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. 2021 Jan 17;11(1):e045127. doi: 10.1136/bmjopen-2020-045127

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.