School of Public Health, and Department of Geriatrics of the Fourth Affliated Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
BMJ Open. 2023 Sep 29;13(9):e073226. doi: 10.1136/bmjopen-2023-073226.
Workplace violence (WPV) against healthcare workers (HCWs) is a global issue. Our research aimed to elucidate the status and associated factors of WPV among front-line/non-front-line HCWs during the COVID-19 pandemic.
This cross-sectional study was conducted among HCWs in Hangzhou City through multistage sampling from December 2020 to January 2021.
This study included 14 909 valid samples (N=3748 front-line HCWs and N=11 161 non-front-line HCWs).
We assessed the WPV status by Chinese version of WPV questionnaire. Binary logistic regression model was established to examine the associated factors of front-line/non-front-line HCWs experiencing WPV.
The total WPV prevalence equalled 37.25% for front-line HCWs and 27.73% for non-front-line HCWs. Among front-line HCWs, females were less likely to experience WPV (OR 0.837, 95% CI 0.710 to 0.988), while individuals who were undergraduate (OR 1.251, 95% CI 1.061 to 1.541) and had higher professional title (intermediate: OR 1.475, 95% CI 1.227 to 1.772; advanced: OR 1.693, 95% CI 1.294 to 2.216) were more likely to suffer from WPV; for non-front-line HCWs, individuals who aged over 50 years old (OR 0.721, 95% CI 0.563 to 0.969), had worked between 10 and 19 years (OR 0.847, 95% CI 0.749 to 0.958) and worked in the non-graded hospital (OR 0.714, 95% CI 0.614 to 0.832) had less chance to experience WPV, while individuals who had higher educational level (undergraduate: OR 1.323, 95% CI 1.179 to 1.484; ≥graduate: OR 1.519, 95% CI 1.217 to 1.895), were nurse (OR 1.142, 95% CI 1.031 to 1.265), and had higher professional title (intermediate: OR 1.458, 95% CI 1.297 to 638; advanced: OR 1.928, 95% CI 1.607 to 2.313) were more inclined to suffer from WPV (p all<0.05).
This study indicates that the prevalence of WPV among front-line HCWs is significantly higher than among non-front-line HCWs. Policy-makers should prioritise COVID-19 front-line HCWs, especially those with high educational levels and professional titles.
医护人员遭受工作场所暴力（WPV）是一个全球性问题。我们的研究旨在阐明 COVID-19 大流行期间一线/非一线医护人员遭受 WPV 的现状及其相关因素。
本横断面研究通过多阶段抽样于 2020 年 12 月至 2021 年 1 月在杭州市的医护人员中进行。
本研究纳入了 14909 名有效样本（N=3748 名一线医护人员和 N=11161 名非一线医护人员）。
我们使用中文版 WPV 问卷评估 WPV 状况。建立二元逻辑回归模型，以检验一线/非一线医护人员遭受 WPV 的相关因素。
一线医护人员的总 WPV 患病率为 37.25%，非一线医护人员的患病率为 27.73%。在一线医护人员中，女性遭受 WPV 的可能性较低（OR 0.837，95%CI 0.710 至 0.988），而本科（OR 1.251，95%CI 1.061 至 1.541）和具有较高专业职称（中级：OR 1.475，95%CI 1.227 至 1.772；高级：OR 1.693，95%CI 1.294 至 2.216）的个体更有可能遭受 WPV；对于非一线医护人员，50 岁以上（OR 0.721，95%CI 0.563 至 0.969）、工作 10-19 年（OR 0.847，95%CI 0.749 至 0.958）和在非评级医院工作（OR 0.714，95%CI 0.614 至 0.832）的个体遭受 WPV 的可能性较低，而具有较高教育水平（本科：OR 1.323，95%CI 1.179 至 1.484；≥研究生：OR 1.519，95%CI 1.217 至 1.895）、护士（OR 1.142，95%CI 1.031 至 1.265）和具有较高专业职称（中级：OR 1.458，95%CI 1.297 至 638；高级：OR 1.928，95%CI 1.607 至 2.313）的个体更倾向于遭受 WPV（p 均<0.05）。
本研究表明，一线医护人员遭受 WPV 的患病率明显高于非一线医护人员。政策制定者应优先考虑 COVID-19 一线医护人员，特别是那些具有较高教育水平和专业职称的医护人员。
