Pien Li-Chung, Chen Duan-Rung, Chen Chiou-Jong, Liang Kuei-Min, Cheng Yawen
Institute of Health Policy and Management, College of Public Health, National Taiwan University.
J Occup Health. 2015;57(6):555-64. doi: 10.1539/joh.15-0132-OA. Epub 2015 Sep 29.
Workplace violence is known to pose mental health risks. However, whether or not workplace violence in a surrounding area might further increase the risk of mental distress in workers has rarely been examined.
The study subjects were 9,393 male and 7,716 female employees who participated in a nationwide survey in 2010. Their personal experiences of workplace violence over the past 1 year were ascertained by a standardized questionnaire. Also assessed were their psychosocial work characteristics and mental distress problems. Neighborhood-level workplace violence was computed based on aggregated data at the county level and was categorized into low-, medium-, and high-level categories. Multilevel logistic regression models were constructed to examine the associations between neighborhood-level workplace violence and individual-level mental distress problems, with adjustment of individual-level experience of workplace violence.
The neighborhood-level prevalence of workplace violence ranged from 4.7 to 14.7% in men and from 6.4 to 14.8% in women across 22 counties. As compared with those who live in counties of the lowest tertile of workplace violence, female workers who lived in counties of the highest tertile of workplace violence had a 1.72-fold increased risk for mental distress problems after controlling for individual experience of workplace violence and other psychosocial work characteristics.
Neighborhood-level workplace violence was associated with poor mental health in female workers. Preventative strategies targeting workplace violence should pay attention to neighborhood factors and gender-specific effects that might influence societal tolerance of abusive work practices and workers' vulnerability to mental health impacts of workplace violence.
已知工作场所暴力会带来心理健康风险。然而，周边地区的工作场所暴力是否会进一步增加员工心理困扰的风险却鲜有研究。
研究对象为9393名男性和7716名女性员工，他们参与了2010年的一项全国性调查。通过标准化问卷确定他们在过去1年中工作场所暴力的个人经历。还评估了他们的心理社会工作特征和心理困扰问题。邻里层面的工作场所暴力是根据县级汇总数据计算得出的，并分为低、中、高三个等级。构建多水平逻辑回归模型，以检验邻里层面的工作场所暴力与个人层面心理困扰问题之间的关联，并对个人层面的工作场所暴力经历进行调整。
在22个县中，男性邻里层面工作场所暴力的患病率在4.7%至14.7%之间，女性在6.4%至14.8%之间。与生活在工作场所暴力最低三分位数县的女性相比，生活在工作场所暴力最高三分位数县的女性员工在控制了个人工作场所暴力经历和其他心理社会工作特征后，出现心理困扰问题的风险增加了1.72倍。
邻里层面的工作场所暴力与女性员工的心理健康不佳有关。针对工作场所暴力的预防策略应关注可能影响社会对虐待性工作行为的容忍度以及员工对工作场所暴力心理健康影响易感性的邻里因素和性别特定影响。
