{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T05:27:54Z","timestamp":1765603674412,"version":"3.48.0"},"reference-count":54,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"CDC Foundation","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"name":"Australian-American Fulbright Fellowship","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"DOI":"10.13039\/100006741","name":"BNY Mellon","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/100006741","id-type":"DOI","asserted-by":"publisher"}]},{"name":"WHOOP, Inc.","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,2,2]]},"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Studies have found associations between occupational burnout symptoms and reduced engagement with healthy behaviours. We sought to characterise demographic, employment and sleep characteristics associated with occupational burnout symptoms, and to evaluate their relationships with adherence to COVID-19 prevention behaviours (mask usage, hand hygiene, avoiding gatherings, physical distancing, obtaining COVID-19 tests if potentially infected).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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 behaviours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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\u20132.1), hand hygiene (aOR=2.1, 95% CI 1.7\u20132.7), physical distancing (aOR=1.3, 95% CI 1.1\u20131.6), avoiding gatherings (aOR=1.4, 95% CI 1.1\u20131.7) and obtaining COVID-19 tests (aOR=1.4, 95% CI 1.1\u20131.8).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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 behaviours. Employers can support employee health by addressing the psychological syndrome of occupational burnout.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-066226","type":"journal-article","created":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T10:44:29Z","timestamp":1678272269000},"page":"e066226","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["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"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3100-7347","authenticated-orcid":false,"given":"Mark \u00c9","family":"Czeisler","sequence":"first","affiliation":[{"name":"Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia"},{"name":"Institute for Breathing and Sleep, Austin Health, Melbourne, Victoria, Australia"},{"name":"Francis Weld Peabody Society, Harvard Medical School, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7845-3104","authenticated-orcid":false,"given":"Alexander P","family":"Wolkow","sequence":"additional","affiliation":[{"name":"Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles A","family":"Czeisler","sequence":"additional","affiliation":[{"name":"Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia"},{"name":"Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA"},{"name":"Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7772-1496","authenticated-orcid":false,"given":"Mark E","family":"Howard","sequence":"additional","affiliation":[{"name":"Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia"},{"name":"Institute for Breathing and Sleep, Austin Health, Melbourne, Victoria, Australia"},{"name":"Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shantha M W","family":"Rajaratnam","sequence":"additional","affiliation":[{"name":"Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia"},{"name":"Institute for Breathing and Sleep, Austin Health, Melbourne, Victoria, Australia"},{"name":"Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA"},{"name":"Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rashon I","family":"Lane","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences, University of California San Francisco, San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,3,1]]},"reference":[{"key":"2025121221242229000_13.3.e066226.1","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2458-10-326","article-title":"Burnout, working conditions and gender -- results from the Northern Sweden MONICA study","volume":"10","author":"Norlund","year":"2010","journal-title":"BMC Public Health"},{"key":"2025121221242229000_13.3.e066226.2","unstructured":"World Health Organization . 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