{"doi":"10.1016/j.acepjo.2024.100004","title":"Examining How Gender, Race/Ethnicity, and Clinical Roles Moderate the Association Between Sleep and Burnout","abstract":"Objectives Sleep disturbance and burnout are common in emergency department health care workers (HCWs), and the 2 are linked. This cross-sectional study evaluated whether gender, race/ethnicity, and clinical roles moderate the association between sleep quality and burnout among emergency department HCWs (N = 129). Methods Sleep was assessed with the Pittsburgh Sleep Quality Index (Pittsburgh Sleep Quality Index > 5: poor sleep) and Insomnia Severity Index (Insomnia Severity Index > 8: insomnia). The abbreviated Maslach Burnout Inventory-9 assessed the burnout dimensions of emotional exhaustion, depersonalization , and reduced personal accomplishment . Emotional exhaustion > 9 and either (or both) depersonalization > 6 or personal accomplishment < 9 indicated burnout. Logistic regressions were computed for the association of poor sleep and insomnia with burnout for gender, race/ethnicity, and job role separately. Results Poor sleep quality, insomnia, and burnout were seen in 64%, 59%, and 24% of participants, respectively. Poor sleep was more frequently reported in Black, Indigenous, and People of Color (BIPOC) HCWs vs non-BIPOC (72.9% vs 52.5%, P = .017). Overall, poor (vs not poor) sleep quality was associated with burnout (odds ratio [OR], 3.14; 95% CI, 1.14-8.64). There was a significant poor sleep-burnout relationship in women (OR, 4.52; 95% CI, 1.10-18.60) that was not seen in men. The poor sleep-burnout relationship was significantly stronger in attending physicians (OR, 6.92; 95% CI, 1.44-33.24) vs registered nurses (OR, 0.28; 95% CI, 0.03-2.30; P value for group ∗ predictor interaction term = .021). Conclusion BIPOC HCWs had worse sleep quality than non-BIPOC HCWs, and the relationship between sleep quality and burnout was affected by gender and clinical role. These findings highlight the importance of person-level factors in the sleep-burnout relationship in HCWs.","journal":"Journal of the American College of Emergency Physicians Open","year":2025,"id":531783,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9554,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1413055,"name":"Maody Miranda","orcid":null,"position":1,"is_corresponding":false},{"id":1274600,"name":"Nakesha Fray","orcid":null,"position":2,"is_corresponding":false},{"id":1387957,"name":"Alvis Gonzalez","orcid":"0009-0001-0236-3150","position":3,"is_corresponding":false},{"id":106996,"name":"Alexandra Sullivan","orcid":null,"position":4,"is_corresponding":false},{"id":106978,"name":"Diane E. Cannone","orcid":"0009-0009-1855-2798","position":5,"is_corresponding":false},{"id":106993,"name":"Joseph E. Schwartz","orcid":"0000-0002-8944-3566","position":6,"is_corresponding":false},{"id":700918,"name":"Jordan F. Karp","orcid":"0000-0002-5171-5028","position":7,"is_corresponding":false},{"id":106979,"name":"Bernard Chang","orcid":"0000-0001-8800-7140","position":8,"is_corresponding":false},{"id":106971,"name":"Ari Shechter","orcid":"0000-0001-8243-0247","position":9,"is_corresponding":false},{"id":1412582,"name":"Tsion Firew","orcid":"0000-0001-5219-3295","position":0,"is_corresponding":true}],"reference_count":30,"raw_metadata":null,"created_at":"2026-07-19T02:51:18.928280Z","pmid":"40012647","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}