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Working Anytime and Anywhere -Even when Feeling Ill? A Cross-Sectional Study on Presenteeism in Remote Work 随时随地工作——即使是生病的时候?远程工作中出勤的横断面研究
3区 医学 Q1 Social Sciences Pub Date : 2023-11-01 DOI: 10.1016/j.shaw.2023.11.001
Henrike Schmitz, Jana F. Bauer, Mathilde Niehaus
Working despite feeling ill – presenteeism – is a widespread behavioral phenomenon. Previous research has shown that presenteeism is influenced by various work-related and personal factors. It’s an illness behavior leading to a range of negative but also positive consequences. Due to COVID-19, remote work has become the “new normal” for many employees. But so far, little is known about presenteeism in remote work. This study aims to investigate presenteeism in remote work by looking at the extent of remote presenteeism, differences to presenteeism in on-site work, and associated factors. A nationwide cross-sectional online survey was conducted in Germany with N = 233 participants. Data was analyzed using descriptive statistics, t-tests, and correlation analysis. The results reveal that presenteeism is prevalent in remote work. A low ability to detach from work and low supervisor support is associated with more remote presenteeism days. Remote working conditions seem to facilitate presenteeism. This study provides empirical insights into a subject area of great societal relevance. The results show that awareness should be raised for presenteeism in remote work. It should be regarded as a behavior that can be functional or dysfunctional, depending on the individual situation. Supervisor support and detachment should be fostered to help reduce dysfunctional presenteeism. Promotion of health literacy might help remote workers to decide on a health-oriented illness behavior. Further research is vital to analyze to what extent and under which circumstances presenteeism in remote work is (dys)functional and to derive clear recommendations.
尽管感觉不舒服,仍然工作——出勤——是一种普遍的行为现象。先前的研究表明,出勤受到各种工作和个人因素的影响。这是一种疾病行为,会导致一系列消极但也积极的后果。由于新冠肺炎疫情,远程工作已成为许多员工的“新常态”。但到目前为止,人们对远程工作中的出勤主义知之甚少。本研究旨在探讨远程工作中的出勤程度、与现场工作中出勤的差异及其相关因素。在德国进行了一项全国性的横断面在线调查,共有233名参与者。数据分析采用描述性统计、t检验和相关分析。结果显示,出勤在远程工作中很普遍。较低的脱离工作能力和较低的主管支持与更多的远程出勤天数有关。远程工作环境似乎有利于出勤。这项研究为一个具有重大社会意义的学科领域提供了实证见解。结果表明,在远程工作中应该提高对出勤的认识。它应该被视为一种行为,可以是功能性的,也可以是功能性的,这取决于个人的情况。应该培养主管的支持和疏离,以帮助减少不正常的出勤。促进健康素养可能有助于远程工作者决定以健康为导向的疾病行为。进一步的研究对于分析远程工作中的出勤在多大程度上以及在何种情况下起作用并得出明确的建议至关重要。
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引用次数: 0
A case-control study of occupational acute myeloid leukemia in Korea 韩国职业性急性髓系白血病病例对照研究
3区 医学 Q1 Social Sciences Pub Date : 2023-11-01 DOI: 10.1016/j.shaw.2023.10.010
Min Young Park, Hyoung-Ryoul Kim, Jun-Pyo Myong, Byung-Sik Cho, Hee-Je Kim, Mo-Yeol Kang
We conducted a case-control study to identify high-risk occupations and exposure to occupational hazards for acute myeloid leukemia (AML). When patients with AML admitted to the Department of Hematology in the study hospital for the first time are referred to the Department of Occupational and Environmental Medicine, data on occupation are collected by investigators to evaluate work-relatedness. Community-based controls were recruited through an online survey agency, and four controls per case were matched. Occupational information was estimated using structured questionnaires covering 27 specific occupations and 32 exposure agents. Conditional logistic regression analysis was performed by pairing cases and controls. In the analysis of the risk of AML according to occupational classification, a significant association was found in paint manufacturing or painting work (OR=2.22, 95% CI: 1.03–4.81) and aircrew (OR=6.00, 95% CI: 1.00–35.91) in male, and in pesticide industry (OR=6.89, 95% CI: 1.69–28.07) and cokes and steel industry (OR=2.00, 95% CI: 1.18–22.06) in ≥60 years old. Moreover, the risk of AML increased significantly as the cumulative exposure to thinners increased. In the analyses stratified by sex and age, the association between pesticide exposure and AML was significant in males (OR=3.28, 95% CI: 1.10–9.77) and in ≥60 years old (OR=6.22, 95% CI: 1.48–26.08). This case-control study identified high-risk occupational groups in Korea, including paint manufacturer and painter, aircrew, and those who are occupationally exposed to pesticide or paint thinners.
