School of Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, United Kingdom.
Vulnerable People and Inclusion Health Directorate, UK Health Security Agency, London, United Kingdom.
Front Public Health. 2023 Mar 3;11:1049497. doi: 10.3389/fpubh.2023.1049497. eCollection 2023.
COVID-19 is likely to have had an impact on the mental wellbeing of prison staff because of the high risk for infectious disease outbreaks in prisons and the pre-existing high burden of mental health issues among staff.
A cross-sectional study of staff within 26 prisons in England was carried out between 20th July 2020 and 2nd October 2020. Mental wellbeing was measured using the Short-version of Warwick-Edinburgh Wellbeing Scale (SWEMWBS). Staff wellbeing was compared to that of the English population using indirectly standardised data from the Health Survey for England 2010-13 and a one-sample -test. Multivariate linear regression modelling explored associations with mental wellbeing score.
Two thousand five hundred and thirty-four individuals were included (response rate 22.2%). The mean age was 44 years, 53% were female, and 93% were white. The sample mean SWEMWBS score was 23.84 and the standardised population mean score was 23.57. The difference in means was statistically significant (95% CI 0.09-0.46), but not of a clinically meaningful level. The multivariate linear regression model was adjusted for age category, sex, ethnicity, smoking status, occupation, and prison service region. Higher wellbeing was significantly associated with older age, male sex, Black/Black British ethnicity, never having smoked, working within the health staff team, and working in certain prison regions.
Unexpectedly, prison staff wellbeing as measured by SWEMWBS was similar to that of the general population. Reasons for this are unclear but could include the reduction in violence within prisons since the start of the pandemic. Qualitative research across a diverse sample of prison settings would enrich understanding of staff wellbeing within the pandemic.
由于监狱中传染病爆发的高风险以及工作人员中先前存在的心理健康问题负担过重，COVID-19 可能对监狱工作人员的心理健康产生影响。
2020 年 7 月 20 日至 2020 年 10 月 2 日，在英格兰的 26 所监狱内进行了一项横断面研究。使用 Warwick-Edinburgh 幸福感量表（SWEMWBS）的简短版来衡量心理健康状况。使用来自 2010-13 年英格兰健康调查的间接标准化数据和单样本检验将工作人员的幸福感与英国人口进行比较。多变量线性回归模型探索了与心理健康评分相关的关联。
共纳入 2534 人（应答率 22.2%）。平均年龄为 44 岁，53%为女性，93%为白人。样本的平均 SWEMWBS 得分为 23.84，标准化人群的平均得分为 23.57。平均值的差异具有统计学意义（95%CI 0.09-0.46），但没有达到临床意义的水平。多元线性回归模型调整了年龄类别、性别、种族、吸烟状况、职业和监狱服务区域。较高的幸福感与年龄较大、男性、黑人/英国黑人种族、从不吸烟、在卫生人员团队工作以及在某些监狱区域工作显著相关。
出人意料的是，SWEMWBS 衡量的监狱工作人员的幸福感与一般人群相似。原因尚不清楚，但可能包括自大流行开始以来监狱内暴力的减少。在各种监狱环境中进行的定性研究将丰富对大流行期间工作人员幸福感的理解。
