Mental ill-health among health and social care professionals: an analysis using administrative data.

Mental ill-health among health and social care professionals: an analysis using administrative data.
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DOI:
10.23889/ijpds.v6i1.1649
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发表时间:
2021
影响因子:
--
通讯作者:
Leavey G
Leavey G
中科院分区:
其他
文献类型:
--
作者:
Curran E;Rosato M;Ferry F;Leavey G

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健康和社会关怀 (HSC) 工作者面临与工作相关的压力、倦怠和精神疾病的高风险。本研究调查了 HSC 职业群体自我报告的心理健康和精神药物服用情况的差异。北爱尔兰 (NI) 数据关联研究,针对 2011 年北爱尔兰人口普查中统计的年龄在 20 岁至 64 岁之间、居住在私人家庭中的健康和护理部门工作人员,以及他们在 2011 年至 2012 年期间服用处方精神药物的情况(使用来自 NHS 内开出处方的常规电子捕获信息的数据,并使用 NI 特定的健康和护理密钥标识符在个人层面进行链接)。将 HSC 工作人员与所有不参与 HSC 职业的专业人员进行比较,我们使用多项逻辑回归来检查 (a) 自我报告的慢性精神疾病和 (b) 根据年龄、性别和社会人口环境进行调整的职业群体对精神药物的使用情况。与其他专业人员相比,心理健康问题的最高风险(与精神药物处方的使用相关)与护理/助产士(女性和男性分别为 OR = 1.25:95%CI = 1.17–1.33;OR = 1.84:1.58–2.15)、福利(OR = 1.34:1.21–1.48;OR = 1.71: 1.44–2.03)和正式的看护角色(OR = 1.42:1.31–1.53;OR = 1.70:1.50–1.91),同样分别针对女性/男性)。这些高风险职业的精神药物使用量显着增加。在健康和社会护理部门工作,无论性别如何,都可能比其他工作压力更大。此外,自我报告的精神疾病和精神药物治疗似乎都与社会阶层不平等有关。
Health and Social Care (HSC) workers are at high risk of job-related stress, burnout and mental ill-health. This study examines differences in self-reported mental health and psychotropic medication uptake across HSC occupational groups. Northern Ireland (NI) data linkage study of people working in the Health and Care sector, aged between twenty and sixty-four years, enumerated at the 2011 Northern Ireland Census and living in private households, and their uptake of prescribed psychotropic medications during 2011-2012 (using data derived from routine electronically captured information on prescriptions issued within the NHS and linked at an individual level using a NI-specific Health and Care key identifier). Comparing HSC workers with all those professionals not involved in HSC occupations, we used multinomial logistic regression to examine (a) self-reported chronic mental illness and (b) uptake of psychotropic medication by occupational groups adjusting for age, sex and socio-demographic circumstance. When compared against other professionals highest risks for mental health problems (associated with psychotropic prescription uptake) were associated with nursing/midwifery (OR = 1.25: 95%CI = 1.17–1.33; OR = 1.84: 1.58–2.15 for females and males respectively), welfare (OR = 1.34: 1.21–1.48; OR = 1.71: 1.44–2.03) and formal caregiving roles (OR = 1.42: 1.31–1.53; OR = 1.70: 1.50–1.91), again for females/males respectively). These higher risk professions record notable increases in psychotropic medication use. Working in the Health and Social Care sector, irrespective of gender, may be more stressful than other jobs. Additionally, self-reported mental ill-health and psychotropic medication treatment both appear to be associated with social class inequity.
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期刊: PLOS ONE
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