Safety and Health at Work最新文献

Asthma Among Manitoba Workers: Results from the Manitoba Occupational Disease Surveillance System 马尼托巴省工人中的哮喘：马尼托巴职业病监测系统的结果

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-12-01 DOI: 10.1016/j.shaw.2024.07.002

Elizabeth Rydz , Randy Walld , Mieke W. Koehoorn , Christopher B. McLeod , Paul A. Demers , Cheryl E. Peters , Allen Kraut

Background

This study characterized the risk of new-onset asthma among workers in Manitoba, Canada.

Methods

Accepted time loss claims from the Workers' Compensation Board of Manitoba from 2006 to 2019, containing workers' occupations and industries, were linked with administrative health data from 1996 to 2020. After restricting the cohort to the first claim per person in an occupation and applying age and coverage exclusions, the cohort comprised 142,588 person–occupation combinations. Asthma cases were identified if workers had at least two medical records for asthma (International Classification of Diseases, Ninth Revision, 493) within a 12-month period, within the 2 years before 3 years after cohort entry. New-onset asthma was identified using a 3-year washout period. Asthma hazard ratios by occupation and industry were estimated using Cox proportional hazard models, adjusted for age, and stratified by sex.

Results

Increased asthma risk was observed among workers with known asthmagen exposure, including male veterinary and animal health technologists and technicians (hazard ratio 3.97, 95% CI 1.78–8.86), male fish processing workers (3.40, 1.53–7.57), and male machining tool operators (2.91, 1.72–4.92). Increases were also observed for occupations with unknown or suspected allergens, including gas station attendants, drivers, mail/postal and related workers, public works and maintenance laborers, mine laborers and crane operators, and some indoor worker groups. Decreased risks were observed among nurses and residential and commercial installer and servicers.

Conclusion

This database linkage study successfully identified occupations and industries with known sensitizing agents or irritants, and several occupation and industries not typically associated with work-related asthma, warranting further investigation.

这项研究描述了加拿大马尼托巴省工人新发哮喘的风险。研究将马尼托巴省工人赔偿委员会 2006 年至 2019 年期间受理的工时损失索赔（包含工人的职业和行业）与 1996 年至 2020 年期间的行政健康数据联系起来。将队列限制为每人在某一职业中的首次索赔，并应用年龄和覆盖范围排除法后，队列由 142,588 个个人-职业组合组成。如果工人在进入队列 3 年后的前 2 年内，在 12 个月内至少有两次哮喘（《国际疾病分类》第九版，493）医疗记录，则可确定为哮喘病例。新发哮喘的确定采用了 3 年冲洗期。使用 Cox 比例危险模型估算了职业和行业的哮喘危险比，并对年龄和性别进行了调整。在已知暴露于哮喘原的工人中观察到哮喘风险增加，包括男性兽医和动物健康技术员和技师（危险比 3.97，95% CI 1.78-8.86）、男性鱼类加工工人（3.40，1.53-7.57）和男性机械加工工具操作员（2.91，1.72-4.92）。此外，还观察到不明过敏原或疑似过敏原的职业，包括加油站服务员、司机、邮件/邮政及相关工作人员、公共工程和维修工人、矿工和起重机操作员，以及一些室内工人群体的过敏风险也有所上升。据观察，护士、住宅和商业安装及维修人员的风险有所降低。这项数据库链接研究成功地发现了已知致敏因子或刺激物的职业和行业，以及一些通常与工作相关性哮喘无关的职业和行业，值得进一步调查。

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引用次数: 0

Examination of Stress Among Recruit and Incumbent Women Firefighters 新聘和在职女消防员的压力调查

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-12-01 DOI: 10.1016/j.shaw.2024.10.003

Brittany S. Hollerbach , Nattinee Jitnarin , Maria D.H. Koeppel , Michelle Valenti , Shawn Beitel , Jaclyn M. Goodrich , Jefferey L. Burgess , Sara A. Jahnke

Background

Firefighting is risky and impacts the mental and physical health of personnel. While most research focuses on men firefighters, recent work has highlighted mental health concerns among women including depression, anxiety, and post-traumatic stress disorder (PTSD). Social support is a known protective factor for mental health; however, women may be excluded from the supportive peer network of the firehouse.

