美国火灾调查员中的心理健康障碍、组织污名和卫生服务利用：一项横断面调查。
Mental Health Disorders, Organizational Stigma, and Health Service Utilization Among US Fire Investigators: A Cross-sectional Survey.
机构信息
From the Department of Public Health Sciences, Miller School of Medicine, Miami, Florida (A.C.T., T.K.-S., N.S.S., A.J.C.-M.); International Association of Arson Investigators (IAAI), Bowie, Maryland (J.L.P., M.B.); School of Nursing and Health Studies, University of Miami, Miami, Florida (C.P.W.); Department of Medicine, Miller School of Medicine, Miami, Florida (N.S.S.); and Sylvester Comprehensive Cancer Center, Miller School of Medicine, Miami, Florida (T.K.-S., N.S.S., A.J.C.-M.).
出版信息
J Occup Environ Med. 2024 Sep 1;66(9):e423-e429. doi: 10.1097/JOM.0000000000003173. Epub 2024 Jul 1.
OBJECTIVE
The aim of the study is to estimate in a sample of US fire investigators the (1) prevalence of generalized anxiety disorder (GAD), depression, posttraumatic stress disorder (PTSD) risk, and mental health services use and (2) association between organizational stigma and mental health disorders.
METHODS
This is a cross-sectional study design used to administer between November 2023 and January 2024, a 35-item behavioral/mental health survey.
RESULTS
Approximately 18.0% of fire investigators had GAD, 22.8% depression, and 18.2% PTSD risk. Organizational stigma about mental health disorders was reported by 53.3% of fire investigators. The most frequently used behavioral/mental health services were cognitive behavioral therapy (40.1%) and medication management (36.1%). Organizational stigma around reporting mental health disorders was significantly associated with PTSD risk (adjusted odds ratio = 5.25 [2.41-11.43]).
CONCLUSIONS
Mental health disorders are present in the fire investigator workforce, and organizational stigma is associated with limited report of PTSD risk.
目的
本研究旨在估计美国火灾调查员样本中（1）广泛性焦虑障碍（GAD）、抑郁、创伤后应激障碍（PTSD）风险的患病率，以及心理健康服务的使用情况，（2）组织污名与心理健康障碍之间的关联。
方法
这是一项横断面研究设计，用于在 2023 年 11 月至 2024 年 1 月之间进行，采用 35 项行为/心理健康调查。
结果
约 18.0%的火灾调查员患有 GAD，22.8%患有抑郁症，18.2%患有 PTSD 风险。53.3%的火灾调查员报告存在心理健康障碍的组织污名。最常使用的行为/心理健康服务是认知行为疗法（40.1%）和药物管理（36.1%）。报告心理健康障碍的组织污名与 PTSD 风险显著相关（调整后的优势比=5.25[2.41-11.43]）。
结论
心理健康障碍在火灾调查员队伍中存在，组织污名与 PTSD 风险的报告有限有关。
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