.0–32.2) | 37/127 | 29.1 (21.4–37.9) | 1.59 (0.81–3.18) | |
| Anxiety score before the COVID-19 outbreak, median (IQR) | 35 | (20–60) | 50 | (40–70) | 1.15 (1.09–1.21) | < 0.001 |
| Anxiety score during the COVID-19 outbreak, median (IQR) | 40 | (25–60) | 50 | (30–70) | 1.02 (1.01–1.03) | < 0.001 |
IQR, interquartile range; CI, confidence interval
*Intensive care unit admission rate for COVID-19 per 100,000 inhabitants in the resident’s geographic area of practice (April 22 to 28, 2020)