卫生保健工作者中的性别歧视和心理健康:混合方法研究的发现
Rachel Hennein1,2, Rhayna Poulin3, Hannah Gorman4
1Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, Connecticut, USA.
Journal of women's health (2002)
|May 31, 2023
概括
性别歧视对医护人员的心理健康产生了负面影响,尤其是在COVID-19大流行期间. 女性报告的与歧视相关的精神健康症状比男性更严重.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 职业健康心理学 职业健康心理学
- 健康和疾病的社会学
背景情况:
- 性别歧视是众所周知的医疗保健工作者 (HCWs) 的压力因素,影响心理健康和职业发展.
- 有限的研究存在于性别歧视经历如何在卫生系统压力时期演变,如COVID-19大流行.
研究的目的:
- 在COVID-19大流行期间,评估性别歧视与心理健康结果 (创伤后压力,抑郁,焦虑,倦怠) 之间的关系.
- 质量地探索HCW在这一时期对性别歧视的经验.
主要方法:
- 采用了基于调查的研究设计.
- 量化分析检查了报告的性别歧视和心理健康结果之间的关联.
- 针对歧视经验的定性数据,使用了主题分析.
主要成果:
- 在HCW女性中,增加的性别歧视与创伤后压力,抑郁症,焦虑症和倦怠症的更高症状相关.
- 在男性HCW中,增加的性别歧视仅与加剧的抑郁症症状有关.
- 定性分析揭示了诸如对工作的差异评估,性别角色,对母亲的歧视,对象化和女性的"老男孩俱乐部",以及对男性的象征性歧视和供应商偏好等主题.
结论:
- 性别歧视在HCW中仍然普遍存在,即使在卫生系统受到压力时也是如此.
- 歧视显著加剧了心理健康问题,特别是在医疗保健中的女性.
- 这些发现强调了需要采取干预措施来解决医疗保健机构的性别歧视问题,特别是在危机期间.
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