Anli Yue Zhou, MBChB, MA, MRCP, Melanie Carder, PhD, Centre for Occupational and Environmental Health, Centre for Epidemiology, Division of Population Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester; Matthew Gittins, PhD, Centre for Biostatistics, Centre for Epidemiology, Division of Population Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester; Raymond Agius, MD, DM, FRCP, FRCPE, FFOM, Centre for Occupational and Environmental Health, Centre for Epidemiology, Division of Population Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
Anli Yue Zhou, MBChB, MA, MRCP, Melanie Carder, PhD, Centre for Occupational and Environmental Health, Centre for Epidemiology, Division of Population Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester; Matthew Gittins, PhD, Centre for Biostatistics, Centre for Epidemiology, Division of Population Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester; Raymond Agius, MD, DM, FRCP, FRCPE, FFOM, Centre for Occupational and Environmental Health, Centre for Epidemiology, Division of Population Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Br J Psychiatry. 2017 Nov;211(5):310-315. doi: 10.1192/bjp.bp.117.202929. Epub 2017 Sep 21.
Doctors have a higher prevalence of mental ill health compared with other professional occupations but incidence rates are poorly studied.To determine incidence rates and trends of work-related ill health (WRIH) and work-related mental ill health (WRMIH) in doctors compared with other professions in Great Britain.Incidence rates were calculated using an occupational physician reporting scheme from 2005-2010. Multilevel regression was use to study incidence rates from 2001 to 2014.Annual incidence rates for WRIH and WRIMH in doctors were 515 and 431 per 100 000 people employed, respectively. Higher incidence rates for WRIH and WRMIH were observed for ambulance staff and nurses, respectively. Doctors demonstrated an annual average incidence rates increase for WRIH and WRMIH, especially in women, whereas the other occupations demonstrated a decreasing or static trend. The difference in trends between the occupations was statistically significant.WRIH and WRMIH incidence rate are increasing in doctors, especially in women, warranting further research.
医生的心理健康问题比其他专业职业更为普遍,但发病率研究却很少。本研究旨在确定英国医生与其他职业相比,与工作相关的身体健康问题(WRIH)和与工作相关的心理健康问题(WRMIH)的发病率和趋势。发病率通过 2005-2010 年职业医生报告方案计算。使用多水平回归分析 2001 年至 2014 年的发病率。医生的 WRIH 和 WRIMH 年发病率分别为每 100000 名受雇人员中有 515 人和 431 人。救护车工作人员和护士的 WRIH 和 WRMIH 发病率更高。医生的 WRIH 和 WRMIH 年发病率呈上升趋势,尤其是女性,而其他职业则呈下降或稳定趋势。不同职业的趋势差异具有统计学意义。医生的 WRIH 和 WRMIH 发病率在上升,尤其是女性,需要进一步研究。