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The association between experience of COVID-19-related discrimination and psychological distress among healthcare workers for six national medical research centers in Japan
BACKGROUND: Discrimination is an important determinant of negative mental health outcomes. This study determined the association between the experience of COVID-19-related discrimination and psychological distress among healthcare workers (HCWs) in Japan. METHODS: This cross-sectional study conducte...
| Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , |
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| Formato: | Online Artículo Texto |
| Lenguaje: | English |
| Publicado: |
Springer Berlin Heidelberg
2023
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| Materias: | |
| Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10020069/ https://www.ncbi.nlm.nih.gov/pubmed/36928546 http://dx.doi.org/10.1007/s00127-023-02460-w |
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| author | Shrestha, Rachana Manandhar Inoue, Yosuke Yamamoto, Shohei Fukunaga, Ami Sampei, Makiko Okubo, Ryo Morisaki, Naho Ohmagari, Norio Funaki, Takanori Ishizuka, Kazue Yamaguchi, Koushi Sasaki, Yohei Takeda, Kazuyoshi Miyama, Takeshi Kojima, Masayo Nakagawa, Takeshi Nishimura, Kunihiro Ogata, Soshiro Umezawa, Jun Tanaka, Shiori Inoue, Manami Konishi, Maki Miyo, Kengo Mizoue, Tetsuya |
| author_facet | Shrestha, Rachana Manandhar Inoue, Yosuke Yamamoto, Shohei Fukunaga, Ami Sampei, Makiko Okubo, Ryo Morisaki, Naho Ohmagari, Norio Funaki, Takanori Ishizuka, Kazue Yamaguchi, Koushi Sasaki, Yohei Takeda, Kazuyoshi Miyama, Takeshi Kojima, Masayo Nakagawa, Takeshi Nishimura, Kunihiro Ogata, Soshiro Umezawa, Jun Tanaka, Shiori Inoue, Manami Konishi, Maki Miyo, Kengo Mizoue, Tetsuya |
| author_sort | Shrestha, Rachana Manandhar |
| collection | PubMed |
| description | BACKGROUND: Discrimination is an important determinant of negative mental health outcomes. This study determined the association between the experience of COVID-19-related discrimination and psychological distress among healthcare workers (HCWs) in Japan. METHODS: This cross-sectional study conducted a health survey among 5703 HCWs of six national medical and research centers in Japan from October 2020 to March 2021. COVID-19-related discrimination was defined either when participants or their family members were badmouthed or when they felt discriminated against in some way. We used the Kessler Psychological Distress Scale (K6) to assess the presence of severe psychological distress (≥ 13 points). We used logistic regression models to examine the association between discrimination and psychological distress. We also identified factors associated with discrimination. RESULTS: Of the participants, 484 (8.4%) reported COVID-19-related discrimination and 486 (8.5%) had severe psychological distress. HCWs who were female vs. male (adjusted odds ratio [AOR] = 1.41, 95% confidence interval [CI] = 1.28–1.55), had high vs. low viral exposure (AOR = 2.31, 95% CI = 1.81–2.93), and worked for 11 or more hours/day vs. 8 or less hours/day (AOR = 1.42, 95% CI = 1.35–1.49) were more likely to have experienced COVID-19-related discrimination. The AOR (95% CI) of severe psychological distress was 1.83 (1.29–2.59) among those who experienced discrimination. In the stratified analysis by sociodemographic and job-related factors, all the interactions did not reach statistical significance (p for interaction > 0.20). CONCLUSION: Experience of COVID-19-related discrimination was associated with severe psychological distress among HCWs. During the pandemic, effective measures should be taken to prevent the development of negative mental health outcomes in HCWs who experience discrimination. |
| format | Online Article Text |
| id | pubmed-10020069 |
| institution | National Center for Biotechnology Information |
| language | English |
| publishDate | 2023 |
| publisher | Springer Berlin Heidelberg |
| record_format | MEDLINE/PubMed |
