Wellbeing and occupational risk perception among health care workers: a multicenter study in Morocco and France
Identifieur interne : 000B19 ( Main/Exploration ); précédent : 000B18; suivant : 000B20Wellbeing and occupational risk perception among health care workers: a multicenter study in Morocco and France
Auteurs : Doina Ileana Giurgiu ; Christine Jeoffrion [France] ; Christine Roland-Levy [France] ; Benjamin Grasset ; Brigitte Keriven Dessomme ; Leïla Moret [France] ; Yves Roquelaure [France] ; Alain Caubet ; Christian Verger [France] ; Chakib El Houssine Laraqui ; Pierre Lombrail [France] ; Christian Géraut [France] ; Dominique Tripodi [France]Source :
- Journal of Occupational Medicine and Toxicology [ 1745-6673 ] ; 2016-12.
English descriptors
Abstract
BACKGROUND: The study analyzes health care workers' (HCWs) occupational risk perception and compares exposure to occupational risk factors in Moroccan and French hospitals.METHOD: Across nine public hospitals from three Moroccan regions (north, center and south), a 49 item French questionnaire, based on the Job Content Questionnaire, and 4 occupational risks subscales, was distributed to 4746 HCWs. Internal consistency of the study was determined for each subscale. Confirmatory factor analysis was conducted on the Moroccan questionnaire. Psychosocial job demand, job decision latitude and social support scores analysis was used to isolate high strain jobs. Occupational risks and high strain perception correlation were analyzed by univariate and multivariate logistic regression. A comparative analysis between Moroccan and French (Nantes Hospitals) investigations data was performed.RESULTS: In Morocco, 2863 HCWs (60 %) answered the questionnaire (54 % women; mean age 40 years; mean work seniority 11 years; 24 % physicians; 45 % nurses). 44 % Moroccan HCWs are at high strain. Casablanca region (1.75 OR; CI: 1.34-2.28), north Morocco (1.66 OR; CI: 1.27-2.17), midwives (2.35 OR; 95 % CI 1.51-3.68), nursing aides (1.80 OR; 95 % CI: 1.09-2.95), full-time employment (1.34 OR; 95 % CI 1.06-1.68); hypnotics, sedatives use (1.48 OR; 95 % CI 1.19-1.83), analgesics use (1.40 OR; 95 % CI 1.18-1.65) were statistically associated to high strain. 44% Moroccan HCWs are at high strain versus 37 % French (Nantes) HCWs (p < 0.001).CONCLUSION: Moroccan HCWs have high strain activity. Moroccan HCWs and more Moroccan physicians are at high strain than Nantes HCWs. Moroccan and French's results showed that full time workers, midwives, workers using hypnotics, and analgesics are at high strain. Our findings underscore out the importance of implementing a risk prevention plan and even a hospital reform. Further research, with an enlarged study pool will provide more information on psychosocial risks (PSR) and HCWs' health.
Url:
DOI: 10.1186/s12995-016-0110-0
Affiliations:
- France
- Champagne-Ardenne, Pays de la Loire, Région Bretagne, Île-de-France
- Angers, Nantes, Paris, Reims, Rennes
- Université Paris 13, Université d'Angers, Université de Nantes, Université de Reims Champagne-Ardenne, Université de Rennes 1, Université européenne de Bretagne
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Le document en format XML
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</desc> <listRelation> <relation name="EA4638" active="#struct-74911" type="direct"></relation> <relation name="EA4638" active="#struct-460316" type="direct"></relation> <relation name="93263" active="#struct-93263" type="indirect"></relation> </listRelation> <tutelles><tutelle name="EA4638" active="#struct-74911" type="direct"><org type="institution" xml:id="struct-74911" status="VALID"> <idno type="IdRef">026402920</idno> <idno type="ISNI">0000000122483363</idno> <orgName>Université d'Angers</orgName> <orgName type="acronym">UA</orgName> <date type="start">1971-10-25</date> <desc> <address> <addrLine>Université d'Angers - 40 Rue de Rennes, BP 73532 - 49035 Angers CEDEX 01</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-angers.fr/</ref> </desc> </org></tutelle><tutelle name="EA4638" active="#struct-460316" type="direct"><org type="regrouplaboratory" xml:id="struct-460316" status="VALID"> <orgName>Université de Nantes - UFR Lettres et Langages </orgName> <orgName type="acronym">UFRLL</orgName> <desc> <address> <addrLine>Chemin la Censive du Tertre - BP 81227 - 44312 Nantes Cedex 3</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.lettreslangages.univ-nantes.fr/</ref> </desc> <listRelation> <relation name="93263" active="#struct-93263" type="direct"></relation> </listRelation> </org></tutelle><tutelle name="93263" active="#struct-93263" type="indirect"><org type="institution" xml:id="struct-93263" status="VALID"> <idno type="IdRef">026403447</idno> <orgName>Université de Nantes</orgName> <orgName type="acronym">UN</orgName> <desc> <address> <addrLine>1, quai de Tourville - BP 13522 - 44035 Nantes cedex 