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Workplace Violence and the Mental Health of Public Health Workers During COVID-19.
Tiesman, Hope M; Hendricks, Scott A; Wiegand, Douglas M; Lopes-Cardozo, Barbara; Rao, Carol Y; Horter, Libby; Rose, Charles E; Byrkit, Ramona.
Afiliación
  • Tiesman HM; Analysis and Field Evaluations Branch, Division of Safety Research, National Institute for Occupational Safety and Health, Morgantown, West Virginia. Electronic address: htiesman@cdc.gov.
  • Hendricks SA; Analysis and Field Evaluations Branch, Division of Safety Research, National Institute for Occupational Safety and Health, Morgantown, West Virginia.
  • Wiegand DM; Hazard Evaluations & Technical Assistance Branch, Division of Field Studies & Engineering, National Institute for Occupational Safety and Health, Cincinnati, Ohio.
  • Lopes-Cardozo B; Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
  • Rao CY; Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
  • Horter L; COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia; Goldbelt C6, Chesapeake, Virginia.
  • Rose CE; National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia.
  • Byrkit R; COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Am J Prev Med ; 64(3): 315-325, 2023 03.
Article en En | MEDLINE | ID: mdl-36464557
INTRODUCTION: During the COVID-19 pandemic, public health workers were at an increased risk for violence and harassment due to their public health work and experienced adverse mental health conditions. This article quantifies the prevalence of job-related threats, harassment, and discrimination against public health workers and measures the association of these incidents with mental health symptoms during the COVID-19 pandemic. METHODS: A nonprobability convenience sample of state, local, and tribal public health workers completed a self-administered, online survey in April 2021. The survey link was emailed to members of national public health associations and included questions on workplace violence, demographics, workplace factors, and mental health symptoms. Mental health symptoms were measured using standardized, validated tools to assess depression, anxiety, post-traumatic stress disorder, and suicidal ideation. Multivariable Poisson models calculated adjusted prevalence ratios of mental health symptoms, with workplace violence as the primary risk factor. Analyses were conducted in 2021-2022. RESULTS: Experiencing any type or combination of workplace violence was significantly associated with an increased likelihood of reporting depression symptoms (prevalence ratio=1.21, 95% CI=1.15, 1.27), anxiety (prevalence ratio=1.21, 95% CI=1.15, 1.27), post-traumatic stress disorder (prevalence ratio=1.31, 95% CI=1.25, 1.37), and suicidal ideation (prevalence ratio=1.26, 95% CI=1.14, 1.38), after adjusting for confounders. A dose‒response relationship was found between the number of workplace violence events experienced by a public health worker and the likelihood of reporting mental health symptoms. CONCLUSIONS: Violence targeted at the public health workforce is detrimental to workers and their communities. Ongoing training, workplace support, and increased communication after a workplace violence incident may be helpful. Efforts to strengthen public health capacities and support the public health workforce are also needed.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Violencia Laboral / COVID-19 Tipo de estudio: Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Humans Idioma: En Revista: Am J Prev Med Asunto de la revista: SAUDE PUBLICA Año: 2023 Tipo del documento: Article Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Violencia Laboral / COVID-19 Tipo de estudio: Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Humans Idioma: En Revista: Am J Prev Med Asunto de la revista: SAUDE PUBLICA Año: 2023 Tipo del documento: Article Pais de publicación: Países Bajos