| spelling | pubmed-100200692023-03-17 The association between experience of COVID-19-related discrimination and psychological distress among healthcare workers for six national medical research centers in Japan Shrestha, Rachana Manandhar Inoue, Yosuke Yamamoto, Shohei Fukunaga, Ami Sampei, Makiko Okubo, Ryo Morisaki, Naho Ohmagari, Norio Funaki, Takanori Ishizuka, Kazue Yamaguchi, Koushi Sasaki, Yohei Takeda, Kazuyoshi Miyama, Takeshi Kojima, Masayo Nakagawa, Takeshi Nishimura, Kunihiro Ogata, Soshiro Umezawa, Jun Tanaka, Shiori Inoue, Manami Konishi, Maki Miyo, Kengo Mizoue, Tetsuya Soc Psychiatry Psychiatr Epidemiol Research BACKGROUND: Discrimination is an important determinant of negative mental health outcomes. This study determined the association between the experience of COVID-19-related discrimination and psychological distress among healthcare workers (HCWs) in Japan. METHODS: This cross-sectional study conducted a health survey among 5703 HCWs of six national medical and research centers in Japan from October 2020 to March 2021. COVID-19-related discrimination was defined either when participants or their family members were badmouthed or when they felt discriminated against in some way. We used the Kessler Psychological Distress Scale (K6) to assess the presence of severe psychological distress (≥ 13 points). We used logistic regression models to examine the association between discrimination and psychological distress. We also identified factors associated with discrimination. RESULTS: Of the participants, 484 (8.4%) reported COVID-19-related discrimination and 486 (8.5%) had severe psychological distress. HCWs who were female vs. male (adjusted odds ratio [AOR] = 1.41, 95% confidence interval [CI] = 1.28–1.55), had high vs. low viral exposure (AOR = 2.31, 95% CI = 1.81–2.93), and worked for 11 or more hours/day vs. 8 or less hours/day (AOR = 1.42, 95% CI = 1.35–1.49) were more likely to have experienced COVID-19-related discrimination. The AOR (95% CI) of severe psychological distress was 1.83 (1.29–2.59) among those who experienced discrimination. In the stratified analysis by sociodemographic and job-related factors, all the interactions did not reach statistical significance (p for interaction > 0.20). CONCLUSION: Experience of COVID-19-related discrimination was associated with severe psychological distress among HCWs. During the pandemic, effective measures should be taken to prevent the development of negative mental health outcomes in HCWs who experience discrimination. Springer Berlin Heidelberg 2023-03-17 2023 /pmc/articles/PMC10020069/ /pubmed/36928546 http://dx.doi.org/10.1007/s00127-023-02460-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
| spellingShingle | Research Shrestha, Rachana Manandhar Inoue, Yosuke Yamamoto, Shohei Fukunaga, Ami Sampei, Makiko Okubo, Ryo Morisaki, Naho Ohmagari, Norio Funaki, Takanori Ishizuka, Kazue Yamaguchi, Koushi Sasaki, Yohei Takeda, Kazuyoshi Miyama, Takeshi Kojima, Masayo Nakagawa, Takeshi Nishimura, Kunihiro Ogata, Soshiro Umezawa, Jun Tanaka, Shiori Inoue, Manami Konishi, Maki Miyo, Kengo Mizoue, Tetsuya The association between experience of COVID-19-related discrimination and psychological distress among healthcare workers for six national medical research centers in Japan |
| title | The association between experience of COVID-19-related discrimination and psychological distress among healthcare workers for six national medical research centers in Japan |
| title_full | The association between experience of COVID-19-related discrimination and psychological distress among healthcare workers for six national medical research centers in Japan |
| title_fullStr | The association between experience of COVID-19-related discrimination and psychological distress among healthcare workers for six national medical research centers in Japan |
| title_full_unstemmed | The association between experience of COVID-19-related discrimination and psychological distress among healthcare workers for six national medical research centers in Japan |
| title_short | The association between experience of COVID-19-related discrimination and psychological distress among healthcare workers for six national medical research centers in Japan |
| title_sort | association between experience of covid-19-related discrimination and psychological distress among healthcare workers for six national medical research centers in japan |
| topic | Research |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10020069/ https://www.ncbi.nlm.nih.gov/pubmed/36928546 http://dx.doi.org/10.1007/s00127-023-02460-w |
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