title: Burnout and its Influencing Factors among Primary Health Care Providers in the North East of Iran.
abstract: BACKGROUND
  Burnout is a popular research topics in service providing jobs, including the health care field. This study aimed at assessing the level of job burnout and to consider the important antecedents which might be related to job burnout among primary health care providers in Iran.
  
  
  METHODS
  The participants in this applied cross-sectional study which was conducted in 2013 were 548 primary health care providers who were randomly selected from among those working in Shahroud, Sabzevar, Neishabour, Bojnord (provinces located in the north east of Iran). Maslach Burnout Inventory (MBI) was administered to the participants and the collected data were analyzed using SPSS through chi-square test and ordinal logistic regression model.
  
  
  RESULTS
  The burnout mean score among the participants was 54.1 ± 27.2 and the mean scores of burnout components i.e., emotional exhaustion, depersonalization and personal accomplishment were 15.5 ± 13.6, 3.7 ± 5.4 and 35.5 ± 13.5 respectively. In terms of levels of burnout, 64.2% of the participants showed low levels (n = 352), 18.4% average levels (n = 101) and 17.3% high levels (n = 95). A significant relationship was observed between burnout, job resources and interest in job (p ≤ 0.05). However, no significant relationship was observed between burnout and the place (university) of working, age, satisfaction with income, experience, gender, level of education, marital status, housing status, having a second job and place of residence (p ≥0.05).
  
  
  CONCLUSIONS
  Lack of personal accomplishment was highly prevalent among the participating primary health care providers. Lack of career advancement and job transfer opportunities may play a role in the burnout of primary health care providers. Therefore, paying attention to this aspect may help to reduce burnout and even increase job engagement.
authors.affiliation: Department of Public Health, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Amiri
authors.affiliation: Center for Health Related social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Khosravi
authors.affiliation: Department of English Language Teaching, Shahid Beheshti Campus, Farhangian University, Mashhad, Iran.
authors.forename: Ahmad Reza
authors.initials: AR
authors.lastname: Eghtesadi
authors.affiliation: Analytical Chemistry, Shahroud, Iran.
authors.forename: Zakieh
authors.initials: Z
authors.lastname: Sadeghi
authors.affiliation: Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: Ghasem
authors.initials: G
authors.lastname: Abedi
authors.affiliation: Department of Public Health, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: Mansour
authors.initials: M
authors.lastname: Ranjbar
authors.affiliation: Department of Health Education and Promotion, School of Health, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: Fardin
authors.initials: F
authors.lastname: Mehrabian
mesh_terms: D002055:Burnout, Professional; D003430:Cross-Sectional Studies; D006801:Humans; D007492:Iran; D011320:Primary Health Care / Q000458:organization & administration*