Table 2.

Odds Ratios for Emotional Exhaustion and Depersonalization, From Ordinal Logistic Models

Emotional ExhaustionDepersonalization
Model and PredictorsOR (95% CI)P ValueOR (95% CI)P Value
Unadjusted regression model
    Underrepresented in medicine (referent: not underrepresented)0.83 (0.69-0.99).040.70 (0.58-0.84)<.001
Adjusted regression model
    Underrepresented in medicine (referent: not underrepresented)0.85 (0.71-1.02).080.74 (0.62-0.90).002
    Practices obstetrics1.28 (0.99-1.52).061.38 (1.11-1.71).004
    DI (per 10%)0.97 (0.93-1.00).0580.93 (0.90-0.97).000
    Age (per 10 years)0.89 (0.84-0.95)<.0010.65 (0.61-0.70).000
    Female (referent: male)1.43 (1.26-1.63)<.0011.10 (0.96-1.25).17
    MD (referent: DO)1.06 (0.89-1.27).510.96 (0.80-1.15).64
    Practices pediatric care1.09 (0.88-1.34).431.13 (0.92-1.40).25
    Practices adult hospital care0.79 (0.68-0.93).0040.83 (0.71-0.98).03
Path model testing for mediation
    Indirect effects mediated by under-represented physicians being less likely to practice obstetrics0.77 (0.62-0.95).02
    Indirect effects mediated by under-represented physicians practicing in counties with higher DI0.97 (0.94-1.00).060.94 (0.91-0.97)<.001
    Total effect of underrepresented status (direct + indirect effects)0.82 (0.69-0.99).030.54 (0.41-0.71)<.001
  • DI = diversity index; DO = doctor of osteopathic medicine; MD = doctor of medicine; OR = odds ratio.