我们进行了一项病例对照研究,以确定急性髓性白血病(AML)的高危职业和职业危害暴露。当首次入住研究医院血液科的AML患者被转介到职业与环境医学科时,研究者收集职业数据以评估工作相关性。通过在线调查机构招募以社区为基础的对照组,每个病例匹配四个对照组。职业信息估计使用结构化问卷,涵盖27个特定职业和32个暴露剂。将病例与对照配对,进行条件logistic回归分析。在按职业分类分析AML风险时,男性油漆制造或油漆工作(or =2.22, 95% CI: 1.03-4.81)和机组人员(or =6.00, 95% CI: 1.00-35.91)和农药行业(or =6.89, 95% CI: 1.69-28.07)和焦炭和钢铁行业(or =2.00, 95% CI: 1.18-22.06)与AML风险有显著相关性。此外,随着稀释剂累积暴露量的增加,AML的风险显著增加。在按性别和年龄分层的分析中,农药暴露与AML之间的相关性在男性(OR=3.28, 95% CI: 1.10-9.77)和≥60岁(OR=6.22, 95% CI: 1.48-26.08)中显著。这项病例对照研究确定了韩国的高危职业群体,包括油漆制造商和油漆工、机组人员以及职业暴露于农药或油漆稀释剂的人员。
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引用次数: 0
Surviving Covid 19 diagnosis among registered nurses: Reactions, consequences, and coping mechanisms 注册护士在Covid - 19诊断中幸存:反应、后果和应对机制
3区 医学 Q1 Social Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.shaw.2023.10.013
Gladys Mbuthia, Doris Machaki, Sheila Shaibu, Rachel W. Kimani
To mitigate the spread of Covid-19, nurses infected with the virus were required to isolate themselves from their families and community. Isolated patients were reported to have experienced mental distress, PTSD symptoms, and suicide. Though studies have reported the psychological impact of the Covid-19 pandemic, less is known about the lived experiences of nurses who survived Covid-19 infection in sub-Saharan Africa. A descriptive phenomenological approach was used to study the lived experiences of registered nurses who survived Covid-19 disease. In-depth interviews were conducted among nurses diagnosed with Covid-19 from two hospitals in Kenya between March and May 2021. Purposive and snowball sampling was used to recruit registered nurses. Data were analyzed using Giorgi's steps of analysis. The study included ten nurses between 29 and 45 years. Nurses' experiences encompassed three themes: diagnosis reaction, consequences, and coping. Reactions to the diagnosis included fear, anxiety, and sadness. The consequence of the diagnosis and isolation was stigma, isolation, and loneliness. Nurses coping mechanisms included acceptance, creating routines, support, and spirituality. Our findings add to understanding how nurses experienced Covid-19 infection as patients and will provide evidence-based content for supporting nurses in future pandemics. Moreover, as we acknowledge the heroic contribution of frontline healthcare workers during the Covid-19 pandemic, it is prudent to recognize the considerable occupational risk as they balance their duty to care and the risk of infection to themselves and their families.
