title: Burnout prevalence and correlates amongst Colombian dental students: the STRESSCODE study.
abstract: BACKGROUND
  Accumulating evidence amongst dental students indicates an alarming prevalence of stress, which can precipitate the development of burnout--a state of mental or physical exhaustion and disengagement. Understanding individual and educational correlates of burnout is necessary for its prevention. The aims of this study were to determine the prevalence of burnout amongst a large sample of Colombian dental undergraduates and investigate its psychosocial and educational correlates.
  
  
  METHODS
  Survey data collected from 5647 students participating in the Stress in Colombian Dental Education study were used for this analysis. Burnout was measured using the Maslach Burnout Inventory-Student Survey (MBI-SS). Covariates included participants' socio-demographic characteristics and perceived stress, as well as educational environment factors. Descriptive, bivariate and multivariate methods based on multilevel mixed-effects logistic regression modelling were used for data analysis.
  
  
  RESULTS
  Seven per cent of the students surveyed met the criteria for burnout. The prevalence of burnout was higher amongst upper classes, older and married students, those who reported not having passed all required courses and not having dentistry as their first career choice, as well as students in public institutions and those with large class sizes. Moreover, students' perceived stress in the domains of workload and self-efficacy was significantly and positively associated with burnout.
  
  
  CONCLUSIONS
  Both personal and educational environment characteristics were found to be associated with burnout. Irrespective of these factors, students' perceived stress with regard to workload and self-efficacy was a strong influence on burnout and its alleviation may be a promising avenue to prevent psychological morbidity.
authors.affiliation: Facultad de Odontología, Universidad Cooperativa de Colombia, Pasto, Narino, Colombia.
authors.forename: A C
authors.initials: AC
authors.lastname: Mafla
authors.affiliation: Department of Health Behavior, UNC Gillings School of Global Public Health, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.
authors.forename: L
authors.initials: L
authors.lastname: Villa-Torres
authors.affiliation: Department of Community and Preventive Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece.
authors.forename: A
authors.initials: A
authors.lastname: Polychronopoulou
authors.affiliation: Facultad de Odontología, Universidad Nacional de Colombia, Ciudad Universitaria, Bogotá (D.C.), Colombia.
authors.forename: H
authors.initials: H
authors.lastname: Polanco
authors.affiliation: Facultad de Odontología, Universidad Metropolitana, Barranquilla, Atlántico, Colombia.
authors.forename: V
authors.initials: V
authors.lastname: Moreno-Juvinao
authors.affiliation: Facultad de Odontología, Institución Universitaria Colegios de Colombia, Bogotá (D.C.), Colombia.
authors.forename: D
authors.initials: D
authors.lastname: Parra-Galvis
authors.affiliation: Facultad de Odontología, Universidad Nacional de Colombia, Ciudad Universitaria, Bogotá (D.C.), Colombia.
authors.forename: C
authors.initials: C
authors.lastname: Durán
authors.affiliation: Facultad de Odontología, Universidad Antonio Nariño, Bogotá (D.C.), Colombia.
authors.forename: M J
authors.initials: MJ
authors.lastname: Villalobos
authors.affiliation: Department of Pediatric Dentistry, School of Dentistry, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.|Department of Epidemiology, UNC Gillings School of Global Public Health, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.
authors.forename: K
authors.initials: K
authors.lastname: Divaris
mesh_terms: D000293:Adolescent; D000328:Adult; D002055:Burnout, Professional / Q000453:epidemiology* / Q000523:psychology*; D003105:Colombia / Q000453:epidemiology; D004497:Education, Dental; D004521:Educational Measurement; D005260:Female; D006801:Humans; D008297:Male; D016017:Odds Ratio; D015995:Prevalence; D012307:Risk Factors; D012959:Socioeconomic Factors; D013315:Stress, Psychological; D013335:Students, Dental / Q000523:psychology*; D011795:Surveys and Questionnaires; D016526:Workload; D055815:Young Adult
keywords: burnout; dental education; dental students; mental health