Abstract
Healthcare professionals (HCPs) often suffer high levels of depression, stress, anxiety and burnout. Our main study aimswereto estimate the prevalences of poor self-perceived health, life dissatisfaction, chronic disease and unhealthy habits among HCPs and to explore the use of machine learning classification algorithms to remove selection bias. A sample of Spanish HCPs was asked to complete a web survey. Risk factors were identified by multivariate ordinal regression models. To counteract the absence of probabilistic sampling and representation, the sample was weighted by propensity score adjustment algorithms. The logistic regression algorithm was considered the most appropriate for dealing with misestimations. Male HCPs had significantly worse lifestyle habits than their female counterparts, together with a higher prevalence of chronic disease and of health problems. Members of the general population reported significantly poorer health and less satisfaction with life than the HCPs. Among HCPs, the prior existence of health problems was most strongly associated with worsening self-perceived health and decreased life satisfaction, while obesity had an important negative impact on female practitioners’ self-perception of health. Finally, the HCPs who worked as nurses had poorer self-perceptions of health than other HCPs, and the men who worked in primary care had less satisfaction with their lives than those who worked in other levels of healthcare.
Highlights
One of the elements of the physician’s pledge in the 2017 revision of the Declaration of Geneva, adopted by the World Medical Association (WMA), states: ‘I will attend to my own health, well-being, and abilities in order to provide care of the highest standard [1]’
In view of these considerations, the main objectives of this research were to estimate the prevalence among healthcare professionals (HCPs) of ill health, dissatisfaction, chronic disease and unhealthy lifestyle habits and to identify and analyse factors associated with life satisfaction and perceived health status
According to results provided by propensity score adjustment (PSA) with logistic regression,10.3% of male HCPs (Table 2) and 12.6% of female HCPs (Table 3) were dissatisfied with their life and 8.4% of male and 7.8% of female professionals perceived their own health as poor
Summary
One of the elements of the physician’s pledge in the 2017 revision of the Declaration of Geneva, adopted by the World Medical Association (WMA), states: ‘I will attend to my own health, well-being, and abilities in order to provide care of the highest standard [1]’. This addition to the previous Declaration of Geneva acknowledges that patients suffer when the well-being of healthcare professionals (HCPs) is compromised [2] and was adopted in response to the growing awareness that physicians and nurses present high levels of depression, stress, anxiety and burnout [3]. In view of these considerations, the main objectives of this research were to estimate the prevalence among HCPs of ill health, dissatisfaction, chronic disease and unhealthy lifestyle habits and to identify and analyse factors associated with life satisfaction and perceived health status
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