Wellbeing and occupational risk perception among health care workers: a multicenter study in Morocco and France
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RESEARCH
Open Access
Wellbeing and occupational risk perception among health care workers: a multicenter study in Morocco and France Doina Ileana Giurgiu1,2, Christine Jeoffrion3, Christine Roland-Lévy4, Benjamin Grasset1,3, Brigitte Keriven Dessomme5, Leila Moret5, Yves Roquelaure6, Alain Caubet7, Christian Verger7, Chakib El Houssine Laraqui8, Pierre Lombrail9, Christian Geraut1 and Dominique Tripodi1,3*
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. Keywords: Occupational stress, Risk exposure, High strain, Public hospital, Medication use
* Correspondence: [email protected] 1 Department of Occupational Medicine and Environment Health, HCWs Research Laboratory, 5 rue du doyen Boquien, Nantes University Hospital, Nantes 44 093, France 3 Psychology Laboratory of Pays de la Loire (LPPL - UPRES EA 4638), Department of Psychology, University of Nantes, BP 81 227 44312 Nantes cedex 3, France Full list of author information is available at the end of the article © 2016 Giurgiu et al. Open Access This article is distributed under the terms of the
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