Table 3.
Multivariable logistic regression of factors associated with burnout of healthcare professionals working at public health facilities of Dire Dawa City, Eastern Ethiopia, 2020 (n = 508).
| Variables | Categories | Burnout | COR (95% CI) | AOR (95% CI) | |
|---|---|---|---|---|---|
| Yes N (%) | No N (%) | ||||
| Health facility type | Hospital | 128 (60.7) | 83 (39.3) | 1.59 (1.11, 2.27) | 3.55 (2.00, 6.33)*** |
| Health center | 143 (49.3) | 147 (50.7) | 1 | 1 | |
| Age | ≤ 29 years | 86 (49.7) | 87 (50.3) | 1 | 1 |
| 30–39 years | 155 (58.1) | 112 (41.9) | 1.40 (0.95, 2.06) | 1.90 (1.08, 3.34)* | |
| ≥40 years | 30 (49.2) | 31 (50.8) | 0.98 (0.55, 1.76) | 3.98 (1.60, 9.89)** | |
| Sex | Female | 147 (58.8) | 103 (41.2) | 1.46 (1.03, 2.08) | 2.41 (1.37, 4.25)*** |
| Male | 124 (49.4) | 127 (50.6) | 1 | 1 | |
| Marital status | Married | 114 (51.4) | 108 (48.6) | 1 | 1 |
| Single | 105 (52.5) | 95 (47.5) | 1.05 (0.71, 1.54) | 1.24 (0.71, 2.16) | |
| Divorced | 33 (61.1) | 21 (38.9) | 1.49 (0.81, 2.73) | 1.56 (0.75, 3.25) | |
| Widowed | 19 (76.0) | 6 (24.0) | 3.00 (1.16, 7.80) | 3.39 (1.13, 10.18)* | |
| Educational level | Diploma | 116 (60.4) | 76 (39.6) | 1.91 (0.72,5.05) | 8.81 (1.99, 39.98) |
| BSc degree | 147 (50.5) | 144 (49.5) | 1.28 (0.49, 3.33) | 7.46 (1.85, 30.10) | |
| MSc and above | 8 (44.4) | 10 (55.6) | 1 | 1 | |
| Residence area | Rural | 102 (59.0) | 71 (41.0) | 1.35 (0.93, 1.96) | 1.63 (0.91, 2.90) |
| Urban | 169 (51.2) | 159 (48.8) | 1 | 1 | |
| Intention to leave work | Yes | 105 (63.3) | 61 (36.7) | 1.75 (1.20,2.57) | 2.28 (1.35, 3.87)** |
| No | 166 (49.6) | 169 (50.4) | 1 | 1 | |
| Substance use | Yes | 122 (60.1) | 81 (39.9) | 1.51 (1.05, 2.16) | 2.24 (1.36, 3.69)** |
| No | 149 (50.0) | 149 (50.0) | 1 | 1 | |
| Total work experience | <5 years | 59 (48.0) | 64 (52.0) | 1 | 1 |
| 6–11 years | 124 (60.8) | 80 (39.2) | 1.68 (1.07, 2.64) | 2.17 (1.15, 4.06)* | |
| >11 years | 88 (50.6) | 86 (49.4) | 1.11 (0.70, 1.76) | 1.38 (0.73, 2.62) | |
| Having job supervision | No | 39 (75.0) | 19 (25.0) | 2.81 (1.46,5.40) | 4.65 (2.07,10.43)*** |
| Yes | 232 (51.7) | 219 (48.3) | 1 | 1 | |
| Monthly income (wage and incentive) | ≤ 10,000 ETB | 121 (61.4) | 76 (38.6) | 5.69 (2.30,14.07) | 5.69 (2.30,14.07)*** |
| 1,000–15,000 ETB | 116 (50.7) | 113 (49.3) | 2.74 (1.22, 6.15) | 2.74 (1.22, 6.15)** | |
| >15,000 ETB | 34 (45.3) | 41 (54.7) | 1 | 1 | |
| Weekly working hours | >72 h | 135 (48.0) | 146 (52.0) | 1.75 (1.22, 2.51) | 1.24 (0.69, 2.22) |
| ≤ 72 h | 136 (61.8) | 84 (38.2) | 1 | 1 | |
| Profession | Nurse | 105 (44.1) | 135 (55.9) | 1 | 1 |
| Midwife | 32 (64.0) | 18 (36) | 2.25 (1.20, 4.24) | 8.33 (3.11,22.34)*** | |
| Laboratory | 38 (69.1) | 17 (30.9) | 2.83 (1.51, 5.30) | 5.47 (2.06, 14.54)** | |
| Pharmacy | 28 (52.8) | 25 (47.2) | 1.42 (0.78, 2.58) | 2.43 (0.93, 6.37) | |
| Public Health/HO | 21 (55.3) | 17 (44.7) | 1.57 (0.79, 2.58) | 4.65 (1.85, 11.64)** | |
| Others*a | 47 (70.1) | 20 (29.9) | 2.98 (1.66, 5.33) | 15.86 (6.00,41.89)*** | |
| Current working unit or Service delivery unit | Adult OPD | 36 (44.4) | 45 (55.6) | 1 | 1 |
| Under 5 OPD | 21 (44.7) | 26 (55.3) | 1.01 (0.49, 2.08) | 1.16 (0.48, 2.78) | |
| Emergency Unit | 35 (63.6) | 20 (36.4) | 2.19 (1.08, 4.42) | 2.14 (0.93, 4.96) | |
| Medical Unit | 23 (45.1) | 28 (54.9) | 1.03 (0.51, 2.08) | 1.31 (0.53, 3.25) | |
| Pediatric Unit | 23 (63.9) | 13 (36.1) | 2.21 (0.99, 4.97) | 3.28 (1.24, 8.70)* | |
| Surgical Unit | 8 (36.4) | 14 (63.6) | 0.71 (0.27, 1.89) | 1.03 (0.33, 3.26) | |
| Gyn/Obs. Unit | 25 (53.2) | 22 (46.8) | 1.42 (0.69, 2.92) | 0.49 (0.16, 1.49) | |
| Others*b | 100 (61.7) | 62 (38.3) | 2.02 (1.17, 3.46) | 1.23 (0.51, 2.97) | |
| Position (management) | No | 205 (48.0) | 158 (52.0) | 1.42 (0.96, 2.10) | 1.08 (0.63, 1.86) |
| Yes | 66 (61.8) | 72 (38.2) | 1 | 1 | |
| Duration of consultation time | >30 min | 42 (55.3) | 34 (44.7) | 1 | |
| ≥20 min | 119 (77.3) | 35 (22.7) | 1.64 (1.06–2.55) | 1.45 (0.87–2.42) | |
| <20 min | 244 (67.4) | 118 (32.6) | 1 | ||
Others*a = Specialist., medical doctor, IESO, anesthesia and Physiotherapy; Others*b = MCH, ophthalmic, dental clinic, psychiatry unit, ART and TB clinic, and ICU, ***= P-value < 0.001, **= P-value < 0.01, *= P- value < 0.05.