目标:尽管在COVID-19大流行期间显示了医护人员(HCWs)的重要价值,在全球范围内,针对这一人口的暴力行为仍在激增。本荟萃分析旨在收集有关针对HCWs的工作场所暴力(WPV)患病率的数据,并确定是否存在基于性别的差异。
方法:这是一项系统综述和荟萃分析。
方法:彻底搜索PubMed/MEDLINE,丁香花,Cochrane协作数据库是从COVID-19大流行开始到2023年3月8日。两位作者独立进行了筛查,数据提取,和质量评估,然后采用随机效应荟萃分析和亚组分析进行统计学分析,以评估异质性.
结果:我们纳入了22项研究,共有44,357名参与者,其中79.37%是女性。分析显示,两位女性的WPV总体患病率相似(51.86%,95%置信区间[CI]:41.39-62.33)和男性(51.45%,95%CI:40.95-61.95)。各地理区域基于性别的WPV存在相当大的差异。亚洲男性的攻击倾向较高(比值比[OR]0.79,95%CI0.74-0.85,P<0.001)。相反,在拉丁美洲,女性WPV患病率较高(OR1.20,95%CI1.01-1.4,P=0.035)。与高收入和中高收入国家相比,来自中低收入国家的HCWs遭受了更高的暴力发生率(72.36%vs47.35%)。
结论:我们的数据表明,超过一半的医护人员在COVID-19大流行期间经历了WPV。此外,中低收入国家的妇女和HCWs尤其容易受到WPV的影响。更深入地了解暴力侵害妇女行为背后的细微差别将有助于为不同的人口背景制定量身定制的策略。
背景:PROSPEROID:CRD42023403970。
OBJECTIVE: 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.
METHODS: 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.
BACKGROUND: PROSPERO ID: CRD42023403970.