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Burnout and health behaviors in health professionals from seven European countries

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International Archives of Occupational and Environmental Health Aims and scope Submit manuscript

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.

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Acknowledgments

The research leading to these results has received funding from the European Union’s Seventh Framework Programme [FP7-HEALTH-2009-single-stage] under Grant Agreement No. [242084].

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Authors and Affiliations

  1. Health Psychology Research Center, PO Box 238, 1113, Sofia, Bulgaria

    Anna Alexandrova-Karamanova & Irina Todorova

  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

    Anna Alexandrova-Karamanova

  3. Department of Education and Social Policy, University of Macedonia, 156 Egnatia Street, 540 06, Thessaloniki, Greece

    Anthony Montgomery

  4. Medical School, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece

    Efharis Panagopoulou

  5. Business Research Unit - Instituto Universitário de Lisboa, Av. das Forças Armadas, Edificio ISCTE-IUL, 1649-026, Lisbon, Portugal

    Patricia Costa

  6. Department of Psychology, Babes Bolyai University, 37 Republicii Street, 400015, Cluj-Napoca, Romania

    Adriana Baban

  7. Department of Public Health, Ege University, Halk Sagligi AD, 35100, Bornova, Izmir, Turkey

    Asli Davas

  8. School of Medicine, Andrija Stampar School of Public Health, University of Zagreb, Rockefellerova 4, 10000, Zagreb, Croatia

    Milan Milosevic

  9. Institute of Occupational Health of RM, WHO Collaborating Center, II Makedonska Brigada 43, Skopje, Republic of Macedonia

    Dragan Mijakoski

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  1. Anna Alexandrova-Karamanova
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  2. Irina Todorova
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  3. Anthony Montgomery
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  4. Efharis Panagopoulou
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  9. Dragan Mijakoski
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Correspondence to Anna Alexandrova-Karamanova.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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Alexandrova-Karamanova, A., Todorova, I., Montgomery, A. et al. Burnout and health behaviors in health professionals from seven European countries. Int Arch Occup Environ Health 89, 1059–1075 (2016). https://doi.org/10.1007/s00420-016-1143-5

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