Factors associated with depression and determining dimensions of job satisfaction among physicians in Bangladesh

Md Nazrul Islam; Dibbya Pravas Dasgupta; Naznin Sultana; Farhana Yesmine; Md Asaduzzaman; Mst Rokshana Rabeya; Kawsar Ahmed

doi:10.1016/j.heliyon.2022.e10589

Factors associated with depression and determining dimensions of job satisfaction among physicians in Bangladesh

Heliyon. 2022 Sep 9;8(9):e10589. doi: 10.1016/j.heliyon.2022.e10589. eCollection 2022 Sep.

Authors

Md Nazrul Islam^{1

2}, Dibbya Pravas Dasgupta³, Naznin Sultana², Farhana Yesmine¹, Md Asaduzzaman¹, Mst Rokshana Rabeya¹, Kawsar Ahmed⁴

Affiliations

¹ Department of Public Health Nutrition, Primeasia University, Banani, 1213, Dhaka, Bangladesh.
² Department of Public Health, North South University, Dhaka, 1229, Bangladesh.
³ Department of Statistics, Jahangirnagar University, Savar, 1242, Dhaka, Bangladesh.
⁴ Group of Biophotomatiχ, Department of Information and Communication Technology, Mawlana Bhashani Science and Technology University (MBSTU), Santosh, Tangail, 1902, Bangladesh.

Abstract

Background: Depression in physicians emerges early in their academic and professional careers. Lengthy and irregular duty time, high levels of obligation, job dissatisfaction, workstation culture, organizational rules, and so on significantly increased the psychological pressure on physicians.

Objectives: The study's aim was to measure the level of depression, association, and influence of socio-demographic characteristics and job satisfaction on depression among physicians in Bangladesh, as well as to explore the factor structure of job satisfaction measure and examine its internal reliability.

Methods: Data were collected using a self-administered questionnaire in a cross-sectional survey of 301 physicians. The factors related to depression were investigated using a multivariable logistic regression model, and factor analysis was done to identify the important factors associated with job satisfaction.

Results: Male respondents made up 49.5 percent of the sample overall, while female respondents made up 50.5 percent. 24.58% of the physicians had mild depression, whereas 13.29%, 7.31%, and 0.66% of the participants had moderate, moderately severe, and severe depression, respectively. In multivariable analysis, sex (male vs. female, AOR: 2.16, 95% CI:1.28-3.62), monthly income <15000 BDT vs. >40000 BDT, (AOR: 0.35, 95% CI: 0.14-0.89), and income <15000 BDT vs. 15,000-24,999 BDT (AOR: 0.36, 95% CI: 0.15-0.89) were the essential factors associated with depression. Furthermore, with each unit increase in the job satisfaction score was related to a 71% decrease in the odds of physicians having depression.

Conclusion: The findings of this study indicate that providing appropriate organizational support, proper work assignments, and an adequate opportunity to develop their professional skills and career irrespective of sex may increase overall job satisfaction. Ultimately, this will serve to improve patient care as well as the whole health system's output.

Keywords: Bangladesh; Depression; Job satisfaction; Mental health; Physician.