Anna Alexandrova-Karamanova1,2, Irina Todorova3, Anthony Montgomery4, Efharis Panagopoulou5, Patricia Costa6, Adriana Baban7, Asli Davas8, Milan Milosevic9, Dragan Mijakoski10. 1. Health Psychology Research Center, PO Box 238, 1113, Sofia, Bulgaria. annaalexandrova@yahoo.com. 2. Department of Psychology, Institute for Population and Human Studies, Bulgarian Academy of Sciences, Acad. G. Bonchev Street, bl. 6, fl. 5/6, 1113, Sofia, Bulgaria. annaalexandrova@yahoo.com. 3. Health Psychology Research Center, PO Box 238, 1113, Sofia, Bulgaria. 4. Department of Education and Social Policy, University of Macedonia, 156 Egnatia Street, 540 06, Thessaloniki, Greece. 5. Medical School, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece. 6. Business Research Unit - Instituto Universitário de Lisboa, Av. das Forças Armadas, Edificio ISCTE-IUL, 1649-026, Lisbon, Portugal. 7. Department of Psychology, Babes Bolyai University, 37 Republicii Street, 400015, Cluj-Napoca, Romania. 8. Department of Public Health, Ege University, Halk Sagligi AD, 35100, Bornova, Izmir, Turkey. 9. School of Medicine, Andrija Stampar School of Public Health, University of Zagreb, Rockefellerova 4, 10000, Zagreb, Croatia. 10. Institute of Occupational Health of RM, WHO Collaborating Center, II Makedonska Brigada 43, Skopje, Republic of Macedonia.
Abstract
OBJECTIVES: Within an underlying health-impairing process, work stressors exhaust employees' mental and physical resources and lead to exhaustion/burnout and to health problems, with health-impairing behaviors being one of the potential mechanisms, linking burnout to ill health. The study aims to explore the associations between burnout and fast food consumption, exercise, alcohol consumption and painkiller use in a multinational sample of 2623 doctors, nurses and residents from Greece, Portugal, Bulgaria, Romania, Turkey, Croatia and Macedonia, adopting a cross-national approach. METHODS: Data are part of the international cross-sectional quantitative ORCAB survey. The measures included the Maslach Burnout Inventory and the Health Behaviors Questionnaire. RESULTS: Burnout was significantly positively associated with higher fast food consumption, infrequent exercise, higher alcohol consumption and more frequent painkiller use in the full sample, and these associations remained significant after the inclusion of individual differences factors and country of residence. Cross-national comparisons showed significant differences in burnout and health behaviors, and some differences in the statistical significance and magnitude (but not the direction) of the associations between them. Health professionals from Turkey, Greece and Bulgaria reported the most unfavorable experiences. CONCLUSIONS: Burnout and risk health behaviors among health professionals are important both in the context of health professionals' health and well-being and as factors contributing to medical errors and inadequate patient safety. Organizational interventions should incorporate early identification of such behaviors together with programs promoting health and aimed at the reduction of burnout and work-related stress.
OBJECTIVES: Within an underlying health-impairing process, work stressors exhaust employees' mental and physical resources and lead to exhaustion/burnout and to health problems, with health-impairing behaviors being one of the potential mechanisms, linking burnout to ill health. The study aims to explore the associations between burnout and fast food consumption, exercise, alcohol consumption and painkiller use in a multinational sample of 2623 doctors, nurses and residents from Greece, Portugal, Bulgaria, Romania, Turkey, Croatia and Macedonia, adopting a cross-national approach. METHODS: Data are part of the international cross-sectional quantitative ORCAB survey. The measures included the Maslach Burnout Inventory and the Health Behaviors Questionnaire. RESULTS: Burnout was significantly positively associated with higher fast food consumption, infrequent exercise, higher alcohol consumption and more frequent painkiller use in the full sample, and these associations remained significant after the inclusion of individual differences factors and country of residence. Cross-national comparisons showed significant differences in burnout and health behaviors, and some differences in the statistical significance and magnitude (but not the direction) of the associations between them. Health professionals from Turkey, Greece and Bulgaria reported the most unfavorable experiences. CONCLUSIONS: Burnout and risk health behaviors among health professionals are important both in the context of health professionals' health and well-being and as factors contributing to medical errors and inadequate patient safety. Organizational interventions should incorporate early identification of such behaviors together with programs promoting health and aimed at the reduction of burnout and work-related stress.
Entities:
Keywords:
Burnout; Cross-national; Health behaviors; Health professionals
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