Risk of COVID-19-related bullying, harassment and stigma among healthcare workers: an analytical cross-sectional global study.
Risk of COVID-19-related bullying, harassment and stigma among healthcare workers: an analytical cross-sectional global study.
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DOI：
10.1136/bmjopen-2020-046620
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发表时间：
2020-12-30
期刊：
影响因子：
2.9
通讯作者：
Pressman E
中科院分区：
文献类型：
--
作者：
Dye TD;Alcantara L;Siddiqi S;Barbosu M;Sharma S;Panko T;Pressman E
基本医疗保健工作者（HCW）不仅是COVID-19治疗者，而且可能是SARS-CoV-2的携带者。我们评估了与COVID-19相关的耻辱和欺凌，对照HCW控制社会，心理，医疗和社区变量。我们将一项关于HCW中与COVID-19相关的耻辱和欺凌的分析性横断面研究嵌套在一项更大的混合方法工作中，评估COVID-19相关的生活经历和影响。调整后的OR（aOR）和95% CI评估了在医疗机构工作与COVID-19相关欺凌和羞辱经历之间的关联，控制了混杂因素。专题定性分析提供了对COVID-19相关欺凌的生活经历的深入了解。我们通过Amazon Mechanical Turk的在线员工和Facebook招募了四种语言（英语，西班牙语，法语，意大利语）的潜在参与者。我们的样本包括来自173个国家的7411名年龄在18岁或以上的人。在控制了工作相关、个人、地理和社会文化变量的混杂效应后，HCW显著经历了更多的COVID-19相关欺凌（aOR：1.5; 95%CI 1.2至2.0）。HCW更经常地认为，人们对其他人与COVID-19的八卦（OR：2.2; 95% CI 1.9至2.6），以及COVID-19患者在社区中失去尊重（OR：2.3; 95%CI 2.0至2.7），这两种情况都增加了欺凌风险（OR：2.7; 95%CI 2.3至3.2，OR：3.5; 95%CI 2.9至4.2）。与COVID-19相关的欺凌的生活经历通常与HCW穿越社区时的公共身份有关，与其他领域（例如，警察，种族主义，暴力）交叉。在控制了一系列混杂因素后，HCW更有可能经历与COVID-19相关的耻辱和欺凌，通常是在种族主义，暴力和警察参与社区环境的交叉背景下。
Essential healthcare workers (HCW) uniquely serve as both COVID-19 healers and, potentially, as carriers of SARS-CoV-2. We assessed COVID-19-related stigma and bullying against HCW controlling for social, psychological, medical and community variables. We nested an analytical cross-sectional study of COVID-19-related stigma and bullying among HCW within a larger mixed-methods effort assessing COVID-19-related lived experience and impact. Adjusted OR (aOR) and 95% CIs evaluated the association between working in healthcare settings and experience of COVID-19-related bullying and stigma, controlling for confounders. Thematic qualitative analysis provided insight into lived experience of COVID-19-related bullying. We recruited potential participants in four languages (English, Spanish, French, Italian) through Amazon Mechanical Turk’s online workforce and Facebook. Our sample included 7411 people from 173 countries who were aged 18 years or over. HCW significantly experienced more COVID-19-related bullying after controlling for the confounding effects of job-related, personal, geographic and sociocultural variables (aOR: 1.5; 95% CI 1.2 to 2.0). HCW more frequently believed that people gossip about others with COVID-19 (OR: 2.2; 95% CI 1.9 to 2.6) and that people with COVID-19 lose respect in the community (OR: 2.3; 95% CI 2.0 to 2.7), both which elevate bullying risk (OR: 2.7; 95% CI 2.3 to 3.2, and OR: 3.5; 95% CI 2.9 to 4.2, respectively). The lived experience of COVID-19-related bullying relates frequently to public identities as HCW traverse through the community, intersecting with other domains (eg, police, racism, violence). After controlling for a range of confounding factors, HCW are significantly more likely to experience COVID-19-related stigma and bullying, often in the intersectional context of racism, violence and police involvement in community settings.
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DOI：
10.7596/taksad.v9i2.2636
发表时间：
2020-06-01
期刊：
TARIH KULTUR VE SANAT ARASTIRMALARI DERGISI-JOURNAL OF HISTORY CULTURE AND ART RESEARCH
影响因子：
--
作者：
Chaiuk, Tetyana A.;Dunaievska, Olha, V
通讯作者：
Dunaievska, Olha, V
影响因子：
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作者：
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影响因子：
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Adiukwu, Frances
影响因子：
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作者：
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Cox, Caitriona L.
影响因子：
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