158609 Occupational and substance use correlates of burnout among urban transit operators

Monday, November 5, 2007: 10:50 AM

Carol B. Cunradi, MPH, PhD , Prevention Research Center, Pacific Institute for Research and Evaluation, Berkeley, CA
Meng-Jinn Chen, MPH, PhD , Prevention Research Center, Pacific Institute for Research and Evaluation, Berkeley, CA
Rob Lipton, MPH, PhD , Emergency Medicine, Beth Israel Deaconess Medical Center/ Harvard Medical School, Boston, MA
Burnout is a special type of prolonged occupational stress that is linked with numerous psychosomatic and psychological sequelae and negative job consequences. Relatively few studies have focused on the correlates of burnout among blue-collar populations. The purpose of this study is to estimate the contribution of occupational factors and substance use to burnout among a multiethnic sample of urban transit operators (n=1270). Survey and medical exam data were obtained from workers who participated in the 1993-95 San Francisco MUNI Health & Safety Study. Job burnout was measured with the Maslach Burnout Inventory emotional exhaustion subscale. Occupational factors included frequency of job problems (e.g., equipment, passengers, traffic), years driving, full or part-time work status, and ergonomic problems (e.g., adjusting the seat; back support; vibration, rocking or bouncing of seat). Substance use measures were alcohol consumption and smoking status (i.e., current, former, and never smokers). The results of multivariable linear regression analysis, adjusted for marital status, race/ethnicity, gender, age, weight, and height, showed that frequency of job problems (Beta=.435, p < .001), ergonomic problems (Beta=.122, p < .001), and full-time work status (Beta=.059, p < .05) were associated with burnout. Although smoking status was not significant, alcohol consumption was positively associated with burnout (Beta=.075, p < .01). Age was negatively correlated with burnout (Beta=-.108, p< .001), which may reflect a healthy worker effect. Because aspects of the psychosocial and physical work environments can be modified, these findings have important policy implications for the prevention of burnout among municipal transit operators.

Learning Objectives:
1. Describe the importance of examining the occupational and substance use correlates of burnout among a blue-collar cohort. 2. Evaluate findings that suggest that aspects of the psychosocial and physical work environments contribute to burnout among a multiethnic sample of urban transit operators. 3. Discuss the policy implications of the study’s findings for prevention of burnout among urban transit operators.

Keywords: Occupational Health, Minorities

Presenting author's disclosure statement:

Any relevant financial relationships? No
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I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.