Ignored and distressed: a cross-sectional study of the impact of COVID-19 on last responders.
Ignored and distressed: a cross-sectional study of the impact of COVID-19 on last responders.
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DOI：
10.1186/s12889-023-16565-z
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发表时间：
2023-08-26
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
作者：
最后反应者是一个职业类别，包括所有参与死者及其家属死后护理的人。最后响应者暴露于影响其健康和福祉的几类与工作相关的压力源。COVID-19加剧了这些压力因素。了解COVID-19对最后响应者的健康和福祉的影响的研究刚刚起步。这项研究旨在评估美国最后响应者的COVID-19相关压力，应对和健康状况。我们在2020年7月至9月对最后响应者进行了全国性横断面调查。该调查测量了幸福感、压力、应对和耻辱感; COVID-19经历和社会人口统计数据。结果变量采用岭回归模型拟合。对来自43个州的366名受访者进行了分析。受访者为男性（55.4%）、50岁以上（57.4%）和非西班牙裔白色人（90.3%）; 54%报告中度至高度压力，41%认可轻度至重度焦虑。77%的人经历过至少一种与职业有关的耻辱。与感知压力和焦虑较高相关的变量包括性别（女性）、工作时间较短、感知COVID-19对日常生活的影响较大以及感知耻辱增加。最后响应者是医疗保健系统的重要组成部分。在整个大流行期间，最后反应者经常被忽视，没有得到优先保护和支持。迫切需要采取干预措施，支持最后反应者科普压力，并减少焦虑。还迫切需要挑战社区对最后反应者的污名化。在线版本包含补充材料，可在10.1186/s12889-023-16565-z获得。
Last responders constitute an occupational category that includes all those that are involved in the postmortem care of deceased persons and their families. Last responders are exposed to several categories of work-related stressors that affect their health and well-being. COVID-19 exacerbated these stressors. Research to understand the consequences of COVID-19 on the health and wellbeing of last responders is nascent. This study aimed to assess COVID-19 related stress, coping and wellbeing among last responders in the United States. We conducted a national cross-sectional survey of last responders in July through September of 2020. The survey measured wellbeing, stress, coping, and stigma; COVID-19 experiences, and socio-demographics. A ridge regression model was fit for the outcome variables. Analysis was conducted on 366 respondents from 43 states. Respondents were male (55.4%), age 50 + (57.4%), and White non-Hispanic (90.3%); 54% reported moderate-high stress and 41% endorsed mild-severe anxiety. Seventy-seven percent had experienced at least one form of stigma related to their occupation. Variables associated with higher perceived stress and anxiety included gender (female), shorter length of employment, perceiving a higher impact from COVID-19 on everyday life, and increased perceived stigma. Last responders are a critical part of the health care system. Throughout this pandemic, last responders have been frequently ignored and not prioritized for protection and support. Interventions to support last responders cope with stress, and to decrease anxiety are urgently needed. There is also a critical need to challenge community stigma towards last responders. The online version contains supplementary material available at 10.1186/s12889-023-16565-z.
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影响因子：
2
作者：
Schomaker M;Heumann C
通讯作者：
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