日本六个国立医疗研究中心的医护人员中，经历过与 COVID-19 相关的歧视与心理困扰之间的关联。
The association between experience of COVID-19-related discrimination and psychological distress among healthcare workers for six national medical research centers in Japan.
机构信息
Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-Ku, Tokyo, 162-8655, Japan.
Department of Health Science, Health Promotion, Nippon Sport Science University, Tokyo, Japan.
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2023 Sep;58(9):1421-1429. doi: 10.1007/s00127-023-02460-w. Epub 2023 Mar 17.
BACKGROUND
Discrimination is an important determinant of negative mental health outcomes. This study determined the association between the experience of COVID-19-related discrimination and psychological distress among healthcare workers (HCWs) in Japan.
METHODS
This cross-sectional study conducted a health survey among 5703 HCWs of six national medical and research centers in Japan from October 2020 to March 2021. COVID-19-related discrimination was defined either when participants or their family members were badmouthed or when they felt discriminated against in some way. We used the Kessler Psychological Distress Scale (K6) to assess the presence of severe psychological distress (≥ 13 points). We used logistic regression models to examine the association between discrimination and psychological distress. We also identified factors associated with discrimination.
RESULTS
Of the participants, 484 (8.4%) reported COVID-19-related discrimination and 486 (8.5%) had severe psychological distress. HCWs who were female vs. male (adjusted odds ratio [AOR] = 1.41, 95% confidence interval [CI] = 1.28-1.55), had high vs. low viral exposure (AOR = 2.31, 95% CI = 1.81-2.93), and worked for 11 or more hours/day vs. 8 or less hours/day (AOR = 1.42, 95% CI = 1.35-1.49) were more likely to have experienced COVID-19-related discrimination. The AOR (95% CI) of severe psychological distress was 1.83 (1.29-2.59) among those who experienced discrimination. In the stratified analysis by sociodemographic and job-related factors, all the interactions did not reach statistical significance (p for interaction > 0.20).
CONCLUSION
Experience of COVID-19-related discrimination was associated with severe psychological distress among HCWs. During the pandemic, effective measures should be taken to prevent the development of negative mental health outcomes in HCWs who experience discrimination.
背景
歧视是负面心理健康结果的一个重要决定因素。本研究旨在确定日本医护人员（HCWs）经历 COVID-19 相关歧视与心理困扰之间的关系。
方法
本横断面研究于 2020 年 10 月至 2021 年 3 月在日本六家国立医疗和研究中心对 5703 名 HCWs 进行了健康调查。当参与者或其家属被恶语相向或感到受到某种歧视时，将其定义为 COVID-19 相关歧视。我们使用 Kessler 心理困扰量表（K6）评估严重心理困扰（≥13 分）的存在。我们使用逻辑回归模型来检验歧视与心理困扰之间的关联。我们还确定了与歧视相关的因素。
结果
在参与者中，484 人（8.4%）报告了 COVID-19 相关歧视，486 人（8.5%）有严重的心理困扰。与男性相比，女性（调整后的优势比 [AOR] = 1.41，95%置信区间 [CI] = 1.28-1.55）、病毒暴露程度高（AOR = 2.31，95% CI = 1.81-2.93）、每天工作 11 小时或以上（AOR = 1.42，95% CI = 1.35-1.49）的 HCWs 更有可能经历 COVID-19 相关歧视。在经历歧视的人群中，严重心理困扰的 AOR（95% CI）为 1.83（1.29-2.59）。在按社会人口学和工作相关因素分层分析中，所有交互作用均无统计学意义（p 交互作用>0.20）。
结论
经历 COVID-19 相关歧视与 HCWs 的严重心理困扰有关。在大流行期间，应采取有效措施，防止遭受歧视的 HCWs 出现负面心理健康结果。
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