Burnout and its associated factors among healthcare workers and the general working population in Japan during the COVID-19 pandemic: a nationwide cross-sectional internet-based study

Objectives To examine the prevalence and the associated factors of burnout among both healthcare workers (HCWs) and the general working population, which has not yet been unknown, using large-scale, nationwide data.Design Cross-sectional internet-based study.Setting Nationwide internet survey conduc...

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Main Authors: Takahiro Tabuchi, Takashi Yoshioka, Ryo Okubo, Takahiro Matsuo, Kazuya Nagasaki
Format: Article
Language:English
Published: BMJ Publishing Group 2022-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/11/e064716.full
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author Takahiro Tabuchi
Takashi Yoshioka
Ryo Okubo
Takahiro Matsuo
Kazuya Nagasaki
author_facet Takahiro Tabuchi
Takashi Yoshioka
Ryo Okubo
Takahiro Matsuo
Kazuya Nagasaki
author_sort Takahiro Tabuchi
collection DOAJ
description Objectives To examine the prevalence and the associated factors of burnout among both healthcare workers (HCWs) and the general working population, which has not yet been unknown, using large-scale, nationwide data.Design Cross-sectional internet-based study.Setting Nationwide internet survey conducted between 8 and 26 February 2021 in Japan.Participants Workers aged 20–64 years. We classified the workers as HCWs and the general working population.Exposures Demographic characteristics (age, sex and marital status), socioeconomic status (education, employment and income), health-related, work-related and industry-related factors (smoking, alcohol use, physical and psychiatric comorbidities, working hours, types of healthcare professionals, experience on the COVID-19 frontline and working industries).Main outcome measures Burnout defined as a score of ≥3 points on the Mini-Z Single-Item Burnout Scale.Results Of the included 12 650 workers, 1087 were HCWs. After inverse probability weighting on data from the 2016 Comprehensive Survey of Living Conditions, burnout in HCWs and the general working population was 33.5% (95% CI 29.2% to 38.0%) and 31.0% (95% CI 29.7% to 32.4%), respectively. In the weighted multivariable modified Poisson regression models, working 60 hours or more was associated with burnout in all workers (HCWs: prevalence ratio (PR) 2.52, 95% CI 1.68 to 3.76; general population: PR 1.26, 95% CI 1.07 to 1.48). Widowed/separated compared with married was associated with burnout only among HCWs (PR 1.69, 95% CI 1.16 to 2.47), whereas presence of physical or psychiatric comorbidities was associated with burnout among the general working population (PR 1.14, 95% CI 1.03 to 1.28; and PR 1.65, 95% CI 1.45 to 1.87, respectively).Conclusions Burnout was prevalent in both HCWs and the general working population in Japan. Both common and specific risk factors were observed. Our findings highlight the need for the general workplace policy and targeted interventions for burnout prevention.
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spelling doaj.art-6012bc16304d4da99b8c0528592543a02022-12-22T04:20:42ZengBMJ Publishing GroupBMJ Open2044-60552022-11-01121110.1136/bmjopen-2022-064716Burnout and its associated factors among healthcare workers and the general working population in Japan during the COVID-19 pandemic: a nationwide cross-sectional internet-based studyTakahiro Tabuchi0Takashi Yoshioka1Ryo Okubo2Takahiro Matsuo3Kazuya Nagasaki4Osaka International Cancer Institute Cancer Control Center, Osaka, Osaka, Japan2 Center for Innovative Research for Communities and Clinical Excellence (CiRC2LE), Fukushima Medical University, Fukushima, Japan1 Division of Health Care Research, Center for Public Health Sciences, National Cancer Center Japan, Tokyo, JapanDepartment of Infectious Diseases, St Luke`s International Hospital, Chuo-ku, JapanDepartment of Internal Medicine, Mito Kyodo General Hospital, Mito, Ibaraki, JapanObjectives To examine the prevalence and the associated factors of burnout among both healthcare workers (HCWs) and the general working population, which has not yet been unknown, using large-scale, nationwide data.Design Cross-sectional internet-based study.Setting Nationwide internet survey conducted between 8 and 26 February 2021 in Japan.Participants Workers aged 20–64 years. We classified the workers as HCWs and the general working population.Exposures Demographic characteristics (age, sex and marital status), socioeconomic status (education, employment and income), health-related, work-related and industry-related factors (smoking, alcohol use, physical and psychiatric comorbidities, working hours, types of healthcare professionals, experience on the COVID-19 frontline and working industries).Main outcome measures Burnout defined as a score of ≥3 points on the Mini-Z Single-Item Burnout Scale.Results Of the included 12 650 workers, 1087 were HCWs. After inverse probability weighting on data from the 2016 Comprehensive Survey of Living Conditions, burnout in HCWs and the general working population was 33.5% (95% CI 29.2% to 38.0%) and 31.0% (95% CI 29.7% to 32.4%), respectively. In the weighted multivariable modified Poisson regression models, working 60 hours or more was associated with burnout in all workers (HCWs: prevalence ratio (PR) 2.52, 95% CI 1.68 to 3.76; general population: PR 1.26, 95% CI 1.07 to 1.48). Widowed/separated compared with married was associated with burnout only among HCWs (PR 1.69, 95% CI 1.16 to 2.47), whereas presence of physical or psychiatric comorbidities was associated with burnout among the general working population (PR 1.14, 95% CI 1.03 to 1.28; and PR 1.65, 95% CI 1.45 to 1.87, respectively).Conclusions Burnout was prevalent in both HCWs and the general working population in Japan. Both common and specific risk factors were observed. Our findings highlight the need for the general workplace policy and targeted interventions for burnout prevention.https://bmjopen.bmj.com/content/12/11/e064716.full
spellingShingle Takahiro Tabuchi
Takashi Yoshioka
Ryo Okubo
Takahiro Matsuo
Kazuya Nagasaki
Burnout and its associated factors among healthcare workers and the general working population in Japan during the COVID-19 pandemic: a nationwide cross-sectional internet-based study
BMJ Open
title Burnout and its associated factors among healthcare workers and the general working population in Japan during the COVID-19 pandemic: a nationwide cross-sectional internet-based study
title_full Burnout and its associated factors among healthcare workers and the general working population in Japan during the COVID-19 pandemic: a nationwide cross-sectional internet-based study
title_fullStr Burnout and its associated factors among healthcare workers and the general working population in Japan during the COVID-19 pandemic: a nationwide cross-sectional internet-based study
title_full_unstemmed Burnout and its associated factors among healthcare workers and the general working population in Japan during the COVID-19 pandemic: a nationwide cross-sectional internet-based study
title_short Burnout and its associated factors among healthcare workers and the general working population in Japan during the COVID-19 pandemic: a nationwide cross-sectional internet-based study
title_sort burnout and its associated factors among healthcare workers and the general working population in japan during the covid 19 pandemic a nationwide cross sectional internet based study
url https://bmjopen.bmj.com/content/12/11/e064716.full
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