Methods

This cross-sectional study compared the prevalence of perceived stress, peer (functional) support, anxiety, depression, PTSD, chronic work discrimination and harassment, resilience, and job satisfaction in recruit (n=184) and incumbent (n=200) career women firefighters.

Results

While depression and perceived stress did not differ between recruits and incumbents, recruits were more likely to score in the range of concern for anxiety (26.1% and 15.5%, respectively). Incumbents were more likely to score at risk for PTSD (16.5% and 10.3%, respectively) and more likely to report sex discrimination, sexual harassment, and sexist behaviors in the workplace. Compared to the low stress group, those who reported moderate or high stress were more likely to score in the range of concern for anxiety (OR=3.86, CI=1.76-8.89) and PTSD (OR=1.30, CI=1.15-1.47), and report poor organizational cohesion (OR=1.13, CI=1.02-1.25).

Conclusion

Addressing mental health in the context of women firefighters requires a comprehensive and multi-faceted approach including collaboration between fire departments, mental health professionals, advocacy groups, and the broader community.

消防工作具有危险性，影响人员的身心健康。虽然大多数研究都集中在男性消防员身上，但最近的工作强调了女性的心理健康问题，包括抑郁、焦虑和创伤后应激障碍（PTSD）。众所周知，社会支持是心理健康的一个保护因素；然而，妇女可能被排除在消防站的支持性同伴网络之外。方法本研究比较了184名新入职女消防员和200名在职女消防员在感知压力、同伴（功能）支持、焦虑、抑郁、创伤后应激障碍、长期工作歧视和骚扰、心理弹性和工作满意度等方面的患病率。结果新兵和在职人员在抑郁和感知压力方面没有差异，但新兵更有可能在焦虑关注范围内得分（分别为26.1%和15.5%）。在职者更有可能患PTSD（分别为16.5%和10.3%），更有可能报告工作场所的性别歧视、性骚扰和性别歧视行为。与低压力组相比，报告中度或高度压力的人更有可能在焦虑（or =3.86， CI=1.76-8.89）和创伤后应激障碍（or =1.30， CI=1.15-1.47）的关注范围得分，并报告较差的组织凝聚力（or =1.13， CI=1.02-1.25）。结论：解决女消防员的心理健康问题需要采取全面和多方面的方法，包括消防部门、心理健康专业人员、倡导团体和更广泛的社区之间的合作。

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引用次数: 0

Determination of Medical Faculty Clinical Students' Attitudes Towards Patient Safety: A Mixed Design Study 决定医学院临床学生对病人安全的态度：一项混合设计研究

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-12-01 DOI: 10.1016/j.shaw.2024.09.006

Yasemin Güner , Kübra Yilmaz , Dilan Yurtseven , Tuğçe Mümin

Background

The study was planned to determine the attitudes of medical faculty students in clinics toward patient safety.

Methods

It is a mixed-design study using quantitative and qualitative methods. The “student information form” and the “Attitudes toward Patient Safety Culture Questionnaire (APSQ)” created using “Google Forms” were e-mailed to clinical students of the medical faculty. Quantitative data were collected from 125 students. Then, semi-structured focus group interviews were conducted with six students from each class. The data were obtained through video and audio recordings of the 45-minute interviews through the Zoom program.

Results

According to the results, 86% of the 125 students did not receive any training on patient safety. The total score of the students on the APSQ was 94.87 ± 14.32. Six main themes and twenty sub-themes emerged from the qualitative data. The main themes are students' awareness of patient safety, students' misconceptions about “patient safety,” students' knowledge about the scope of patient safety, students' experiences with medical errors, deficiencies in educational processes on patient safety, and suggestions for educational approaches to patient safety.

Conclusions

After completing undergraduate medical education, physicians typically assume roles as general practitioners in various healthcare settings, such as hospital’s emergency departments, home care, or community health centers. The lack of awareness among medical students about patient safety is a significant concern that needs to be addressed. As stakeholders in their education, students recognize the importance of being well-prepared to provide safe and effective patient care in their future roles as physicians.

