Department of Behavioral Medicine, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan.
Clinical Research & Education Promotion Division, National Center of Neurology and Psychiatry Hospital, Tokyo, Japan.
Int J Ment Health Nurs. 2023 Feb;32(1):139-146. doi: 10.1111/inm.13069. Epub 2022 Sep 29.
To date, little effort has been made to examine if frontline workers who deal with COVID-19 patients are more likely to experience discrimination than second-line workers. Also, little information has appeared on how COVID-19-related discrimination affects PTSD symptoms in healthcare workers. We aimed to examine the association between COVID-19-related discrimination and frontline worker status. We further aimed to examine how COVID-19-related discrimination was associated with PTSD symptoms and psychological distress. We studied 647 healthcare workers. For the association between COVID-19-related discrimination and frontline worker status, we conducted multivariable logistic regression adjusting for age, sex and living alone. For the association of COVID-19-related discrimination with PTSD symptoms and psychological distress, we performed multivariable regression using hierarchical adjustments for age, sex, living alone, alcohol consumption, exercise and frontline worker status. Bias-corrected and accelerated bootstrap confidence intervals (CIs) were used. A total of 136 individuals worked on the frontline and the largest group were nurses (n = 81, 59.6%). Frontline workers had increased odds of COVID-19-related discrimination compared with second-line workers (odds ratio = 2.60, 95% CI = 1.37-4.96). COVID-19-related discrimination was associated with PTSD symptoms and psychological distress even at the highest level of adjustment (β = 0.67, 95% CI = 0.10-1.23; β = 2.43, 95% CI = 0.91-3.95, respectively). Frontline workers are more likely to experience COVID-19-related discrimination than second-line workers. Such discrimination may result in PTSD symptoms and psychological distress. Interventions to prevent COVID-19-related discrimination against healthcare workers, for example anti-discrimination campaigns, are important.
迄今为止，人们几乎没有努力研究与 COVID-19 患者打交道的一线工作人员是否比二线工作人员更容易受到歧视。此外，关于 COVID-19 相关歧视如何影响医护人员的创伤后应激障碍症状的信息也很少。我们旨在研究 COVID-19 相关歧视与一线工作者身份之间的关联。我们还旨在研究 COVID-19 相关歧视与创伤后应激障碍症状和心理困扰之间的关联。我们研究了 647 名医护人员。对于 COVID-19 相关歧视与一线工作者身份之间的关联，我们进行了多变量逻辑回归分析，并调整了年龄、性别和独居因素。对于 COVID-19 相关歧视与创伤后应激障碍症状和心理困扰之间的关联，我们使用多变量回归分析，并进行了分层调整，以适应年龄、性别、独居、饮酒、运动和一线工作者身份。使用了偏校正和加速引导置信区间（CI）。共有 136 人在前线工作，其中最大的群体是护士（n=81，占 59.6%）。与二线工作人员相比，一线工作人员遭受 COVID-19 相关歧视的几率更高（优势比=2.60，95%CI=1.37-4.96）。即使在最高调整水平，COVID-19 相关歧视与创伤后应激障碍症状和心理困扰相关（β=0.67，95%CI=0.10-1.23；β=2.43，95%CI=0.91-3.95）。一线工作人员比二线工作人员更有可能遭受 COVID-19 相关歧视。这种歧视可能导致创伤后应激障碍症状和心理困扰。预防医护人员遭受 COVID-19 相关歧视的干预措施，例如反歧视运动，非常重要。