为了减轻Covid-19的传播,感染病毒的护士被要求与家人和社区隔离。据报道,孤立的患者经历过精神痛苦、创伤后应激障碍症状和自杀。尽管有研究报告了Covid-19大流行的心理影响,但人们对撒哈拉以南非洲地区Covid-19感染后幸存下来的护士的生活经历知之甚少。采用描述现象学方法研究2019冠状病毒病幸存注册护士的生活经历。在2021年3月至5月期间,对肯尼亚两家医院诊断为Covid-19的护士进行了深入访谈。采用目的抽样和滚雪球抽样的方法招募注册护士。数据分析采用Giorgi的分析步骤。该研究包括10名年龄在29至45岁之间的护士。护士的经历包括三个主题:诊断、反应、后果和应对。对诊断的反应包括恐惧、焦虑和悲伤。诊断和隔离的结果是耻辱、孤立和孤独。护士的应对机制包括接受、创造常规、支持和灵性。我们的研究结果有助于了解护士作为患者如何经历Covid-19感染,并将为支持护士应对未来的大流行提供循证内容。此外,在我们承认一线医护人员在2019冠状病毒病大流行期间做出的英勇贡献的同时,谨慎地认识到,他们在履行护理职责和自身及家人感染风险之间取得平衡时,面临着巨大的职业风险。
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引用次数: 0
Global estimates on biological risks at work 对工作中生物风险的全球估计
3区 医学 Q1 Social Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.shaw.2023.10.005
Jukka Takala, Alexis Descatha, A. Oppliger, H. Hamzaoui, Catherine Bråkenhielm, Subas Neupane
Biological risks are a major global problem in the workplace. The recent COVID-19 pandemic has highlighted the need for a more comprehensive understanding of the biological risks at work. This study presents data on both communicable infectious biological agents and non-communicable factors leading to death and disability for the year 2021. We followed the methodology established by the International Labour Organization (ILO) in their past global estimates on occupational accidents and work-related diseases. We used relevant ILO estimates for hazardous substances and related population attributable fractions derived from literature, which were then applied to World Health Organization mortality data. The communicable diseases included in the estimates were tuberculosis, pneumococcal diseases, malaria, diarrheal diseases, other infectious diseases, neglected tropical diseases, influenza associated respiratory diseases and COVID-19. Non-communicable diseases and injuries considered were Chronic Obstructive Diseases (COPD) due to organic dusts, asthma, allergic reactions and risks related to animal contact. We estimated death attributable to biological risk at work and disability in terms of disability adjusted life years (DALYs). We estimated that in 2022, 550,819 deaths were caused by biological risk factors, with 476,000 deaths attributed to communicable infectious diseases and 74,000 deaths caused by non-communicable factors. Among these, there were 223,650 deaths attributed to COVID-19 at work. We calculated the rate of 584 DALYs per 100,000 workers, representing an 11% increase from the previous estimate of the global burden of work-related disabilities measured by DALYs. This is a first update since previous 2007 ILO estimates, which has now increased by 74% and covers most biological risks factors. However, it is important to note that there may be other diseases and deaths are missing from the data, which need to be included when new information becomes available. It is also worth mentioning that while deaths caused by major communicable diseases including COVID-19 are relatively rare within the working population, absences from work due to these diseases are likely to be very common within the active workforce.
生物风险是工作场所的一个主要全球性问题。最近的COVID-19大流行突出表明,有必要更全面地了解工作中的生物风险。本研究提供了2021年关于传染性生物制剂和导致死亡和残疾的非传染性因素的数据。我们采用了国际劳工组织(劳工组织)在过去对职业事故和与工作有关的疾病进行全球估计时确定的方法。我们使用了国际劳工组织对有害物质和相关人群归因分数的相关估计,然后将其应用于世界卫生组织的死亡率数据。估计数中包括的传染病是结核病、肺炎球菌病、疟疾、腹泻病、其他传染病、被忽视的热带病、与流感相关的呼吸道疾病和COVID-19。所考虑的非传染性疾病和伤害包括由有机粉尘引起的慢性阻塞性疾病、哮喘、过敏反应和与动物接触有关的风险。我们根据残疾调整生命年(DALYs)估计了可归因于工作生物风险和残疾的死亡。我们估计,2022年,有550,819人死于生物风险因素,其中47.6万人死于传染性传染病,7.4万人死于非传染性因素。其中,有223650人死于COVID-19。我们计算出每10万名工人中有584名伤残人员,这比之前用伤残人员年衡量的全球工伤残疾负担的估计增加了11%。这是自2007年国际劳工组织上一次估算以来的首次更新,2007年的估算增加了74%,涵盖了大多数生物风险因素。然而,必须指出的是,数据中可能遗漏了其他疾病和死亡,需要在获得新信息时将其列入。还值得一提的是,虽然包括COVID-19在内的主要传染病造成的死亡在劳动人口中相对罕见,但在活跃劳动力中,由于这些疾病而缺勤的情况可能非常普遍。
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引用次数: 0
Occupational Injuries among construction workers by age and related economic loss: Findings from Ohio workers’ compensation, USA: 2007–2017 建筑工人职业伤害的年龄和相关经济损失:来自俄亥俄州工人赔偿的调查结果,美国:2007-2017