背景：本研究旨在探讨医学生在诊所对病人安全的态度。方法采用定量与定性相结合的混合设计方法。利用“谷歌表格”制作的“学生信息表”和“患者安全文化态度问卷（APSQ）”通过电子邮件发送给医学院临床学生。从125名学生中收集了定量数据。然后，对每个班的6名学生进行了半结构化的焦点小组访谈。这些数据是通过Zoom程序对45分钟的采访进行视频和音频记录获得的。结果125名学生中有86%没有接受过患者安全方面的培训。学生的APSQ总分为94.87±14.32分。从定性数据中产生了6个主要主题和20个次级主题。主题包括学生对患者安全的认识、学生对“患者安全”的误解、学生对患者安全范围的了解、学生对医疗事故的经历、患者安全教育过程中的不足，以及对患者安全教育方法的建议。在完成本科医学教育后，医生通常会在各种医疗机构担任全科医生的角色，如医院的急诊科、家庭护理或社区卫生中心。医学生对患者安全缺乏认识是一个需要解决的重大问题。作为教育的利益相关者，学生们认识到做好充分准备为他们未来的医生角色提供安全有效的患者护理的重要性。

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引用次数: 0

Multi-level Hierarchical Structure Analysis of Influencing Factors of Coal Mine Managers' Blame Avoidance Behavior 煤矿管理人员避责行为影响因素的多层次层次结构分析

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-12-01 DOI: 10.1016/j.shaw.2024.08.001

Li Wang , Wenyi Zeng , Ziyan Jing , Yonghui Xu , Jiang Li

Background

In the Chinese coal industry, widespread blame avoidance behavior (BAB) greatly impacts coal mine accidents. Therefore, it is necessary to stop the BAB of coal mine managers and raise the management level of coal mine enterprises for the safe development of Chinese coal industry.

Methods

Based on the semi-structured interviews and questionnaire surveys (20 middle-level managers in coal mines), this paper used the Grounded Theory and Nvivo Software qualitative research methodology to open, spindle, and selectively encode the interview data. Then, an index system of factors influencing BAB of coal mine managers was constructed. The influence degree, affected degree, centrality degree, cause degree of each influencing factor were calculated and the hierarchical model of influencing factors of BAB of coal mine managers was established by the DEMATEL-ISM method which is a decision support tool used to evaluate and analyze the interdependencies between influencing factors.

Results

Index system of factors influencing BAB of coal mine managers included four levels and 12 influencing factors: individual, organizational, institutional environmental, and situational factors. The hierarchical model identified eight causal factors and four consequential factors, of which safety management (15.355), work attitude (14.380), and work group performance (14.281) in the top three of the centrality rankings are the key factors affecting the avoidance behavior of coal mine managers; A 3-level multilevel structure was constructed to reflect the interactions among the factors influencing the BAB of coal mine managers in terms of direct, indirect, and root causes, and corresponding improvement measures were proposed.

Conclusion

This study offers a theoretical complement and practical guidance for stopping BAB of coal mine managers.

在中国煤炭行业，普遍存在的避责行为（BAB）极大地影响了煤矿事故的发生。因此，杜绝煤矿管理人员的避责行为，提高煤矿企业的管理水平，对于中国煤炭工业的安全发展十分必要。本文在半结构化访谈和问卷调查（20 位煤矿中层管理人员）的基础上，运用基础理论和 Nvivo 软件定性研究方法，对访谈数据进行开放式、主轴式和选择性编码。然后，构建了煤矿管理人员 BAB 影响因素的指标体系。采用 DEMATEL-ISM 方法计算了各影响因素的影响度、受影响度、中心度和原因度，建立了煤矿企业管理者 BAB 影响因素的层次模型。煤矿经理人BAB影响因素指标体系包括个人因素、组织因素、制度环境因素和情境因素四个层次、12个影响因素。层次模型确定了 8 个因果因素和 4 个结果因素，其中中心度排名前三位的安全管理（15.355）、工作态度（14.380）和班组绩效（14.281）是影响煤矿管理人员回避行为的关键因素；构建了 3 级多层次结构，从直接原因、间接原因和根本原因三个方面反映了煤矿管理人员 BAB 影响因素之间的相互作用，并提出了相应的改进措施。本研究为制止煤矿管理人员的BAB提供了理论补充和实践指导。

