학술논문
Gender differences in workplace violence against physicians and nurses in Latin America: a survey from the Interamerican Society of Cardiology.
Document Type
Academic Journal
Author
Parodi JB; Cardiology Department, Sanatorio Anchorena, Buenos Aires, Argentina.; Burgos LM; Heart Failure Department, Instituto Cardiovascular de Buenos Aires (ICBA), Argentina.; Garcia-Zamora S; Cardiology Department, Delta Clinic, Rosario, Santa Fe, Argentina.; Liblik K; Department of Medicine, Queen's University, Kingston, Ontario, Canada.; Pulido L; Pneumology Department, Hospital Italiano, Rosario, Santa Fe, Argentina.; Gupta S; Faculty of Medicine, University of Ottawa, Ottawa, Canada.; Saldarriaga C; University of Antioquia, Medellín, Colombia.; Puente-Barragan AC; Centro Médico Nacional 20 de Noviembre (ISSSTE), Mexico City, Mexico.; Morejón-Barragán P; Cardiology Department, Clínica Guayaquil, Guayas, Ecuador.; Alexanderson-Rosas E; Nuclear Cardiology Department, Instituto Nacional de Cardiologia Ignacio Chávez, Mexico City, Mexico.; Sosa-Liprandi A; Cardiology Department, Sanatorio Güemes, Ciudad Autónoma de Buenos Aires, Argentina.; Botto F; Clinical Research Department, Instituto Cardiovascular de Buenos Aires (ICBA), Argentina.; Sosa-Liprandi MI; Cardiology Department, Sanatorio Güemes, Ciudad Autónoma de Buenos Aires, Argentina.; Lopez-Santi R; Division of Cardiology, Hospital Italiano de La Plata, Buenos Aires, Argentina.; Vazquez G; Department of Psychiatry, Queen's University, Kingston, Ontario, Canada.; Gulati M; Barbra Streisand Women's Heart Center, Cedars-Sinai Smidt Heart Institute, Los Angeles, CA, USA.; Baranchuk A; Division of Cardiology, Queen's University, Kingston, Ontario, Canada. Electronic address: barancha@kgh.kari.net.
Source
Publisher: Elsevier Country of Publication: Netherlands NLM ID: 0376507 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5616 (Electronic) Linking ISSN: 00333506 NLM ISO Abbreviation: Public Health Subsets: MEDLINE
Subject
Language
English
Abstract
Objectives: To evaluate gender differences in workplace violence (WPV) against physicians and nurses in Latin America.
Study Design: Cross-sectional study.
Methods: A cross-sectional electronic survey was conducted between January 11 and February 28, 2022. A prespecified gender analysis was performed.
Results: Among the 3056 responses to the electronic survey, 57% were women, 81.6% were physicians, and 18.4% were nurses. At least one act of violence was experienced by 59.2% of respondents, with verbal violence being the most common (97.5%). Women experienced more WPV than men (65.8% vs 50.4%; P < 0.001; odds ratio [OR]: 1.89; 95% confidence interval [CI]: 1.63-2.19). Women were more likely to report at least one episode of WPV per week (19.2% vs 11.9%, P < 0.001), to request for psychological help (14.5% vs 9%, P = 0.001) and to experience more psychosomatic symptoms. In addition, women were more likely to report having considered changing their job after an aggression (57.6% vs 51.3%, P = 0.011) and even leaving their job (33% vs 25.7%, P = 0.001). In a multivariate analysis, being a woman (OR: 1.76), working in emergency departments (OR: 1.99), and with COVID-19 patients (OR: 3.3) were independently associated with more aggressive interactions, while older age (OR: 0.95) and working in a private setting (OR: 0.62) implied lower risk.
Conclusions: Women are more likely to experience WPV and to report more psychosomatic symptoms after the event. Preventive measures are urgently needed, with a special focus on high-risk groups such as women.
(Copyright © 2023 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.)
Study Design: Cross-sectional study.
Methods: A cross-sectional electronic survey was conducted between January 11 and February 28, 2022. A prespecified gender analysis was performed.
Results: Among the 3056 responses to the electronic survey, 57% were women, 81.6% were physicians, and 18.4% were nurses. At least one act of violence was experienced by 59.2% of respondents, with verbal violence being the most common (97.5%). Women experienced more WPV than men (65.8% vs 50.4%; P < 0.001; odds ratio [OR]: 1.89; 95% confidence interval [CI]: 1.63-2.19). Women were more likely to report at least one episode of WPV per week (19.2% vs 11.9%, P < 0.001), to request for psychological help (14.5% vs 9%, P = 0.001) and to experience more psychosomatic symptoms. In addition, women were more likely to report having considered changing their job after an aggression (57.6% vs 51.3%, P = 0.011) and even leaving their job (33% vs 25.7%, P = 0.001). In a multivariate analysis, being a woman (OR: 1.76), working in emergency departments (OR: 1.99), and with COVID-19 patients (OR: 3.3) were independently associated with more aggressive interactions, while older age (OR: 0.95) and working in a private setting (OR: 0.62) implied lower risk.
Conclusions: Women are more likely to experience WPV and to report more psychosomatic symptoms after the event. Preventive measures are urgently needed, with a special focus on high-risk groups such as women.
(Copyright © 2023 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.)