Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, 01307 Dresden, Germany.
Institute of Medical Sociology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.
Int J Environ Res Public Health. 2021 Jun 8;18(12):6183. doi: 10.3390/ijerph18126183.
Stigmatization from work-related COVID-19 exposure has not been investigated in detail yet. Therefore, we systematically searched three databases: Medline, Embase, and PsychInfo (until October 2020), and performed a grey literature search (until February 2021). We identified 46 suitable articles from 24 quantitative and 11 qualitative studies, 6 systematic reviews, 3 study protocols and 1 intervention. The assessment of stigmatization varied widely, ranging from a single-item question to a 22-item questionnaire. Studies mostly considered perceived self-stigma (27 of 35 original studies) in healthcare workers (HCWs) or hospital-related jobs (29 of 35). All articles reported on stigmatization as a result of work-related COVID-19 exposure. However, most quantitative studies were characterized by convenience sampling (17 of 24), and all studies-also those with an adequate sampling design-were considered of low methodological quality. Therefore, it is not possible to determine prevalence of stigmatization in defined occupational groups. Nevertheless, the work-related stigmatization of occupational groups with or without suspected contact to COVID-19 is a relevant problem and increases the risk for depression (odds ratio (OR) = 1.74; 95% confidence interval CI 1.29-2.36) and anxiety (OR = 1.75; 95% CI 1.29-2.37). For promoting workers' health, anti-stigma strategies and support should be implemented in the workplace.
工作中因接触新冠病毒而受到歧视的现象尚未得到详细研究。因此,我们系统地检索了 Medline、Embase 和 PsychInfo(截至 2020 年 10 月)三个数据库,并进行了灰色文献检索(截至 2021 年 2 月)。我们从 24 项定量研究和 11 项定性研究、6 项系统评价、3 项研究方案和 1 项干预措施中确定了 46 篇合适的文章。对歧视的评估差异很大,从一个单项问题到一个 22 项问卷不等。研究主要考虑了医护人员(HCWs)或与医院相关工作者(35 项原始研究中的 29 项)感知到的自我歧视(35 项原始研究中的 27 项)。所有文章都报告了因与工作相关的 COVID-19 接触而产生的歧视。然而,大多数定量研究的特点是方便抽样(24 项中的 17 项),而且所有研究——即使是那些采用了适当抽样设计的研究——都被认为方法质量较低。因此,无法确定在特定职业群体中歧视的普遍程度。然而,与 COVID-19 疑似接触或无接触的职业群体的工作相关歧视是一个相关问题,会增加抑郁(比值比(OR)=1.74;95%置信区间(CI)1.29-2.36)和焦虑(OR=1.75;95%CI 1.29-2.37)的风险。为了促进工人的健康,应该在工作场所实施反歧视策略和支持。