1</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-nantes.fr/</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Angers</settlement><region type="region" nuts="2">Pays de la 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type="institution" xml:id="struct-474972" status="VALID"> <orgName>Centre hospitalier universitaire de Nantes</orgName> <orgName type="acronym">CHU Nantes</orgName> <desc> <address> <addrLine>1 Place Alexis-Ricordeau, 44000 Nantes</addrLine> <country key="FR"></country> </address> <ref type="url">https://www.chu-nantes.fr</ref> </desc> </org></tutelle><tutelle active="#struct-527445" type="direct"><org type="institution" xml:id="struct-527445" status="INCOMING"> <orgName>Hôpital Saint-Jacques [CHU Nantes]</orgName> <desc> <address> <addrLine> 85 Rue Saint-Jacques, 44093 Nantes.</addrLine> <country key="FR"></country> </address> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Nantes</settlement><region type="region" nuts="2">Pays de la Loire</region></placeName><orgName type="university">Université de Nantes</orgName></affiliation></author><author><name sortKey="Roquelaure, Yves" sort="Roquelaure, Yves" uniqKey="Roquelaure 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Bernard 35043 Rennes cedex</addrLine> <country key="FR"></country> </address> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Angers</settlement><region type="region" nuts="2">Pays de la Loire</region></placeName><orgName type="university">Université d'Angers</orgName><placeName><settlement type="city">Rennes</settlement><region type="region" nuts="2">Région Bretagne</region></placeName><orgName type="university">Université de Rennes 1</orgName><orgName type="institution" wicri:auto="newGroup">Université européenne de Bretagne</orgName></affiliation></author><author><name sortKey="Caubet, Alain" sort="Caubet, Alain" uniqKey="Caubet A" first="Alain" last="Caubet">Alain Caubet</name></author><author><name sortKey="Verger, Christian" sort="Verger, Christian" uniqKey="Verger C" first="Christian" last="Verger">Christian Verger</name><affiliation wicri:level="1"><hal:affiliation type="institution" xml:id="struct-558268" 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Humaine Université Paris 13 Campus de Bobigny 74 rue Marcel Cachin 93017 Bobigny cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-paris13.fr/leps/</ref> </desc> <listRelation> <relation name="EA3412" active="#struct-15786" type="direct"></relation> <relation active="#struct-303171" type="direct"></relation> <relation name="EA3412" active="#struct-303623" type="direct"></relation> </listRelation> <tutelles><tutelle name="EA3412" active="#struct-15786" type="direct"><org type="institution" xml:id="struct-15786" status="VALID"> <orgName>Université Paris 13</orgName> <orgName type="acronym">UP13</orgName> <desc> <address> <country key="FR"></country> </address> <ref type="url">http://www.univ-paris13.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-303171" type="direct"><org type="regroupinstitution" xml:id="struct-303171" status="VALID"> <orgName>Université Sorbonne Paris Cité</orgName> <orgName type="acronym">USPC</orgName> <date type="start">2010</date> <desc> <address> <addrLine>Université Sorbonne Paris Cité | 100-104, avenue de France | 75013 Paris</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.sorbonne-paris-cite.fr/fr</ref> </desc> </org></tutelle><tutelle name="EA3412" active="#struct-303623" type="direct"><org type="institution" xml:id="struct-303623" status="VALID"> <idno type="IdRef">026388278</idno> <orgName>Institut National de la Santé et de la Recherche Médicale</orgName> <orgName type="acronym">INSERM</orgName> <desc> <address> <addrLine>101, rue de Tolbiac, 75013 Paris </addrLine> <country key="FR"></country> </address> <ref type="url">http://www.inserm.fr</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Paris</settlement><region type="region" nuts="2">Île-de-France</region></placeName><orgName type="university">Université Paris 13</orgName></affiliation></author><author><name sortKey="Geraut, Christian" sort="Geraut, Christian" uniqKey="Geraut C" first="Christian" last="Géraut">Christian Géraut</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-180355" status="INCOMING"> <orgName>Service de Médecine du Travail et des Risques Professionnels</orgName> <desc> <address> <addrLine>Nantes, 44093</addrLine> <country key="FR"></country> </address> </desc> </hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Tripodi, Dominique" sort="Tripodi, Dominique" uniqKey="Tripodi D" first="Dominique" last="Tripodi">Dominique Tripodi</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-180355" status="INCOMING"> <orgName>Service de Médecine du Travail et des Risques Professionnels</orgName> <desc> <address> <addrLine>Nantes, 44093</addrLine> <country key="FR"></country> </address> </desc> </hal:affiliation><country>France</country></affiliation></author></analytic><idno type="DOI">10.1186/s12995-016-0110-0</idno><series><title