Prevalence and predictors of depression among emergency physicians: a national cross-sectional study

Abstract Background Physicians' depression can damage their physical and mental health and can also lead to prescribing errors and reduced quality of health care. Emergency physicians are a potentially high-risk community, but there have been no large-sample studies on the prevalence and predic...

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Main Authors: Yueming Chen, Xin Shen, Jing Feng, Zihui Lei, Weixin Zhang, Xingyue Song, Chuanzhu Lv
Format: Article
Language:English
Published: BMC 2022-01-01
Series:BMC Psychiatry
Online Access:https://doi.org/10.1186/s12888-022-03687-8
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author Yueming Chen
Xin Shen
Jing Feng
Zihui Lei
Weixin Zhang
Xingyue Song
Chuanzhu Lv
author_facet Yueming Chen
Xin Shen
Jing Feng
Zihui Lei
Weixin Zhang
Xingyue Song
Chuanzhu Lv
author_sort Yueming Chen
collection DOAJ
description Abstract Background Physicians' depression can damage their physical and mental health and can also lead to prescribing errors and reduced quality of health care. Emergency physicians are a potentially high-risk community, but there have been no large-sample studies on the prevalence and predictors of depression among this population. Methods A nationally representative cross-sectional survey of 15,243 emergency physicians was conducted in 31 provinces across China between July and September 2019. Multivariable logistic regression analysis was performed to identify predictors of depression. Results A total of 35.59% of emergency physicians suffered from depression. Emergency physicians who were male (OR=0.91) and older [>37 and ≤43 (OR=0.83) or >43 (OR=0.71)], had high (OR=0.63) or middle (OR=0.70) level income, and participated in physical inactivity (OR=0.85) were not more likely to suffer depression. Meanwhile, those who were unmarried (OR=1.13) and smokers (OR=1.12) had higher education levels [Bachelor’s degree (OR=1.57) or Master’s degree or higher (OR=1.82)], long work tenure [>6 and ≤11 (OR=1.15) or >11;11 (OR=1.19)], poorer health status [fair (OR=1.67) or poor (OR=3.79)] and sleep quality [fair (OR=2.23) or poor (OR=4.94)], a history of hypertension (OR=1.13) and coronary heart disease (OR=1.57) and experienced shift work (OR=1.91) and violence (OR=4.94)]. Conclusion Nearly one third of emergency physicians in China suffered from depression. Targeted measures should be taken to reduce the prevalence of depression to avoid a decline in health care quality and adversely impact the supply of emergency medical services.
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spelling doaj.art-904bd9d02d10473396cbf718efa5e1eb2022-12-21T16:43:05ZengBMCBMC Psychiatry1471-244X2022-01-012211810.1186/s12888-022-03687-8Prevalence and predictors of depression among emergency physicians: a national cross-sectional studyYueming Chen0Xin Shen1Jing Feng2Zihui Lei3Weixin Zhang4Xingyue Song5Chuanzhu Lv6Central People’s Hospital of ZhanjiangDepartment of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and TechnologySchool of Public Health, Jilin UniversityDepartment of Emergency, Hainan Clinical Research Center for Acute and Critical Diseases, The Second Affiliated Hospital of Hainan Medical UniversityEmergency Medicine Center, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of ChinaAbstract Background Physicians' depression can damage their physical and mental health and can also lead to prescribing errors and reduced quality of health care. Emergency physicians are a potentially high-risk community, but there have been no large-sample studies on the prevalence and predictors of depression among this population. Methods A nationally representative cross-sectional survey of 15,243 emergency physicians was conducted in 31 provinces across China between July and September 2019. Multivariable logistic regression analysis was performed to identify predictors of depression. Results A total of 35.59% of emergency physicians suffered from depression. Emergency physicians who were male (OR=0.91) and older [>37 and ≤43 (OR=0.83) or >43 (OR=0.71)], had high (OR=0.63) or middle (OR=0.70) level income, and participated in physical inactivity (OR=0.85) were not more likely to suffer depression. Meanwhile, those who were unmarried (OR=1.13) and smokers (OR=1.12) had higher education levels [Bachelor’s degree (OR=1.57) or Master’s degree or higher (OR=1.82)], long work tenure [>6 and ≤11 (OR=1.15) or >11;11 (OR=1.19)], poorer health status [fair (OR=1.67) or poor (OR=3.79)] and sleep quality [fair (OR=2.23) or poor (OR=4.94)], a history of hypertension (OR=1.13) and coronary heart disease (OR=1.57) and experienced shift work (OR=1.91) and violence (OR=4.94)]. Conclusion Nearly one third of emergency physicians in China suffered from depression. Targeted measures should be taken to reduce the prevalence of depression to avoid a decline in health care quality and adversely impact the supply of emergency medical services.https://doi.org/10.1186/s12888-022-03687-8
spellingShingle Yueming Chen
Xin Shen
Jing Feng
Zihui Lei
Weixin Zhang
Xingyue Song
Chuanzhu Lv
Prevalence and predictors of depression among emergency physicians: a national cross-sectional study
BMC Psychiatry
title Prevalence and predictors of depression among emergency physicians: a national cross-sectional study
title_full Prevalence and predictors of depression among emergency physicians: a national cross-sectional study
title_fullStr Prevalence and predictors of depression among emergency physicians: a national cross-sectional study
title_full_unstemmed Prevalence and predictors of depression among emergency physicians: a national cross-sectional study
title_short Prevalence and predictors of depression among emergency physicians: a national cross-sectional study
title_sort prevalence and predictors of depression among emergency physicians a national cross sectional study
url https://doi.org/10.1186/s12888-022-03687-8
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