Magnavita Nicola, Isolani Lucia
Department of Life Sciences and Public Health, Section of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Public Health Department, Local Health Authority, AST Macerata, 62100 Macerata, Italy.
Int J Environ Res Public Health. 2025 Aug 5;22(8):1221. doi: 10.3390/ijerph22081221.
Workplace violence (WV) is a ubiquitous risk in healthcare settings where it has been associated with physical and mental health problems. We aimed to investigate the relationship between the violence experienced by healthcare workers (HCWs) and the presence of eating disorders (EDs). During routine health surveillance, 1215 HCWs were questioned about their experience of WV and the short version of the Eating Disorder Examination Questionnaire (EDE-QS) was used to assess their eating behaviors. Sleep quality, stress, and the presence of common mental illnesses and metabolic disorders were also evaluated. HCWs who had experienced one or more assaults in the previous year had a significantly higher EDE score than their colleagues. In a multivariate model, WV doubled the risk of EDs (odds ratio 2.33, confidence intervals 95% 1.30; 4.18, < 0.01). A very significant association was observed between common mental disorders and EDs (OR 1.13, CI 95% 1.04; 1.23, < 0.01), while low sleep quality almost reached a significant level (OR 1.09, CI 95% 0.99; 1.20). The higher frequency of EDs among workers subjected to violence may result from maladaptive coping mechanisms used when stress and mental health problems caused by WV lead to compensatory overeating. However, reverse causation, where WV is induced by stigmatization, cannot be ruled out. Because of the considerable impact EDs have on physical and mental health, productivity, and patient care, healthcare organizations should adopt programs designed to prevent these disorders in HCWs.
工作场所暴力(WV)是医疗环境中普遍存在的风险,它与身心健康问题相关。我们旨在调查医护人员(HCWs)所经历的暴力与饮食失调(EDs)之间的关系。在常规健康监测期间,对1215名医护人员询问了他们的WV经历,并使用饮食失调检查问卷简版(EDE-QS)评估他们的饮食行为。还评估了睡眠质量、压力以及常见精神疾病和代谢紊乱的情况。前一年经历过一次或多次袭击的医护人员的EDE得分显著高于他们的同事。在多变量模型中,WV使饮食失调的风险增加了一倍(优势比2.33,95%置信区间1.30;4.18,<0.01)。观察到常见精神障碍与饮食失调之间存在非常显著的关联(优势比1.13,95%置信区间1.04;1.23,<0.01),而低睡眠质量几乎达到显著水平(优势比1.09,95%置信区间0.99;1.20)。遭受暴力的工作人员中饮食失调频率较高可能是由于WV导致的压力和心理健康问题引发补偿性暴饮暴食时所采用的适应不良应对机制。然而,不能排除WV由污名化引起的反向因果关系。由于饮食失调对身心健康、生产力和患者护理有相当大的影响,医疗机构应采用旨在预防医护人员出现这些疾病的项目。
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