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引用次数: 0

Associations Between Labor Control Through Digital Platforms and Workers' Mental Wellbeing: A Survey of Location-based Platform Workers in Taiwan 数位平台劳动控制与员工心理健康之关系：以台湾地区职位平台员工为调查对象

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-12-01 DOI: 10.1016/j.shaw.2024.08.003

Yawen Cheng , Wan-Ju Cheng , Ro-Ting Lin , Yi-Ting Wang , Jyh-Jer Roger Ko

Background

Platform work offers flexibility and autonomy to workers, but there are concerns about the impacts of excessive labor control exercised by digital platforms using algorithmic management. This study assessed the level of labor control exerted by digital platforms and explored its associations with psychosocial work conditions and workers' mental well-being.

Methods

A total of 487 location-based platform workers in Taiwan, encompassing ride-hailing, delivery, and house chore services, participated in this questionnaire survey. A 5-item scale was created to assess platform-mediated labor control. Psychosocial work conditions, including demands, job control, work rewards, and mental well-being, including burnout and self-rated mental health status, were assessed using validated instruments. Cronbach's α and principal component analysis were employed to assess the validity of the labor control scale. Logistic regression analysis and path analysis were conducted to investigate the relationship between labor control and workers' mental health.

Results

Exploratory factor analyses confirmed the structural validity and the internal consistency of the scale. Logistic regression models revealed that higher levels of labor control were associated with an increased risk of burnout and poorer mental health. Path analyses further indicated that higher labor control through digital platforms raised mental health risks by increasing job demands.

Conclusion

Algorithmic management is associated with increased stress among platform workers as they try to meet the platform's performance metrics.

后台平台工作为工人提供了灵活性和自主权，但人们担心使用算法管理的数字平台过度控制劳动力的影响。本研究评估了数字平台施加的劳动控制水平，并探讨了其与社会心理工作条件和工人心理健康的关系。方法选取台湾地区487名网约车、外卖、家政服务等定位平台从业人员进行问卷调查。建立了一个5项量表来评估平台介导的劳动控制。使用经过验证的工具评估心理社会工作条件，包括需求、工作控制、工作奖励和心理健康，包括倦怠和自评心理健康状况。采用Cronbach’s α和主成分分析对劳动控制量表的效度进行评估。采用Logistic回归分析和通径分析探讨劳动控制与工人心理健康的关系。结果探索性因素分析证实了量表的结构效度和内部一致性。Logistic回归模型显示，较高的劳动控制水平与倦怠风险增加和心理健康状况较差有关。路径分析进一步表明，通过数字平台进行的更高的劳动控制通过增加工作需求而增加了心理健康风险。算法管理与平台工作人员的压力增加有关，因为他们试图满足平台的绩效指标。

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引用次数: 0

Applications and Impact of Industry 4.0: Technological Innovations in Occupational Safety and Health 工业4.0的应用和影响：职业安全与健康领域的技术创新

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-12-01 DOI: 10.1016/j.shaw.2024.09.001

David Koh , Alvin Tan

引用次数: 0

Role of Mindfulness in the Effects of Organizational Culture on Depression in Korean Physical Therapists 正念在组织文化对韩国理疗师抑郁的影响中的作用

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-12-01 DOI: 10.1016/j.shaw.2024.08.004

Jong-Hyun Lee , Jinwon Lee , Jaejin Hwang , Du-Jin Park , Won-Jin Kim , Kyung-Sun Lee

Objective

The study aimed to investigate whether mindfulness could mitigate the impact of job and interpersonal demands arising from stressful organizational cultures in predicting depression during the COVID-19 pandemic.

Methods

A total of 280 Korean physical therapists participated in this study. To verify the mediated moderation model, this study implemented an SPSS 26.0 PROCESS Macro (v.3.5) that was based on the verification of Hayes' conditional indirect effect.

Results

The study confirmed the moderated mediation effect of mindfulness on the mediating relationship between stressful organizational culture, job demands/interpersonal demands, and depression. Moreover, the conditional indirect effect of mindfulness was found to be statistically significant. However, the impact on interpersonal stress differed from anticipated outcomes.

