Prevalence and patterns of gender disparity in workplace violence among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis

IF 3.9 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
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引用次数: 0

Abstract

Objectives

Despite the critical value of healthcare workers (HCWs) demonstrated during the COVID-19 pandemic, there remains a noted global surge in violence against this population. The present meta-analysis aimed to gather data on the prevalence of workplace violence (WPV) against HCWs and to determine if there is any difference based on gender.

Study design

This was a systematic review and meta-analysis.

Methods

A thorough search of PubMed/MEDLINE, Lilacs, and Cochrane Collaboration databases was conducted from the start of the COVID-19 pandemic until March 8, 2023. Two authors independently carried out screening, data extraction, and quality assessment, followed by statistical analysis using random-effects meta-analysis and subgroup analysis to assess heterogeneity.

Results

We included 22 studies with 44,357 participants, of which 79.37% were women. The analysis revealed an overall prevalence of WPV similar in both women (51.86%, 95% confidence interval [CI]: 41.39–62.33) and men (51.45%, 95% CI: 40.95–61.95). There were considerable differences in gender-based WPV across geographic regions. Aggressions tend to be higher toward men in Asia (odds ratio [OR] 0.79, 95% CI 0.74–0.85, P < 0.001). Conversely, in Latin America, WPV prevalence was higher in women (OR 1.20, 95% CI 1.01–1.4, P = 0.035). HCWs from low- middle-income-level countries suffered a higher incidence of violence irrespective of gender compared with high- and upper-middle-income countries (72.36% vs 47.35%).

Conclusions

Our data indicate that more than half of HCWs experienced WPV during the COVID-19 pandemic. In addition, women and HCWs in low-middle-income countries were notably vulnerable to WPV. A deeper understanding of the nuances behind violence against HCWs will help to facilitate tailored strategies for different demographical contexts.

Registration

PROSPERO ID: CRD42023403970.

Abstract Image

COVID-19大流行期间医护人员工作场所暴力的发生率和性别差异模式:系统回顾和荟萃分析。
目标:尽管在 COVID-19 大流行期间,医护人员(HCWs)的重要价值得到了体现,但全球范围内针对医护人员的暴力事件仍在激增。本荟萃分析旨在收集有关针对医护人员的工作场所暴力(WPV)发生率的数据,并确定是否存在性别差异:研究设计:这是一项系统回顾和荟萃分析:从 COVID-19 大流行开始到 2023 年 3 月 8 日,对 PubMed/MEDLINE、Lilacs 和 Cochrane Collaboration 数据库进行了全面检索。两位作者独立进行了筛选、数据提取和质量评估,然后使用随机效应荟萃分析和亚组分析进行统计分析,以评估异质性:我们共纳入了 22 项研究,44357 名参与者,其中 79.37% 为女性。分析结果显示,女性(51.86%,95% 置信区间[CI]:41.39-62.33)和男性(51.45%,95% 置信区间:40.95-61.95)的 WPV 总体流行率相似。不同地区基于性别的 WPV 有很大差异。在亚洲,对男性的攻击倾向更高(几率比[OR] 0.79,95% CI 0.74-0.85,P):我们的数据表明,在 COVID-19 大流行期间,半数以上的医护人员曾感染过 WPV。此外,中低收入国家的女性和高危职业人群尤其容易感染 WPV。深入了解针对医护人员的暴力行为背后的细微差别将有助于针对不同的人口背景制定量身定制的策略:PROSPERO ID:CRD42023403970。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Public Health
Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
7.60
自引率
0.00%
发文量
280
审稿时长
37 days
期刊介绍: Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.
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