Associations between effort-reward imbalance and risk of burnout among Swedish physicians.

IF 2.4 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Occupational Medicine-Oxford Pub Date : 2024-07-29 DOI:10.1093/occmed/kqae039

F Christiansen, B E Gynning, A Lashari, G Johansson, E Brulin

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Abstract

Background: The high prevalence of burnout among Swedish physicians may have several possible effects on individuals and society. However, further investigations of work-related factors associated with the risk of burnout among Swedish physicians are needed.

Aims: We aimed to study the associations between psychosocial work factors, based on the effort-reward imbalance (ERI) model, and the risk of burnout among Swedish physicians.

Methods: A representative sample of 7200 Swedish physicians was invited in 2021. Data were gathered through questionnaires, with a response rate of 41%. Logistic regression models were used to study the associations between exposure to ERI and the risk of burnout.

Results: Approximately 62% of Swedish physicians were exposed to a high ERI. Exposure to a high ERI was associated with 11 times increased risk (95% confidence interval 6.5-20.0) of burnout in adjusted models. Large variations in the prevalence of ERI and risk of burnout across sociodemographic and occupational factors were identified, particularly across different clinical specialties.

Conclusions: A majority of Swedish physicians were exposed to high levels of work-related stress, strongly associated with an increased risk of burnout. This population-based cross-sectional study underlines the need to further study variations of work-related stress across clinical specialties and to monitor occupational health among physicians longitudinally.

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瑞典医生的努力-回报失衡与职业倦怠风险之间的关系。

背景：瑞典医生的职业倦怠发生率很高，可能会对个人和社会产生多种影响。目的：我们旨在研究基于努力-回报不平衡（ERI）模型的社会心理工作因素与瑞典医生职业倦怠风险之间的关联：方法：邀请 2021 年的 7200 名瑞典医生作为代表性样本。通过问卷调查收集数据，回复率为 41%。采用逻辑回归模型研究ERI暴露与职业倦怠风险之间的关联：结果：约 62% 的瑞典医生暴露于高 ERI 环境中。在调整模型中，暴露于高ERI与职业倦怠风险增加11倍（95%置信区间为6.5-20.0）有关。不同社会人口和职业因素导致的ERI发生率和职业倦怠风险差异很大，尤其是在不同临床专科之间：结论：大多数瑞典医生都面临着很大的工作压力，这与职业倦怠风险的增加密切相关。这项以人群为基础的横断面研究强调，有必要进一步研究不同临床专科中工作相关压力的变化，并对医生的职业健康状况进行纵向监测。

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来源期刊

Occupational Medicine-Oxford 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

3.90%

发文量

120

审稿时长

4-8 weeks

期刊介绍： Occupational Medicine is an international peer-reviewed journal which provides vital information for the promotion of workplace health and safety. The key strategic aims of the journal are to improve the practice of occupational health professionals through continuing education and to raise the profile of occupational health with key stakeholders including policy makers and representatives of employers and employees. Topics covered include work-related injury and illness, accident and illness prevention, health promotion, occupational disease, health education, the establishment and implementation of health and safety standards, monitoring of the work environment, and the management of recognized hazards. Contributions are welcomed from practising occupational health professionals and research workers in related fields.

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