医疗保健工作中的职业压力和精神疾病:性别,种族和阶级之间的交叉点
Camila C de Sousa1, Tânia M Araújo2, Manuela M Maturino2
1University Hospital Professor Edgard Santos, Federal University of Bahia, Salvador, Brazil.
American journal of industrial medicine
|December 21, 2023
概括
性别,种族和社会阶级显著影响健康工作者的职业压力和心理健康. 这些因素导致了与工作有关的精神疾病的不平等分布.
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 健康的社会决定因素
- 心理健康流行病学 心理健康流行病学
背景情况:
- 之前的研究强调了多方面的方法来理解劳动力中的精神障碍.
- 这项研究调查了社会因素和职业压力因素对心理健康结果的复杂相互作用.
研究的目的:
- 评估性别,种族,社会阶级和职业压力因素对心理健康的直接和间接影响.
- 分析社会决定因素在职业压力和精神障碍之间的关系中扮演的调解角色.
主要方法:
- 对3343名卫生工作者的随机样本进行横截面研究.
- 对于职业压力因素,使用了劳动力奖励不平衡 (ERI) 量表和常见精神障碍 (CMD) 的世卫组织自我报告问卷 (SRQ-20).
- 采用结构方程建模来分析关联和影响,包括调解分析.
主要成果:
- 职业压力直接与CMD相关,并调解了收入与CMD的关系.
- 性别与职业压力,收入和家庭过度负担有直接关联.
- 种族通过阶级指标与教育和CMD有关;阶级指标放大了暴露于压力因素和CMD发生率.
结论:
- 性别,种族和社会阶级对于了解卫生工作者在工作压力和精神疾病方面的差异至关重要.
- 调查结果强调,需要采取措施解决社会不平等问题,以减轻工作场所的心理健康问题.
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