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“I have nothing more to give”: Disparities in burnout and the protective role of immigrant status during the COVID-19 pandemic

Burnout is an epidemic, with deleterious effects on individuals, patient care, and healthcare systems. The Coronavirus Disease 2019 (COVID-19) pandemic may be exacerbating this problem. We aimed to explore socio-cultural and gender norms that modulate burnout development in physicians during the pan...

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Autores principales: Otuonye, Gene Chibuchim, Shenoi, Nancy, Wu, Tianshi David, Guntupalli, Kalpalatha, Moukaddam, Nidal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9710614/
https://www.ncbi.nlm.nih.gov/pubmed/36466537
http://dx.doi.org/10.3389/fpubh.2022.994443
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author Otuonye, Gene Chibuchim
Shenoi, Nancy
Wu, Tianshi David
Guntupalli, Kalpalatha
Moukaddam, Nidal
author_facet Otuonye, Gene Chibuchim
Shenoi, Nancy
Wu, Tianshi David
Guntupalli, Kalpalatha
Moukaddam, Nidal
author_sort Otuonye, Gene Chibuchim
collection PubMed
description Burnout is an epidemic, with deleterious effects on individuals, patient care, and healthcare systems. The Coronavirus Disease 2019 (COVID-19) pandemic may be exacerbating this problem. We aimed to explore socio-cultural and gender norms that modulate burnout development in physicians during the pandemic and analyze any disparities associated with gender, marital and immigration status and work-life balance. We conducted an online cross-sectional survey of physicians (August–November, 2021): The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used to measure burnout, combined with a validated survey assessing work-life balance. Demographic data was obtained for each participant. MBI-HSS subscales were measured, along with work and home related changes due to COVID-19. The association between life changes due to COVID-19 and odds of burnout was estimated by logistic regression. Complementary analysis was performed to determine factors most associated with burnout. 352 respondents were analyzed. There was a high prevalence of burnout. Over half of individuals reported a high degree of emotional exhaustion (EE) (56%). 83% of individuals reported at least one life factor changed due to COVID-19. Home-related life changes due to COVID-19 were associated with 143% higher odds of emotional burnout [adjusted odds ratio (aOR) 2.43; 95% confidence interval (CI) 1.49, 3.98] after covariate adjusted analysis. High EE was most evident when there were three or more life changes, suggesting a cumulative effect. First-generation immigrants, older physicians, and trainees were identified as protective factors. Although female gender was identified as a factor related to EE through forward selection, this was not statistically significant (aOR 1.34; 95% CI 0.80, 2.24). Burnout remains pervasive among physicians. We highlight new risk factors for EE (home-life changes due to COVID-19), and protective factors (first-generation immigrants) not previously explored. Understanding burnout and its disparities allows for improved mitigation strategies, decreasing its deleterious effects.
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spelling pubmed-97106142022-12-01 “I have nothing more to give”: Disparities in burnout and the protective role of immigrant status during the COVID-19 pandemic Otuonye, Gene Chibuchim Shenoi, Nancy Wu, Tianshi David Guntupalli, Kalpalatha Moukaddam, Nidal Front Public Health Public Health Burnout is an epidemic, with deleterious effects on individuals, patient care, and healthcare systems. The Coronavirus Disease 2019 (COVID-19) pandemic may be exacerbating this problem. We aimed to explore socio-cultural and gender norms that modulate burnout development in physicians during the pandemic and analyze any disparities associated with gender, marital and immigration status and work-life balance. We conducted an online cross-sectional survey of physicians (August–November, 2021): The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used to measure burnout, combined with a validated survey assessing work-life balance. Demographic data was obtained for each participant. MBI-HSS subscales were measured, along with work and home related changes due to COVID-19. The association between life changes due to COVID-19 and odds of burnout was estimated by logistic regression. Complementary analysis was performed to determine factors most associated with burnout. 352 respondents were analyzed. There was a high prevalence of burnout. Over half of individuals reported a high degree of emotional exhaustion (EE) (56%). 83% of individuals reported at least one life factor changed due to COVID-19. Home-related life changes due to COVID-19 were associated with 143% higher odds of emotional burnout [adjusted odds ratio (aOR) 2.43; 95% confidence interval (CI) 1.49, 3.98] after covariate adjusted analysis. High EE was most evident when there were three or more life changes, suggesting a cumulative effect. First-generation immigrants, older physicians, and trainees were identified as protective factors. Although female gender was identified as a factor related to EE through forward selection, this was not statistically significant (aOR 1.34; 95% CI 0.80, 2.24). Burnout remains pervasive among physicians. We highlight new risk factors for EE (home-life changes due to COVID-19), and protective factors (first-generation immigrants) not previously explored. Understanding burnout and its disparities allows for improved mitigation strategies, decreasing its deleterious effects. Frontiers Media S.A. 2022-11-16 /pmc/articles/PMC9710614/ /pubmed/36466537 http://dx.doi.org/10.3389/fpubh.2022.994443 Text en Copyright © 2022 Otuonye, Shenoi, Wu, Guntupalli and Moukaddam. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Otuonye, Gene Chibuchim
Shenoi, Nancy
Wu, Tianshi David
Guntupalli, Kalpalatha
Moukaddam, Nidal
“I have nothing more to give”: Disparities in burnout and the protective role of immigrant status during the COVID-19 pandemic
title “I have nothing more to give”: Disparities in burnout and the protective role of immigrant status during the COVID-19 pandemic
title_full “I have nothing more to give”: Disparities in burnout and the protective role of immigrant status during the COVID-19 pandemic
title_fullStr “I have nothing more to give”: Disparities in burnout and the protective role of immigrant status during the COVID-19 pandemic
title_full_unstemmed “I have nothing more to give”: Disparities in burnout and the protective role of immigrant status during the COVID-19 pandemic
title_short “I have nothing more to give”: Disparities in burnout and the protective role of immigrant status during the COVID-19 pandemic
title_sort “i have nothing more to give”: disparities in burnout and the protective role of immigrant status during the covid-19 pandemic
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9710614/
https://www.ncbi.nlm.nih.gov/pubmed/36466537
http://dx.doi.org/10.3389/fpubh.2022.994443
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