Psychological and physiological stress and burnout among maternity providers in a rural county in Kenya: individual and situational predictors

Afulani, Patience A.; Ongeri, Linnet; Kinyua, Joyceline; Temmerman, Marleen; Mendes, Wendy Berry; Weiss, Sandra J.

doi:10.1186/s12889-021-10453-0

Table 4 Multilevel multivariate linear regression on outcome measures

From: Psychological and physiological stress and burnout among maternity providers in a rural county in Kenya: individual and situational predictors

	Perceived stress			Burnout			HRV (lnRmssd)			Cortisol (log)
	β	[95% CI]		β	[95% CI]		β	[95% CI]		β	[95% CI]
Facility type
Govt. Hospital
Govt. Health Center/Dispensary	−0.004	[−2.10	2.10]	−1.06	[−7.78	5.67]	0.17	[− 0.14	0.48]	0.47	[− 0.55	1.49]
Mission/Private Hospital	−0.21	[−3.67	3.25]	−4.23	[− 14.4	5.89]	−0.078	[− 0.55	0.39]	− 0.12	[− 1.74	1.51]
Position
Nurse/Midwife
Clinical officer/Doctor	−0.054	[−2.94	2.84]	−5.42	[−12.9	2.11]	−0.029	[−0.38	0.32]	−0.69	[−2.38	1.00]
Support staff	0.69	[−3.47	4.85]	2.42	[−8.07	12.9]	0.49*	[0.011	0.97]	0.11	[−1.36	1.59]
Gender
Male
Female	0.88	[−1.20	2.96]	5.17+	[−0.29	10.6]	0.039	[− 0.22	0.30]	0.92	[−1.43	3.27]
Age
23 to 29 years
30 to 39	0.53	[−1.96	3.03]	−1.06	[−7.61	5.49]	− 0.47*	[− 0.78	− 0.16]	− 0.09	[−1.20	1.02]
40 to 52 years	− 0.41	[− 3.33	2.52]	−0.79	[−8.63	7.05]	− 0.49*	[− 0.85	− 0.13]	−0.24	[− 1.39	0.90]
Marital status
Married
All Single	−1.06	[−3.45	1.33]	4.4	[−1.69	10.5]	0.25+	[−0.020	0.53]	0.27	[−0.81	1.36]
Monthly salary a
Less than 10,000 KSh
10,000 to < 50,000 KSh	0.28	[−3.82	4.39]	−2.85	[−13.4	7.64]	0.36	[−0.12	0.83]	0.29	[−1.37	1.95]
50,000 KSh or more	−0.94	[−5.42	3.55]	1.05	[−9.88	12.0]	0.45+	[−0.040	0.95]	0.28	[−1.62	2.19]
Work hours per day
8 or fewer hours
More than 8 h	1.15	[−0.32	2.63]	−1.02	[−4.97	2.94]	−0.098	[−0.29	0.093]	−0.06	[− 0.70	0.58]
Perceived accomplishments in life a
Less than hoped
Exactly/more than hoped	−2.83*	[−5.47	−0.18]	0.74	[−6.18	7.67]	−0.033	[−0.34	0.28]	−0.34	[−1.66	0.99]
Overcommitment score	0.61*	[0.19	1.03]	2.05**	[0.91	3.19]	0.0033	[−0.049	0.056]	0.031	[−0.15	0.21]
Constant	9.84*	[1.27	18.4]	7.36	[−15.3	30.0]	3.69***	[2.66	4.72]	1.54	[−2.96	6.04]
Random effects
Health facility: Identity sd (_cons)	0.00	0.00	0.00	4.67	1.95	11.17	0.21	0.04	0.96	0.55	0.12	2.61
Sd (Residual)	4.00	3.38	4.72	10.48	8.65	12.69	0.47	0.37	0.61	0.96	0.60	1.53
icc (health facility)	0.00	0.00	0.00	0.17	0.03	0.58	0.16	0.01	0.85	0.25	0.01	0.94
No. of groups	30			30			28			24
No. of observations	83			93			88			41

95% confidence intervals in brackets. + p < 0.10; * p < 0.05; ** p < 0.01; *** p < 0.001

Back to article page

ISSN: 1471-2458

Contact us

Submission enquiries: bmcpublichealth@biomedcentral.com
General enquiries: ORSupport@springernature.com

BMC Public Health

Contact us