The primary prevention of occupational burnout should be considered as a public health priority worldwide. The aim of this study was to evaluate the prevalence of burnout and its associations with the work environment among hospital physicians in the Kaunas region, Lithuania. The cross-sectional study was carried out in 2018. The Job Content Questionnaire (JCQ) and the Copenhagen Burnout Inventory (CBI) were administered to examine occupational stress and personal, work-related, and client-related burnout among 647 physicians. Logistic regression analysis was applied to determine the association between dependent variable burnout and psychosocial environment among physicians, adjusting for potential confounders of age and gender. The prevalence rate of client-related, work-related, and personal burnout was 35.1%, 46.7%, and 44.8%, respectively. High job control, lack of supervisor, coworker support, job demands, and job insecurity were significantly associated with all three sub-dimensions of burnout. High job demands increased the probability of all three burnout dimensions, high job control reduced the probability of work-related, and client-related burnout and high job insecurity increased the probability of client-related burnout. The confirmed associations suggest that optimization of job demands and job control and the improvement of job security would be effective preventive measures in reducing occupational burnout among physicians.

中文翻译：

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考纳斯地区（立陶宛）医院医师的职业倦怠发生率及其与社会心理工作环境的关系。

职业倦怠的一级预防应被视为世界范围的公共卫生重点。这项研究的目的是评估立陶宛考纳斯地区医院医生的倦怠发生率及其与工作环境的关系。该横断面研究于2018年进行。管理了工作内容调查表（JCQ）和哥本哈根倦怠量表（CBI），以检查647位医生的职业压力以及与个人，工作相关和与客户有关的倦怠。应用逻辑回归分析确定因变量倦怠与医师之间的心理社会环境之间的关联，并调整年龄和性别的潜在混杂因素。与客户相关，与工作相关和个人倦怠的患病率分别为35.1％，46.7％和44.8％。高度的工作控制，缺乏上级，同事的支持，工作要求和工作不安全感与倦怠的所有三个子维度均显着相关。较高的工作需求增加了这三个方面的倦怠可能性，较高的工作控制降低了与工作相关的可能性，而与客户相关的倦怠和较高的工作不安全感增加了与客户相关的倦怠的可能性。证实的协会表明，优化工作需求和工作控制以及改善工作安全性将是减少医生职业倦怠的有效预防措施。高度的工作控制降低了与工作有关的可能性，而与客户相关的倦怠和高工作不安全感增加了与客户相关的倦怠的可能性。证实的协会表明，优化工作需求和工作控制以及改善工作安全性将是减少医生职业倦怠的有效预防措施。高度的工作控制降低了与工作有关的可能性，而与客户相关的倦怠和高工作不安全感增加了与客户相关的倦怠的可能性。证实的协会表明，优化工作需求和工作控制以及改善工作安全性将是减少医生职业倦怠的有效预防措施。