Table 2.

Odds Ratios and 95% Confidence Intervals for Relationships between Substance Use Disorder and both Burnout and Engagement

	Law Professionals N = 681			Lawyers Only N =561			Support Staff N =120
	Simple Model OR [95% CI]	Adjusted† Model OR [95% CI]	Final‡ Model OR [95% CI]	Simple Model OR [95% CI]	Adjusted† Model OR [95% CI]	Final‡ Model OR [95% CI]	Simple Model OR [95% CI]	Adjusted† Model OR [95% CI]	Final‡ Model OR [95% CI]
Burnout
1	1.55 [0.40 – 5.96]	1.56 [0.40 – 6.03]	1.83 [0.45 – 7.45]	2.05 [0.47 – 8.95]	2.06 [0.47 – 9.02]	2.38 [0.50 – 11.34]	1.93 [0.48 – 7.78]	1.94 [0.48 – 7.75]	2.09 [0.53 – 8.26]
2	1.00 (Reference)	1.00 (Reference)	1.00 (Reference)	1.00 (Reference)	1.00 (Reference)	1.00 (Reference)	1.00 (Reference)	1.00 (Reference)	1.00 (Reference)
3	2.84 [0.86 – 9.41]	2.74 [0.82 – 9.10]	3.22 [0.93 – 11.17]	3.12 [ 0.81 −12.02]	3.11 [0.80 – 11.99]	3.53 [0.86 – 14.40]	2.82 [ 0.78 – 10.12]	2.81 [0.79 – 9.97]	2.97 [0.86 – 10.27]
4	3.22 [1.03 – 10.03]	3.15 [1.01 – 9.82]	3.93 [1.20 – 12.87]	2.74 [0.73 – 10.17]	2.77 [0.74 – 10.32]	3.37 [0.84 – 13.43]	2.43 [ 0.70 – 8.42]	2.45 [0.71 – 8.40]	2.82 [0.83 – 9.51]
5	2.31 [0.59 – 8.97]	2.22 [0.57 – 8.70]	3.37 [0.81 – 14.09]	2.68 [0.61 – 11.75]	2.73 [0.61 – 12.07]	4.00 [0.84 – 18.99]	2.51 [ 0.52 – 10.20]	2.54 [0.63 – 10.26]	3.38 [ 0.85 – 13.35]
6	4.17 [1.34 – 12.93]	3.99 [1.27 – 12.51]	4.73 [1.38 – 16.23]	4.60 [1.27 – 16.68]	4.63 [1.26 – 16.99]	5.51 [1.36 – 22.30]	4.08 [1.20 – 13.81]	4.07 [1.20 – 13.77]	4.41 [1.28 – 15.17]
7	5.25 [1.71 – 16.12]	5.20 [1.68 – 16.16]	5.29 [1.46 – 19.10]	5.40 [1.51 – 19.34]	5.68 [1.56 – 20.68]	6.37 [1.47 – 27.52]	4.77 [1.43 – 15.94]	4.95 [1.47 – 16.62]	4.96 [1.35 – 18.21]
Burnout per unit 1
	1.11 [1.04 – 1.18]	1.11 [ 1.03 – 1.19]	1.37 [1.05 – 1.45]	1.10 [1.02 – 1.18]	1.10 [1.02 – 1.19]	1.25 [1.04 – 1.50]	1.22 [1.06 – 1.41]	1.23 [1.06 – 1.43]	1.22 [1.03 – 1.45]
Engagement
1	4.85 [1.34 – 17.51]	4.71 [1.29 – 17.12]	4.96 [1.23 – 19.93]	3.25 [0.86 – 12.19]	3.29 [0.87 – 12.41]	3.67 [0.84 – 15.95]	13.00 [0.56 – 300.94]	9.47 [0.47 – 190.29]	4.18 [4.04 – 4.32]
2	3.29 [0.93 – 11.67]	3.07 [0.86 – 10.96]	3.49 [0.90 – 13.45]	2.23 [0.60 – 8.22]	2.12 [0.57 – 7.91]	2.67 [0.64 – 10.99]	7.80 [0.36 – 166.24]	7.13 [0.39 – 128.63]	3.59 [3.50 – 3.68]
3	1.34 [0.31 – 5.82]	1.25 [0.28 – 5.48]	1.31 [0.27 – 6.27]	1.17 [0.26 – 5.15]	1.14 [0.25 – 5.05]	1.23 [0.25 – 6.04]	1.25 [ 0.2 – 75.40]	0.90 [0.01 – 47.00]	0.87 [0.83 – 0.92]
4	3.71 [1.02 – 13.47]	3.47 [0.94 – 12.70]	4.57 [1.15 – 18.14]	2.92 [0.79 – 10.83]	2.87 [0.76 – 10.78]	4.11 [0.97 −17.33]	4.33 [0.14 – 125.77]	2.74 [ 0.10 – 70.07]	1.86 [1.79 – 1.93]
5	2.52 [0.62 – 10.17]	2.31 [0.56 – 9.43]	3.07 [0.68 – 13.77]	1.77 [0.42 – 7.49]	1.68 [0.39 – 7.20]	2.26 [0.47 – 10.88]	6.88 [0.22 – 208.74]	6.18 [0.23 – 165.21]	6.59 [6.32 – 6.87]
6	2.10 [0.57 – 7.72]	1.99 [ 0.54 – 7.33]	2.43 [0.61 – 9.54]	1.67 [0.44 – 6.23]	1.63 [0.43 – 6.15]	2.08 [0.50 – 8.57]	2.60 [0.09 – 73.26]	2.06 [0.08 – 49.49]	1.04 [1.00 – 1.07]
7	1.00 (Reference)	1.00 (Reference)	1.00 (Reference)	1.00 (Reference)	1.00 (Reference)	1.00 (Reference)	1.00 (Reference)	1.00 (Reference)	1.00 (Reference)
Engagement per unit 2
	0.89 [0.82 – 0.96]	0.89 [0.82 – 0.96]	0.84 [0.72 – 0.98]	0.91[0.84 – 0.99]	0.91[0.83 – 0.99]	0.89 [0.76 – 1.05]	0.67 [0.46 – 0.97]	0.68 [0.47 – 0.97]	0.75 [0.75 – 0.75]

Indicates P <0.05

^†Adjusted for Age, gender, and body mass index (BMI)

^‡Adjusted model plus marital status, PHQ9 Categorized, Law Setting, Law Practice

¹Burnout measured continuously from 0 – 12

²Engagement measured continuously from 0 – 15