Conclusions

Mindfulness, applicable within the framework of the Job Demands-Resources model theory, served as a resource variable and moderated the impact of organizational culture on members' depression. Amidst ongoing debates on mindfulness effectiveness, this study partially confirmed its potential within the Job Demands-Resources model, suggesting a role in mitigating the influence of organizational culture on members' depression as a resource variable.

目的探讨正念是否可以缓解由压力型组织文化引起的工作和人际需求对预测COVID-19大流行期间抑郁的影响。方法对280名韩国物理治疗师进行研究。为了验证中介调节模型，本研究实施了基于Hayes条件间接效应验证的SPSS 26.0 PROCESS Macro （v.3.5）。结果正念在压力型组织文化、工作需求/人际需求与抑郁的中介关系中具有调节中介作用。此外，正念的条件间接效应在统计上是显著的。然而，对人际压力的影响与预期结果不同。结论在工作需求-资源模型理论框架下，正念作为资源变量，调节了组织文化对员工抑郁的影响。在关于正念有效性的持续争论中，本研究部分证实了其在工作需求-资源模型中的潜力，表明组织文化作为资源变量在减轻成员抑郁的影响方面发挥了作用。

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引用次数: 0

Organisational Changes and Psychosocial Work Factors: Prospective Findings From the National French Working Conditions Survey 组织变化和社会心理工作因素：来自法国国家工作条件调查的前瞻性发现

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-12-01 DOI: 10.1016/j.shaw.2024.10.002

Isabelle Niedhammer, Sandrine Bertrais

The studies exploring the mechanisms by which organisational changes may impact health outcomes are lacking. The objectives of the study were to examine the prospective associations of organisational changes with the deterioration of psychosocial work factors. The study was based on the prospective data of the national French working conditions survey collected in 2013, 2016, and 2019. The study sample included 5200 employees working in the private sector. A large set of organisational changes and psychosocial work factors were collected from employers and employees respectively. Multilevel mixed-effects robust Poisson regression models were used. Organisational changes were prospectively associated with the deterioration of psychosocial work factors related to job insecurity, role stressors, and job demands. The strongest prospective association was found between downsizing and the increase in job insecurity. The associations between organisational changes and health outcomes may be mediated by psychosocial work factors.

探索组织变革可能影响健康结果的机制的研究是缺乏的。本研究的目的是研究组织变革与社会心理工作因素恶化之间的潜在联系。该研究基于2013年、2016年和2019年收集的法国全国工作条件调查的前瞻性数据。研究样本包括5200名在私营部门工作的员工。我们分别从雇主和雇员那里收集了大量的组织变革和社会心理工作因素。采用多水平混合效应稳健泊松回归模型。组织变革与与工作不安全感、角色压力源和工作需求相关的心理社会因素恶化具有前瞻性关联。在裁员和工作不安全感增加之间发现了最强烈的潜在联系。组织变革与健康结果之间的关联可能是由社会心理工作因素介导的。

引用次数: 0

Data Mining Implementations for Determining Root Causes and Precautions of Occupational Accidents in Underground Hard Coal Mining 地下硬煤开采职业事故成因及预防措施的数据挖掘实现

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-12-01 DOI: 10.1016/j.shaw.2024.09.003

Bilal Altındiş , Fatih Bayram

Background

Nowadays, as in every branch of industry, a large amount of data can be collected in mining, both in productivity and occupational safety. It is increasingly essential to transform this data into useful information for enterprises. Data mining is very useful in processing and extracting useful information from the processed data. This study aims to analyze the data of occupational accidents with injuries between 2010 and 2021 in an underground hard coal mine by data mining.

Methods

The injured accident data for the relevant years were organized and analyzed using data mining algorithms. These algorithms were implemented with the WEKA data mining program, an open-source application.

