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Job stress and burnout among urban and rural hospital physicians in J apan
Author(s) -
Saijo Yasuaki,
Chiba Shigeru,
Yoshioka Eiji,
Kawanishi Yasuyuki,
Nakagi Yoshihiko,
Ito Toshihiro,
Sugioka Yoshihiko,
KitaokaHigashiguchi Kazuyo,
Yoshida Takahiko
Publication year - 2013
Publication title -
australian journal of rural health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.48
H-Index - 49
eISSN - 1440-1584
pISSN - 1038-5282
DOI - 10.1111/ajr.12040
Subject(s) - burnout , post hoc analysis , job control , medicine , scale (ratio) , job stress , job satisfaction , family medicine , demography , psychology , clinical psychology , geography , social psychology , cartography , sociology , electrical engineering , sense (electronics) , engineering
Objective To elucidate the differences in job stress and burnout status of J apanese hospital physicians between large cities, small cities, and towns and villages. Design Cross‐sectional study. Setting Postal self‐administered questionnaires were distributed to 2937 alumni of A sahikawa M edical U niversity. Participants Four hundred and twenty‐two hospital physicians. Main outcome measures The B rief J ob S tress Q uestionnaire was used to evaluate job demand, job control and social support. The J apanese version of the M aslach B urnout I nventory‐ G eneral S urvey ( MBI‐GS ) was used to evaluate burnout. An analysis of covariance was conducted on the mean scores on the B rief J ob S tress Q uestionnaire and the MBI‐GS scales after adjusting for sex, age and specialties. Results In adjusted analyses, the job demand score was significantly different among physicians in the three areas. In B onferroni post‐hoc tests, scores in large cities was significantly higher than those in small cities and towns and villages. The job control score showed a significant difference and a marginally significant trend, with large cities associated with lower job control. There were significant differences in support from supervisors and that from family/friends, and scores in large cities was significantly higher than those in small cities in the post‐hoc test. There was a significant effect on the exhaustion scale of the MBI‐GS , with large cities associated with higher exhaustion, and scores in large cities was significantly higher than those in small cities. Conclusions Urban hospital physicians had more job demand, less job control and exhaustion caused by burnout, and rural hospital physicians had less social support.