中国全科医生工作场所暴力的流行状况及其相关因素：一项全国性横断面研究。
Prevalence and associated factors for workplace violence among general practitioners in China: a national cross-sectional study.
机构信息
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Department of Emergency Medicine, Hunan Provincial People's Hospital/The First Affiliated Hospital, Hunan Normal University, Changsha, Hunan, China.
出版信息
Hum Resour Health. 2022 May 16;20(1):42. doi: 10.1186/s12960-022-00736-x.
BACKGROUND
General practitioners (GPs) were at risk of violence in their everyday working lives. Workplace violence (WPV) among GPs is a global public health concern. This study aimed to investigate the prevalence and factors associated with WPV among GPs in China.
METHODS
A cross-sectional study was conducted among 4376 GPs in eastern, central, and western China between March and May 2021 using a structured self-administered questionnaire. The multivariable stepwise logistic regression model was used to examine the factors associated with WPV among GPs in China.
RESULTS
Among these respondents, 14.26% of them reported exposure to WPV in the past 12 months. GPs who were female, practised in a rural area, made home visits occasionally, worked in a fair or good practice environment or work environment, and had a fair or good relationship with patients were less likely to encounter any type of WPV. In addition, GPs who served patients over 20 per day and worked overtime occasionally or frequently were more likely to be exposed to WPV. The determinants of WPV varied in different types of WPV and sexes.
CONCLUSIONS
The prevalence of WPV among GPs is low in China. Our findings could inform the measures to reduce the WPV among GPs.
背景
全科医生（GP）在日常工作中面临暴力风险。GP 之间的工作场所暴力（WPV）是全球公共卫生关注的问题。本研究旨在调查中国 GP 中 WPV 的流行情况及其相关因素。
方法
2021 年 3 月至 5 月期间，采用结构自填式问卷对中国东部、中部和西部地区的 4376 名 GP 进行了横断面研究。使用多变量逐步逻辑回归模型来研究中国 GP 中与 WPV 相关的因素。
结果
在这些受访者中，14.26%的人报告在过去 12 个月中曾遭受 WPV。女性、在农村地区执业、偶尔家访、在公平或良好的实践环境或工作环境中工作、与患者关系良好或公平的 GP 不太可能遇到任何类型的 WPV。此外，每天接诊超过 20 名患者、偶尔或经常加班的 GP 更有可能遭受 WPV。WPV 的决定因素在不同类型的 WPV 和性别中有所不同。
结论
中国 GP 中 WPV 的流行率较低。我们的研究结果可以为减少 GP 中 WPV 的措施提供信息。
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