Results

According to different test methods, k-Nearest Neighborhood and Support Vector Machine algorithms succeeded in classification and prediction. The k-Nearest Neighborhood and Support Vector Machine algorithms achieved 100% (training set) and 66% (cross-validation) performance, respectively, according to two different test methods. One of the critical phases of the study is the determination of the attributes and subclasses that are effective in the origin of accidents by association rules mining. Thus, more detailed information was obtained about the root causes of the accidents. A result of Apriori and Predictive Apriori implementations revealed that the root causes of occupational accidents according to the accident locations are the worker experience, the working hours in the shift, and the worker position. In addition, shifts, accident causes, especially monthly production, and monthly wages were also influential.

Conclusions

These results are also in accordance with the actual situation in the enterprise. As a result of the research, practical suggestions were presented for evaluating occupational accidents and taking precautions.

如今，在每一个工业分支中，采矿都可以收集到大量的数据，包括生产力和职业安全。将这些数据转化为对企业有用的信息变得越来越重要。数据挖掘在处理和从处理过的数据中提取有用信息方面非常有用。本研究采用数据挖掘的方法，对2010 - 2021年某地下硬煤煤矿工伤事故数据进行分析。方法采用数据挖掘算法对相关年份的受伤事故数据进行整理和分析。这些算法是通过开源应用程序WEKA数据挖掘程序实现的。结果根据不同的测试方法，k-最近邻和支持向量机算法在分类和预测方面取得了成功。根据两种不同的测试方法，k近邻和支持向量机算法分别达到100%（训练集）和66%（交叉验证）的性能。研究的关键阶段之一是通过关联规则挖掘确定在事故起源中有效的属性和子类。因此，获得了有关事故根本原因的更详细的信息。Apriori和Predictive Apriori的实施结果显示，根据事故地点，职业事故的根本原因是工人的经验，轮班工作时间和工人的位置。此外，班次、事故原因，特别是月产量和月工资也有影响。结论这些结果也符合企业的实际情况。研究结果为职业事故评价和预防提出了切实可行的建议。

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引用次数: 0

Comparison of Working Conditions Between Immigrant and Non-immigrant Healthcare Workers in the United States: Evidence From the National Health Interview Survey 美国移民和非移民医护人员工作条件的比较：来自全国健康访谈调查的证据

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work

Pub Date : 2024-12-01 DOI: 10.1016/j.shaw.2024.09.004

Megan Guardiano , Timothy A. Matthews , Wendie Robbins , Jian Li

Immigrants in the United States (U.S.) healthcare workforce face challenging working conditions. This study aimed to compare the working conditions of healthcare workers based on immigration status. Using National Health Interview Survey (NHIS) 2015 data, we compared the sociodemographic characteristics and working conditions between 374 non-U.S. born and 1,986 U.S. born healthcare workers. Multivariable logistic regression was used to examine associations between immigration status and selected working conditions. It was found that non-U.S. born and U.S. born healthcare workers differed in sociodemographic and occupational characteristics. After adjusting for sociodemographic covariates, non-U.S. born healthcare workers had higher odds of non-permanent contract work (aOR: 1.87, 95% CI [1.25, 2.79], p < 0.01) and lower odds of workplace harassment (aOR: 0.51, 95% CI [0.31, 0.83], p < 0.01), compared to U.S. born healthcare workers. Immigrant healthcare workers' occupational experiences should be further explored to improve organizational and psychosocial working conditions.

移民在美国（美国）医疗保健工作人员面临挑战的工作条件。本研究旨在比较不同移民身分的医护人员的工作条件。利用2015年全国健康访谈调查（NHIS）的数据，我们比较了374名非美国雇员的社会人口特征和工作条件。1986年美国出生的医疗工作者多变量逻辑回归用于检验移民身份与所选工作条件之间的关联。调查发现，非美国。出生和美国出生的卫生保健工作者在社会人口统计学和职业特征上存在差异。在对社会人口学协变量进行调整后，非美国。出生的卫生保健工作者获得非永久性合同工作的几率更高(aOR: 1.87, 95% CI [1.25, 2.79], p <；0.01)和较低的工作场所骚扰几率(aOR: 0.51, 95% CI [0.31, 0.83], p <；0.01)，与美国出生的医护人员相比。应进一步探索移民卫生工作者的职业经验，以改善组织和心理社会工作条件。

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引用次数: 0