title: Relationship of work-family conflict, self-reported social support and job satisfaction to burnout syndrome among medical workers in southwest China: A cross-sectional study.
abstract: BACKGROUND
  Burnout is a psychosomatic syndrome widely observed in Chinese medical workers due to the increasing cost of medical treatment, excessive workload, and excessive prescribing behavior. No studies have evaluated the interrelationship among occupational burnout, work-family conflict, social support, and job satisfaction in medical workers. The aim of this study was to evaluate these relationships among medical workers in southwest China.
  
  
  METHODS
  This cross-sectional study was conducted between March 2013 and December 2013, and was based on the fifth National Health Service Survey (NHSS). A total of 1382 medical workers were enrolled in the study. Pearson correlation analysis and general linear model univariate analysis were used to evaluate the relationship of work-family conflict, self-reported social support, and job satisfaction with burnout syndrome in medical workers.
  
  
  RESULTS
  We observed that five dimensions of job satisfaction and self-reported social support were negatively associated with burnout syndrome, whereas three dimensions of work-family conflict showed a positive correlation. In a four-stage general linear model analysis, we found that demographic factors accounted for 5.4% of individual variance in burnout syndrome (F = 4.720, P<0.001, R2 = 0.054), and that work-family conflict, self-reported social support, and job satisfaction accounted for 2.6% (F = 5.93, P<0.001, R2 = 0.080), 5.7% (F = 9.532, P<0.001, R2 = 0.137) and 17.8% (F = 21.608, P<0.001, R2 = 0.315) of the variance, respectively. In the fourth stage of analysis, female gender and a lower technical title correlated to a higher level of burnout syndrome, and medical workers without administrative duties had more serious burnout syndrome than those with administrative duties.
  
  
  CONCLUSIONS
  In conclusion, the present study suggests that work-family conflict and self-reported social support slightly affect the level of burnout syndrome, and that job satisfaction is a much stronger influence on burnout syndrome in medical workers of southwest China.
authors.affiliation: Department of Health Related Social and Behavioral Science, West China School of Public Health, Sichuan University, Chengdu, Sichuan Province, China.
authors.forename: Shujuan
authors.initials: S
authors.lastname: Yang
authors.affiliation: Department of Health Related Social and Behavioral Science, West China School of Public Health, Sichuan University, Chengdu, Sichuan Province, China.
authors.forename: Danping
authors.initials: D
authors.lastname: Liu
authors.affiliation: Department of Health Statistics, School of Public Health, Chinese Medical University, Shenyang, Liaoning Province, China.
authors.forename: Hongbo
authors.initials: H
authors.lastname: Liu
authors.affiliation: Department of Epidemiology and Health Statistics, West China School of Public Health, Sichuan University, Chengdu, Sichuan Province, China.
authors.forename: Juying
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Center for Health Information of Sichuan Province, Chengdu, Sichuan Province, China.
authors.forename: Zhanqi
authors.initials: Z
authors.lastname: Duan
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000523:psychology*; D002681:China; D003220:Conflict, Psychological; D003430:Cross-Sectional Studies; D054541:Family Conflict; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D012944:Social Support; D013315:Stress, Psychological; D000072358:Work-Life Balance