--- title: "burnout and adherence with mask usage and COVID-19 | Sutter Health" description: "Association between burnout and adherence with mask usage and additional COVID-19 prevention behaviours: findings from a large-scale, demographically representa" url: "https://www.sutterhealth.org/research/publications/burnout-adherence-with-mask-usage-covid-19-1055312794" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. burnout and adherence with mask usage and COVID-19 # Association between burnout and adherence with mask usage and additional COVID-19 prevention behaviours: findings from a large-scale, demographically representative survey of US adults _BMJ Open_ 2023-03-01 ## Abstract Studies have found associations between occupational burnout symptoms and reduced engagement with healthy behaviors. We sought to characterize demographic, employment and sleep characteristics associated with occupational burnout symptoms, and to evaluate their relationships with adherence to COVID-19 prevention behaviors (mask usage, hand hygiene, avoiding gatherings, physical distancing, obtaining COVID-19 tests if potentially infected). Methods: During December 2020, surveys were administered cross-sectionally to 5208 US adults (response rate=65.8%). Quota sampling and survey weighting were employed to improve sample representativeness of sex, age and race and ethnicity. Among 3026 employed respondents, logistic regression models examined associations between burnout symptoms and demographic, employment and sleep characteristics. Similar models were conducted to estimate associations between burnout and non-adherence with COVID-19 prevention behaviors. Results: Women, younger adults, unpaid caregivers, those working more on-site versus remotely and those with insufficient or impaired sleep had higher odds of occupational burnout symptoms. Burnout symptoms were associated with less frequent mask usage (adjusted odds ratio (aOR)=1.7, 95% CI 1.3-2.1), hand hygiene (aOR=2.1, 95% CI 1.7-2.7), physical distancing (aOR=1.3, 95% CI 1.1-1.6), avoiding gatherings (aOR=1.4, 95% CI 1.1-1.7) and obtaining COVID-19 tests (aOR=1.4, 95% CI 1.1-1.8). Conclusions: Disparities in occupational burnout symptoms exist by gender, age, caregiving, employment and sleep health. Employees experiencing occupational burnout symptoms might exhibit reduced adherence with COVID-19 prevention behaviors. Employers can support employee health by addressing the psychological syndrome of occupational burnout. [PubMed abstract](https://pubmed.ncbi.nlm.nih.gov/36858474/) ![Rashon I Lane, Ph.D, MA](https://dyn.mktgcdn.com/p/YkFrApKCt1azAd9bE9J193lbOK4SG3jv_LeSeAb0yhY/fit=crop,gravity=auto,dpr=2,width=188,height=250,quality=100) Rashon I Lane, Ph.D, MA Principal investigator [View profile](https://www.sutterhealth.org/research/investigators/rashon-i-lane-phd-ma-1049681186) ## Research topics - [COVID-19](https://www.sutterhealth.org/research-search-results?query=%22%5C%22COVID-19%5C%22%22) - [Mental Health](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Mental+Health%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic](https://www.sutterhealth.org/research/publications/mental-health-substance-use-during-covid-19-pandemic-1055312942) MMWR Morbidity Mortality Weekly Report 2020 Aug 14 - Publication ### [Pushing and coasting in dynamic goal pursuit: coasting is attenuated in bipolar disorder.](https://www.sutterhealth.org/research/publications/coasting-is-attentuated-in-bipolar-disorder-1055312618) Fulford D, Johnson SL, Llabre MM, Carver CS. Psychol Sci. 21(7):1021-7. doi: 10.1177/0956797610373372. Epub 2010 Jun 2. 2010 Jul 01 - Publication ### [Symptom dimensions and functional impairment in early psychosis: more to the story than just negative symptoms.](https://www.sutterhealth.org/research/publications/symptoms-functional-impairment-in-early-psychosis-1055312610) Fulford D, Niendam TA, Floyd EG, Carter CS, Mathalon DH, Vinogradov S, Stuart BK, Loewy RL. Schizophr Res. 147(1):125-31. doi: 10.1016/j.schres.2013.03.024. Epub 2013 Apr 12. 2013 Jun 01 - Publication ### [John & Marcia Goldman Foundation Donates $100K to Improve Behavioral Health in Teens](https://www.sutterhealth.org/research/publications/teen-behavioral-health-care-1055312809) Palo Alto Medical Foundation Marketing & Communications, Jan. 15, 2015 Palo Alto Medical Foundation Newsroom Blog 2015 Jan 15 - Publication ### [Symptom assessment in early psychosis: The use of well-established rating scales in clinical high-risk and recent-onset populations.](https://www.sutterhealth.org/research/publications/symptom-assessment-early-psychosis-rating-scales-1055312798) Fulford D, Pearson R, Stuart BK, Fisher M, Mathalon DH, Vinogradov S, Loewy RL. Psychiatry Res. 220(3):1077-83. doi: 10.1016/j.psychres.2014.07.047. Epub 2014 Aug 1. 2014 Dec 30 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/burnout-adherence-with-mask-usage-covid-19-1055312794#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"burnout and adherence with mask usage and COVID-19"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/burnout-adherence-with-mask-usage-covid-19-1055312794#medicalscholarlyarticle","name":"Association between burnout and adherence with mask usage and additional COVID-19 prevention behaviours: findings from a large-scale, demographically representative survey of US adults","headline":"burnout and adherence with mask usage and COVID-19","abstract":"Studies have found associations between occupational burnout symptoms and reduced engagement with healthy behaviors. We sought to characterize demographic, employment and sleep characteristics associated with occupational burnout symptoms, and to evaluate their relationships with adherence to COVID-19 prevention behaviors (mask usage, hand hygiene, avoiding gatherings, physical distancing, obtaining COVID-19 tests if potentially infected). Methods: During December 2020, surveys were administered cross-sectionally to 5208 US adults (response rate=65.8%). Quota sampling and survey weighting were employed to improve sample representativeness of sex, age and race and ethnicity. Among 3026 employed respondents, logistic regression models examined associations between burnout symptoms and demographic, employment and sleep characteristics. Similar models were conducted to estimate associations between burnout and non-adherence with COVID-19 prevention behaviors. Results: Women, younger adults, unpaid caregivers, those working more on-site versus remotely and those with insufficient or impaired sleep had higher odds of occupational burnout symptoms. Burnout symptoms were associated with less frequent mask usage (adjusted odds ratio (aOR)=1.7, 95% CI 1.3-2.1), hand hygiene (aOR=2.1, 95% CI 1.7-2.7), physical distancing (aOR=1.3, 95% CI 1.1-1.6), avoiding gatherings (aOR=1.4, 95% CI 1.1-1.7) and obtaining COVID-19 tests (aOR=1.4, 95% CI 1.1-1.8). Conclusions: Disparities in occupational burnout symptoms exist by gender, age, caregiving, employment and sleep health. Employees experiencing occupational burnout symptoms might exhibit reduced adherence with COVID-19 prevention behaviors. 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