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Table 3 Associations between characteristics of residents, residency program-related factors, occurrence of abuses and presence of anxiety

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

Variable

Anxiety

(n = 803)

Controls (n = 616)

OR (95%CI)

pa

ORadj (95%CI)b

pb

Age (years, median, IQR)

28 (27–31)

28 (26–30)

-

.070

1.06 (1.02–1.11)

.004

Female sex (n, %)

526 (66.8)

340 (55.4)

1.62 (1.31–2.02)

 < .001

1.37 (1.04–1.80)

.025

Non-heterosexual (n, %)

79 (10.0)

61 (10.1)

1.01 (.71–1.43)

.99

-

 

Marital status single (n, %)

558 (69.5)

420 (68.2)

1.06 (.85–1.33)

.603

-

 

Have children (n, %)

78 (9.7)

49 (8.0)

1.25 (.86–1.81)

.262

-

 

Live alone (n, %)

316 (39.4)

224 (36.4)

1.14 (.91–1.41)

.270

-

 

Move to participate in this residency (n, %)

520 (64.8)

393 (63.8)

1.04 (.84–1.30)

.737

-

 

Surgical training area (n, %)

367 (45.7)

243 (39.4)

1.29 (1.04–1.60)

.020

-

 

Post-graduation year (median, IQR)

2 (1–3)

2 (1–3)

-

.838

-

 

Weekly working hours in residency (median, IQR)

70 (60–80)

60 (60–70)

-

 < .001

1.15 (1.05–1.27)

.004

Weekly moonlighting hours (median, IQR)

9 (3–18)

9 (3–18)

-

.791

-

 

Leisure time (hours/week, median, IQR)

5 (2–10)

7 (4–12)

-

 < .001

-

 

Absence of day off (n, %)

322 (40.1)

168 (27.3)

1.79 (1.42–2.24)

 < .001

-

 

Poor learning experience (n, %)

307 (38.2)

108 (17.5)

2.91 (2.26–3.75)

 < .001

-

 

Work-personal life conflicts (n, %)

681 (84.8)

422 (68.5)

2.57 (1.99–3.32)

 < .001

1.57 (1.13–2.17)

.007

General poor feeling about residency program (n, %)

237 (29.5)

59 (9.6)

3.95 (2.91–5.38)

 

-

 

Few classroom activities (n, %)

455 (57.1)

271 (44.4)

1.66 (1.35–2.06)

 < .001

1.30 (1.00–1.70)

.049

Providing assistance without supervision often (n, %)

523 (65.1)

260 (42.2)

2.56 (2.06–3.12)

 < .001

1.57 (1.20–2.05)

.001

Choosing the wrong specialty (n, %)

374 (46.6)

138 (22.4)

3.02 (2.39–3.82)

 < .001

-

 

Occurrence of psychological abuse (n, %)

581 (72.4)

307 (49.8)

2.63 (2.11–3.29)

 < .001

-

 

Occurrence of psychological abuse from attendings (n, %)

406 (50.6)

180 (29.2)

2.48 (1.98–3.09)

 < .001

-

 

Occurrence of psychological abuse from patients (n, %)

190 (23.7)

103 (16.7)

1.54 (1.18–1.02)

.001

-

 

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

172 (21.4)

72 (11.7)

2.06 (1.53–2.78)

 < .001

-

 

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

263 (32.8)

155 (25.2)

1.45 (1.15–1.83)

.002

-

 

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

105 (13.1)

52 (8.4)

1.63 (1.15–2.32)

.006

-

 

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

154 (19.2)

84 (13.6)

1.50 (1.13–2.01)

.006

-

 

Depression (n, %)

569 (70.9)

97 (15.7)

13.01 (9.98–17.0)

 < .001

10.17 (7.70–13.14)

 < .001

Diurnal somnolence† (n, %)

596 (74.2)

300 (48.7)

3.03 (2.43–3.79)

 < .001

1.84 (1.39–2.44)

 < .001

Burnout (n, %)

388 (48.3)

137 (22.2)

3.27 (2.58–4.14)

 < .001

-

 
  1. a Fisher exact or Mann–Whitney tests
  2. b Final binary logistic regression model: AUROC = .837 (95%CI = .816-.857)
  3. This model enrolled 1,386 individuals (33 [2,3%] had at least one missing variable)