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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.
Otuonye, Gene Chibuchim; Shenoi, Nancy; Wu, Tianshi David; Guntupalli, Kalpalatha; Moukaddam, Nidal.
  • Otuonye GC; Department of Critical Care, Baylor College of Medicine, Houston, TX, United States.
  • Shenoi N; Department of Psychiatry, Baylor College of Medicine, Houston, TX, United States.
  • Wu TD; Department of Critical Care, Baylor College of Medicine, Houston, TX, United States.
  • Guntupalli K; Department of Critical Care, Baylor College of Medicine, Houston, TX, United States.
  • Moukaddam N; Department of Psychiatry, Baylor College of Medicine, Houston, TX, United States.
Front Public Health ; 10: 994443, 2022.
Article in English | MEDLINE | ID: covidwho-2215427
ABSTRACT
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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Full text: Available Collection: International databases Database: MEDLINE Main subject: Emigrants and Immigrants / COVID-19 Type of study: Etiology study / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans Language: English Journal: Front Public Health Year: 2022 Document Type: Article Affiliation country: Fpubh.2022.994443

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Emigrants and Immigrants / COVID-19 Type of study: Etiology study / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans Language: English Journal: Front Public Health Year: 2022 Document Type: Article Affiliation country: Fpubh.2022.994443