3区 医学 Q1 Social Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.shaw.2023.10.003
Harpriya Kaur, Steven J. Wurzelbacher, P. Tim Bushnell, Stephen Bertke, Alysha R. Meyers, James W. Grosch, Steve Naber, Michael Lampl
This study examined age-group differences in the rate, severity, and cost of injuries among construction workers to support evidence-based worker safety and health interventions in the construction industry. Ohio workers’ compensation claims for construction workers were used to estimate claim rates and costs by age group. We analyzed claims data auto-coded into five event/exposure categories: transportation incidents; slips, trips, and falls (STFs); exposure to harmful substances and environments (EHS); contact with objects and equipment (COB); and overexertion and bodily reaction. American Community Survey data were used to determine the proportion of workers by age group. From 2007–2017, among 72,416 accepted injury claims for ∼166,000 construction full-time equivalent (FTE) per year, nearly half were caused by COB, followed by STFs (20%) and overexertion (20%). Claim rates related to COB and EHS were highest among those 18–24 years old, with claim rates of 313.5 and 25.9 per 10,000 FTE, respectively. STFs increased with age, with the highest claim rates for those 55–64 years old (94.2 claims per 10,000 FTE). Overexertion claim rates increased and then declined with age, with the highest claim rate for those 35–44 years old (87.3 per 10,000 FTE). While younger workers had higher injury rates, older workers had higher proportions of lost-time claims and costs per claim. The total cost per FTE was highest for those 45–54 years old ($1,122 per FTE). The variation in rates of injury types by age suggests age-specific prevention strategies may be useful.
本研究调查了建筑工人受伤率、严重程度和成本的年龄组差异,以支持基于证据的建筑行业工人安全和健康干预措施。俄亥俄州建筑工人的赔偿要求被用来估计按年龄组的索赔率和费用。我们分析了自动编码为五个事件/暴露类别的索赔数据:交通事故;滑倒、绊倒和跌倒(STFs);接触有害物质和环境(EHS);接触物体和设备(COB);过度劳累和身体反应。美国社区调查数据被用来确定按年龄组划分的工人比例。从2007年至2017年,在每年接受的72,416起工伤索赔中,有近一半是由COB引起的,其次是stf(20%)和过度劳累(20%)。与COB和EHS相关的索赔率在18-24岁人群中最高,分别为313.5 /万FTE和25.9 /万FTE。stf随着年龄的增长而增加,55-64岁的索赔率最高(每10,000个FTE索赔94.2个)。过度劳累索赔率随年龄的增长先上升后下降,其中35-44岁的索赔率最高(87.3 / 10,000 FTE)。虽然年轻员工的受伤率更高,但年长员工的误工索赔比例和每次索赔费用更高。45-54岁人士的总费用最高,为1122美元。不同年龄的伤害类型的差异表明,针对不同年龄的预防策略可能是有用的。
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引用次数: 0
Association between social support, and depressive symptoms among firefighters: The mediating role of negative coping 消防员社会支持与抑郁症状的关系:消极应对的中介作用
3区 医学 Q1 Social Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.shaw.2023.10.002
Liang Wang, Fengqiong Chen, Yulu Zhang, Mengliang Ye
Depressive symptoms (DS) can erode physical and mental health, social support (SS) is considered a buffer for DS and a promoter for improving coping and recovery abilities. However, there is almost no research on the mediating role of negative coping (NC) in SS and DS, especially among firefighters. A cross-sectional survey was conducted among firefighters in Chongqing, China, and the valid data of 407 firefighters were collected through questionnaires distributed on the WeChat platform in 2020. Statistical Product and Service Solutions (SPSS) 26.0 is used for descriptive statistics and correlation analysis. Structural equation modeling (SEM) was adopted to analyze the association among SS, NC and DS. The mediation effect is also evaluated. Firefighters’ detection rate of DS is 23.3%, and when they receive more SS were less likely to develop DS. NC was positively correlated with DS (β=0.54, p < 0.001) after controlling for SS. Besides, the results of SEM showed that NC partially mediates the relationship between SS and DS (SE. = 0.039, indirect effects = 0.109, 95% CI:0.047 – 0.200 p < 0.001). NC has a partial indirect effect between SS and DS among firefighters. SS could not only affect DS directly, but also indirect work on it by affecting NC. This discovery will be a novel and meaningful part of the research on the firefighter population.
