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Table 2 Associations between characteristics of residents, residency program-related factors, occurrence of abuses and presence of depression

From: Individual and residency program factors related to depression, anxiety and burnout in physician residents – a Brazilian survey

Variable

Depression (n = 666)

Controls (n = 753)

OR (95%CI)

pa

ORadj (95%CI)b

pb

Age (years, median, IQR)

28 (27–30)

28 (27–30)

-

.823

-

 

Female sex (n, %)

449 (67.4)

417 (55.4)

1.78 (1.43–2.21)

 < .001

1.69 (1.27–2.26)

 < .001

Non-heterosexual (n, %)

75 (11.4)

65 (8.8)

1.34 (.94–1.90)

.109

-

 

Marital status single (n, %)

468 (70.3)

510 (67.7)

1.13 (.90–1.41)

.329

-

 

Have children (n, %)

50 (7.5)

77 (10.2)

.71 (.49–1.03)

.077

-

 

Live alone (n, %)

265 (39.8)

275 (36.5)

1.15 (.93–1.42)

.208

-

 

Move to participate in this residency (n, %)

430 (64.6)

483 (64.1)

1.02 (.82–1.27)

.912

-

 

Surgical training area (n, %)

293 (44.0)

317 (42.1)

1.08 (.88–1.33)

.485

-

 

Post-graduation year (median, IQR)

2 (1–3)

2 (1–3)

-

.653

-

 

Weekly working hours in residency (median, IQR)

70 (60–80)

60 (60–80)

-

 < .001

1.09 (1.00–1.20)

.049

Weekly moonlighting hours (median, IQR)

9 (3–18)

9 (3–18)

-

.816

-

 

Leisure time (hours/week, median, IQR)

5 (2–8)

6 (4–12)

-

 < .001

-

 

Absence of day off (n, %)

283 (42.5)

207 (27.5)

1.95 (1.56–2.43)

 < .001

1.41 (1.04–1.90)

.027

Poor learning experience (n, %)

293 (44.0)

122 (16.2)

4.06 (3.17–5.20)

 < .001

1.87 (1.32–2.66)

 < .001

Work-personal life conflicts (n, %)

563 (84.5)

540 (71.7)

2.16 (1.66–2.81)

 < .001

-

 

General poor feeling about residency program (n, %)

233 (35.0)

63 (8.4)

5.89 (4.35–7.89)

 < .001

2.40 (1.58–3.64)

 < .001

Few classroom activities (n, %)

377 (57.2)

349 (46.7)

1.53 (1.24–1.89)

 < .001

-

 

Providing assistance without supervision often (n, %)

451 (67.7)

332 (44.1)

2.66 (2.14–3.31)

 < .001

-

 

Choosing the wrong specialty (n, %)

363 (54.5)

149 (19.8)

4.86 (3.84–6.15)

 < .001

-

 

Occurrence of psychological abuse (n, %)

505 (75.8)

383 (50.9)

3.03 (2.41–3.81)

 < .001

1.64 (1.23–2.20)

.001

Occurrence of psychological abuse from attendings (n, %)

361 (54.2)

225 (29.9)

2.78 (2.23–3.46)

 < .001

-

 

Occurrence of psychological abuse from patients (n, %)

161 (24.2)

132 (17.5)

1.50 (1.16–1.94)

.002

-

 

Occurrence of psychological abuse from colleague residents (n, %)

156 (23.4)

88 (11.7)

2.31 (1.74–3.08)

 < .001

-

 

Occurrence of sexual abuse in your residency program (n, %)

221 (33.2)

197 (26.2)

1.40 (1.12–1.76)

.004

-

 

Occurrence of sexual abuse in your residency program from attendings (n, %)

101 (15.2)

56 (7.4)

2.23 (1.58–3.14)

 < .001

-

 

Occurrence of physical aggression in your residency program (n, %)

130 (19.5)

108 (14.3)

1.45 (1.10–1.92)

.010

-

 

Anxiety (n, %)

569 (85.4)

234 (31.1)

13.0 (9.98–17.0)

 < .001

8.61 (6.45–11.48)

 < .001

Diurnal somnolence† (n, %)

499 (74.9)

397 (52.7)

2.68 (2.14–3.36)

 < .001

1.46 (1.09–1.97)

.012

Burnout (n, %)

359 (53.9)

166 (22.1)

4.14 (3.29–5.20)

 < .001

2.59 (1.93–3.49)

 < .001

  1. a Fisher exact or Mann–Whitney tests
  2. b Final binary logistic regression model: AUROC = .859 (95%CI = .840-.878)
  3. This model enrolled 1,398 individuals (21 [1,5%] had at least one missing variable)