Emotional Exhaustion | Depersonalization | |||
---|---|---|---|---|
Model and Predictors | OR (95% CI) | P Value | OR (95% CI) | P Value |
Unadjusted regression model | ||||
Underrepresented in medicine (referent: not underrepresented) | 0.83 (0.69-0.99) | .04 | 0.70 (0.58-0.84) | <.001 |
Adjusted regression model | ||||
Underrepresented in medicine (referent: not underrepresented) | 0.85 (0.71-1.02) | .08 | 0.74 (0.62-0.90) | .002 |
Practices obstetrics | 1.28 (0.99-1.52) | .06 | 1.38 (1.11-1.71) | .004 |
DI (per 10%) | 0.97 (0.93-1.00) | .058 | 0.93 (0.90-0.97) | .000 |
Age (per 10 years) | 0.89 (0.84-0.95) | <.001 | 0.65 (0.61-0.70) | .000 |
Female (referent: male) | 1.43 (1.26-1.63) | <.001 | 1.10 (0.96-1.25) | .17 |
MD (referent: DO) | 1.06 (0.89-1.27) | .51 | 0.96 (0.80-1.15) | .64 |
Practices pediatric care | 1.09 (0.88-1.34) | .43 | 1.13 (0.92-1.40) | .25 |
Practices adult hospital care | 0.79 (0.68-0.93) | .004 | 0.83 (0.71-0.98) | .03 |
Path model testing for mediation | ||||
Indirect effects mediated by under-represented physicians being less likely to practice obstetrics | … | … | 0.77 (0.62-0.95) | .02 |
Indirect effects mediated by under-represented physicians practicing in counties with higher DI | 0.97 (0.94-1.00) | .06 | 0.94 (0.91-0.97) | <.001 |
Total effect of underrepresented status (direct + indirect effects) | 0.82 (0.69-0.99) | .03 | 0.54 (0.41-0.71) | <.001 |
DI = diversity index; DO = doctor of osteopathic medicine; MD = doctor of medicine; OR = odds ratio.