抑郁症状可以侵蚀身心健康,社会支持被认为是抑郁症状的缓冲剂和提高应对和恢复能力的促进剂。然而,关于负性应对(NC)在消防人员的安全行为和安全行为中的中介作用的研究几乎没有。对中国重庆地区消防员进行横断面调查,通过微信平台发放问卷,收集2020年407名消防员的有效数据。使用SPSS (Statistical Product and Service Solutions) 26.0进行描述性统计和相关性分析。采用结构方程模型(SEM)分析了SS、NC和DS三者之间的关系。并对中介效应进行了评价。消防员对退行性麻痹的检出率为23.3%,接受的退行性麻痹越多,发生退行性麻痹的可能性越小。在控制SS后,NC与DS呈显著正相关(β=0.54, p < 0.001)。此外,SEM结果显示NC在SS与DS (SE)之间起到部分中介作用。= 0.039,间接效应= 0.109,95% CI:0.047 - 0.200 p < 0.001)。NC在消防员的SS和DS之间有部分间接影响。SS不仅可以直接影响DS,还可以通过影响NC间接作用于DS。这一发现将是消防员人口研究中一个新颖而有意义的部分。
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引用次数: 0
A systematised overview of published reviews on biological hazards, occupational health and safety 系统地概述已发表的关于生物危害、职业健康和安全的评论
3区 医学 Q1 Social Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.shaw.2023.10.008
Alexis Descatha, Halim Hamzaoui, Jukka Takala, Anne Oppliger
The COVID-19 pandemic turned biological hazards in the working environment into a global concern. This systematised review of published reviews aimed to provide a comprehensive overview of the specific jobs and categories of workers exposed to biological hazards with the related prevention. We extracted reviews published in English and French in PubMed, Embase and Web of Science. Two authors, working independently, subsequently screened the potentially relevant titles and abstracts recovered (step 1) and then examined relevant full texts (step 2). Disagreements were resolved by consensus. We built tables summarising populations of exposed workers, types of hazards, types of outcomes (types of health issues, means of prevention) and routes of transmission. Of 1426 studies initially identified, 79 studies by authors from every continent were selected, mostly published after 2010 (n=63, 79.7%). About half of the reviews dealt with infectious hazards alone (n=38, 48.1%). The industrial sectors identified involved healthcare alone (n=16), laboratories (n=10), agriculture (including the animal, vegetable and grain sectors, n=32), waste (n=10), in addition of 11 studies without specific sectors. Results also highlighted a range of hazards (infectious and non-infectious agents, endotoxins, bioaerosols, organic dust and emerging agents). This systematised overview allowed to list the populations of workers exposed to biological hazards and underlined how prevention measures in the healthcare and laboratory sectors were usually well defined and controlled, although this was not the case in the agriculture and waste sectors. Further studies are necessary to quantify these risks and implement prevention measures that can be applied in every country.
2019冠状病毒病大流行使工作环境中的生物危害成为全球关注的问题。本文对已发表的综述进行了系统化的综述,旨在全面概述暴露于生物危害的特定工作和工人类别以及相关的预防措施。我们提取了在PubMed、Embase和Web of Science上以英文和法文发表的评论。两位独立工作的作者随后筛选了可能相关的标题和检索到的摘要(步骤1),然后检查了相关的全文(步骤2)。分歧通过协商一致解决。我们建立了表格,总结暴露工人的人数、危害类型、结果类型(健康问题类型、预防手段)和传播途径。在最初确定的1426项研究中,选择了来自各大洲作者的79项研究,其中大部分发表于2010年之后(n= 63,79.7%)。大约一半的综述只涉及感染性危害(n=38, 48.1%)。确定的工业部门仅涉及医疗保健(n=16)、实验室(n=10)、农业(包括动物、蔬菜和粮食部门,n=32)、废物(n=10),此外还有11项没有具体部门的研究。结果还强调了一系列危害(感染性和非感染性病原体、内毒素、生物气溶胶、有机粉尘和新兴病原体)。这一系统的概述列出了暴露于生物危害的工人群体,并强调了保健和实验室部门的预防措施通常是如何得到明确界定和控制的,尽管农业和废物部门并非如此。有必要进行进一步的研究,以量化这些风险并实施可适用于每个国家的预防措施。
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引用次数: 0
Potential Work-related Exposure to SARS-CoV-2 by Standard Occupational Grouping based on Pre-Lockdown Working Conditions in France 基于法国封锁前工作条件按标准职业分组划分的与工作相关的潜在SARS-CoV-2暴露