level="j">Journal of Occupational Medicine and Toxicology</title><idno type="ISSN">1745-6673</idno><imprint><date type="datePub">2016-12</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="mix" xml:lang="en"><term>High strain</term><term>Medication use</term><term>Occupational stress</term><term>Public hospital</term><term>Risk exposure</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"> <p>BACKGROUND: The study analyzes health care workers' (HCWs) occupational risk perception and compares exposure to occupational risk factors in Moroccan and French hospitals.METHOD: Across nine public hospitals from three Moroccan regions (north, center and south), a 49 item French questionnaire, based on the Job Content Questionnaire, and 4 occupational risks subscales, was distributed to 4746 HCWs. Internal consistency of the study was determined for each subscale. Confirmatory factor analysis was conducted on the Moroccan questionnaire. Psychosocial job demand, job decision latitude and social support scores analysis was used to isolate high strain jobs. Occupational risks and high strain perception correlation were analyzed by univariate and multivariate logistic regression. A comparative analysis between Moroccan and French (Nantes Hospitals) investigations data was performed.RESULTS: In Morocco, 2863 HCWs (60 %) answered the questionnaire (54 % women; mean age 40 years; mean work seniority 11 years; 24 % physicians; 45 % nurses). 44 % Moroccan HCWs are at high strain. Casablanca region (1.75 OR; CI: 1.34-2.28), north Morocco (1.66 OR; CI: 1.27-2.17), midwives (2.35 OR; 95 % CI 1.51-3.68), nursing aides (1.80 OR; 95 % CI: 1.09-2.95), full-time employment (1.34 OR; 95 % CI 1.06-1.68); hypnotics, sedatives use (1.48 OR; 95 % CI 1.19-1.83), analgesics use (1.40 OR; 95 % CI 1.18-1.65) were statistically associated to high strain. 44% Moroccan HCWs are at high strain versus 37 % French (Nantes) HCWs (p < 0.001).CONCLUSION: Moroccan HCWs have high strain activity. Moroccan HCWs and more Moroccan physicians are at high strain than Nantes HCWs. Moroccan and French's results showed that full time workers, midwives, workers using hypnotics, and analgesics are at high strain. Our findings underscore out the importance of implementing a risk prevention plan and even a hospital reform. Further research, with an enlarged study pool will provide more information on psychosocial risks (PSR) and HCWs' health.</p> </div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Champagne-Ardenne</li><li>Pays de la Loire</li><li>Région Bretagne</li><li>Île-de-France</li></region><settlement><li>Angers</li><li>Nantes</li><li>Paris</li><li>Reims</li><li>Rennes</li></settlement><orgName><li>Université Paris 13</li><li>Université d'Angers</li><li>Université de Nantes</li><li>Université de Reims Champagne-Ardenne</li><li>Université de Rennes 1</li><li>Université européenne de Bretagne</li></orgName></list><tree><noCountry><name sortKey="Caubet, Alain" sort="Caubet, Alain" uniqKey="Caubet A" first="Alain" last="Caubet">Alain Caubet</name><name sortKey="Dessomme, Brigitte Keriven" sort="Dessomme, Brigitte Keriven" uniqKey="Dessomme B" first="Brigitte Keriven" last="Dessomme">Brigitte Keriven Dessomme</name><name sortKey="Giurgiu, Doina Ileana" sort="Giurgiu, Doina Ileana" uniqKey="Giurgiu D" first="Doina Ileana" last="Giurgiu">Doina Ileana Giurgiu</name><name sortKey="Grasset, Benjamin" sort="Grasset, Benjamin" uniqKey="Grasset B" first="Benjamin" last="Grasset">Benjamin Grasset</name><name sortKey="Laraqui, Chakib El Houssine" sort="Laraqui, Chakib El Houssine" uniqKey="Laraqui C" first="Chakib El Houssine" last="Laraqui">Chakib El Houssine Laraqui</name></noCountry><country name="France"><region name="Pays de la Loire"><name sortKey="Jeoffrion, Christine" sort="Jeoffrion, Christine" uniqKey="Jeoffrion C" first="Christine" last="Jeoffrion">Christine Jeoffrion</name></region><name sortKey="Geraut, Christian" sort="Geraut, Christian" uniqKey="Geraut C" first="Christian" last="Géraut">Christian Géraut</name><name sortKey="Lombrail, Pierre" sort="Lombrail, Pierre" uniqKey="Lombrail P" first="Pierre" last="Lombrail">Pierre Lombrail</name><name sortKey="Moret, Leila" sort="Moret, Leila" uniqKey="Moret L" first="Leïla" last="Moret">Leïla Moret</name><name sortKey="Roland Levy, Christine" sort="Roland Levy, Christine" uniqKey="Roland Levy C" first="Christine" last="Roland-Levy">Christine Roland-Levy</name><name sortKey="Roquelaure, Yves" sort="Roquelaure, Yves" uniqKey="Roquelaure Y" first="Yves" last="Roquelaure">Yves Roquelaure</name><name sortKey="Tripodi, Dominique" sort="Tripodi, Dominique" uniqKey="Tripodi D" first="Dominique" last="Tripodi">Dominique Tripodi</name><name sortKey="Verger, Christian" sort="Verger, Christian" uniqKey="Verger C" first="Christian" last="Verger">Christian Verger</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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