Table 4.
Multivariate logistic regression models for the three burn-out domains
| Emotional exhaustion | Professional efficacy | Cynicism | |||||
| Adjusted OR (95% CI) |
P value | Adjusted OR (95% CI) |
P value | Adjusted OR (95% CI) |
P value | ||
| Sex | Male | 1 | 1 | 1 | |||
| Female | 1.38 (1.06 to 1.79) | 0.016 | 1.13 (0.90 to 1.43) | 0.294 | 0.83 (0.64 to 1.08) | 0.173 | |
| Living condition | With family/other relatives | 1 | 1 | 1 | |||
| Alone | 1.70 (1.27 to 2.28) | <0.001 | 1.09 (0.83 to 1.42) | 0.538 | 1.24 (0.93 to 1.67) | 0.143 | |
| Workplace | Intensive care units | 1 | ** | 1 | 1 | * | |
| Subintensive care wards for patients with COVID-19 | 0.73 (0.46 to 1.17) | 0.190 | 1.04 (0.67 to 1.63) | 0.849 | 0.47 (0.28 to 0.77) | 0.003 | |
| Front-line services dealing with patients with COVID-19 | 0.61 (0.37 to 1.00) | 0.049 | 0.97 (0.61 to 1.55) | 0.907 | 0.69 (0.42 to 1.14) | 0.146 | |
| Non-COVID wards | 0.53 (0.37 to 0.77) | 0.001 | 1.10 (0.77 to 1.56) | 0.600 | 0.60 (0.42 to 0.87) | 0.007 | |
| Laboratory diagnostic services | 0.70 (0.43 to 1.15) | 0.163 | 1.10 (0.69 to 1.74) | 0.693 | 0.71 (0.43 to 1.17) | 0.180 | |
| Administration | 0.53 (0.29 to 0.96) | 0.037 | 0.86 (0.50 to 1.47) | 0.578 | 0.69 (0.38 to 1.26) | 0.228 | |
| Length of working experience | <6 years | 1 | 1 | 1 | |||
| 6–20 years | 1.77 (1.27 to 2.47) | 0.001 | 1.01 (0.75 to 1.37) | 0.923 | 1.26 (0.90 to 1.77) | 0.179 | |
| >20 years | 1.69 (1.22 to 2.35) | 0.002 | 0.90 (0.67 to 1.21) | 0.486 | 0.93 (0.66 to 1.32) | 0.698 | |
| Occupation | Physicians | 1 | ** | 1 | *** | 1 | ** |
| Residents | 1.82 (1.13 to 2.94) | 0.014 | 2.61 (1.71 to 3.98) | <0.001 | 2.02 (1.24 to 3.27) | 0.004 | |
| Nurses | 1.75 (1.23 to 2.49) | 0.002 | 1.29 (0.94 to 1.76) | 0.113 | 1.69 (1.17 to 2.45) | 0.006 | |
| Other healthcare staff | 1.22 (0.83 to 1.79) | 0.299 | 0.98 (0.70 to 1.37) | 0.901 | 1.24 (0.83 to 1.87) | 0.290 | |
| Administrative staff | 1.19 (0.68 to 2.08) | 0.550 | 1.10 (0.68 to 1.78) | 0.706 | 1.22 (0.68 to 2.19) | 0.500 | |
| Other personal information | Having pre-existing psychological problems | ||||||
| No | 1 | 1 | 1 | ||||
| Yes | 2.35 (1.53 to 3.60) | <0.001 | 1.60 (1.08 to 2.36) | 0.019 | 1.84 (1.23 to 2.75) | 0.003 | |
| COVID-19-related traumatic event | |||||||
| No | 1 | 1 | 1 | ||||
| Yes | 2.40 (1.88 to 3.07) | <0.001 | 1.10 (0.88 to 1.37) | 0.393 | 1.37 (1.06 to 1.76) | 0.016 | |
| Job stress | Increased conflict among colleagues | ||||||
| No | 1 | 1 | 1 | ||||
| Yes | 1.48 (1.20 to 1.83) | <0.001 | 1.20 (0.99 to 1.46) | 0.058 | 1.49 (1.20 to 1.86) | <0.001 | |
| Additional task assignment | |||||||
| No | 1 | 1 | 1 | ||||
| Yes | 1.51 (1.19 to 1.91) | 0.001 | 0.83 (0.67 to 1.03) | 0.086 | 1.45 (1.13 to 1.85) | 0.004 | |
| Increased workload | |||||||
| No | 1 | 1 | 1 | ||||
| Yes | 1.73 (1.33 to 2.25) | <0.001 | 0.97 (0.77 to 1.22) | 0.783 | 0.87 (0.66 to 1.14) | 0.319 | |
| Interpersonal avoidance | Perceived avoidance (0=no to 4=high) | 1.06 (0.96 to 1.18) | 0.232 | 1.16 (1.05 to 1.27) | 0.003 | 1.15 (1.03 to 1.28) | 0.012 |
| Safety behaviours (0=no to 4=high) | 1.29 (1.15 to 1.45) | <0.001 | 1.12 (1.01 to 1.25) | 0.026 | 1.13 (1.01 to 1.28) | 0.034 | |
| Observations (n) | 1887 | 1887 | 1887 | ||||
| LR test, p value | 381.79 | <0.001 | 104.15 | <0.001 | 128.79 | <0.001 | |
| Hosmer-Lemeshow goodness of fit (10 groups) | |||||||
| χ2(8), p value | 3.41 | 0.906 | 3.01 | 0.933 | 4.68 | 0.791 | |
| Pearson goodness of fit | |||||||
| Covariate patterns (n) | 1868 | 1868 | 1868 | ||||
| χ2(1803), p value | 1867 | 0.342 | 1868.75 | 0.332 | 1853.67 | 0.426 | |
| Area under ROC curve | 0.756 | 0.632 | 0.664 | ||||
Overall LR test: *p<0.05; **p<0.01; ***p<0.001.
LR, likelihood ratio; ROC, receiver operating characteristic.