3区 医学 Q1 Social Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.shaw.2023.10.012
Narges Ghoroubi, Emilie Counil, Myriam Khlat
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引用次数: 0
Psychosocial work conditions during the COVID-19 pandemic and their influences on mental health risk and intention to leave among public health workers: A cross-sectional and follow-up study in Taiwan 新冠肺炎大流行期间的社会心理工作条件及其对公共卫生工作者心理健康风险和离职意向的影响:台湾地区的横断面和随访研究
3区 医学 Q1 Social Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.shaw.2023.10.007
Ming-Wei Lin, Yi-Ting Wang, Yawen Cheng
To examine the influences of psychosocial work conditions on mental health risk and intention to leave the public sector among workers of public health agencies in Taiwan. We surveyed 492 public health workers in March 2022 during the COVID-19 pandemic. Information on job demands, job control, workplace justice, experiences of workplace violence and its type and origin, and mental health status (assessed by the 5-item Brief Symptom Rating Scale, BSRS-5) was obtained. Of them, 192 participated in a follow-up survey conducted in May 2023 that assessed mental health status, employment changes, and intention to leave. In the initial survey, 32.93% of participants reported poor mental health status, defined by having a score of BSRS-5≧10, and 48.17% experienced some form of workplace violence over the past year. Notably, high psychosocial job demands (OR=3.64, 95% CI=1.93-6.87), low workplace justice (OR=2.58, 95% CI=1.45-4.58), and workplace violence (OR=2.38, 95% CI=1.51-3.77) were significantly associated with increased risk of mental disorders. Among those who participated in the follow-up survey, 22.40% had persistent poor mental health, and 30.73% considered leaving or have left the public sector. Longitudinal analyses indicated that job demands predicted persistent mental disorders and intention to leave the public sector, and the experience of workplace violence added additional mental health risks. The Public health workforce is crucial for effective and resilient public health systems. Our findings that public health workers were at high mental health risk and had a high intention to leave the job warrant attention and policy interventions.
目的探讨社会心理工作条件对台湾公共卫生机构工作人员心理健康风险及离职意向的影响。我们在2022年3月COVID-19大流行期间对492名公共卫生工作者进行了调查。获得工作需求、工作控制、工作场所公正、工作场所暴力经历及其类型和来源以及心理健康状况(采用5项简要症状评定量表bsr -5进行评估)的信息。其中192人参加了2023年5月进行的一项后续调查,评估了他们的心理健康状况、就业变化和离职意愿。在最初的调查中,32.93%的参与者报告心理健康状况不佳,定义为bsr -5得分≧10,48.17%的参与者在过去一年中经历过某种形式的工作场所暴力。值得注意的是,高心理社会工作要求(OR=3.64, 95% CI=1.93-6.87)、低工作场所公正(OR=2.58, 95% CI=1.45-4.58)和工作场所暴力(OR=2.38, 95% CI=1.51-3.77)与精神障碍风险增加显著相关。在参与跟踪调查的人中,22.40%的人精神健康状况持续不佳,30.73%的人考虑离开或已经离开公营部门。纵向分析表明,工作需求预示着持续的精神障碍和离开公共部门的意图,而工作场所暴力的经历增加了额外的精神健康风险。公共卫生人力对于有效和有弹性的公共卫生系统至关重要。我们的研究结果表明,公共卫生工作者的心理健康风险高,离职意愿高,值得关注和政策干预。
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引用次数: 0
Systematizing information use to address determinants of health worker health in South Africa: A cross-sectional mixed method study 系统化信息用于解决南非卫生工作者健康的决定因素:一项横断面混合方法研究
3区 医学 Q1 Social Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.shaw.2023.10.014
Muzimkhulu Zungu, Annalee Yassi, Jonathan Ramodike, Kuku Voyi, Karen Lockhart, David Jones, Spo Kgalamono, Nkululeko Thunzi, Jerry Spiegel
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引用次数: 0
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Safety and Health at Work
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