scholarly journals The Prevalence and Health Impacts of Frequent Work Discrimination and Harassment among Women Firefighters in the US Fire Service

2019 ◽  
Vol 2019 ◽  
pp. 1-13 ◽  
Author(s):  
Sara A. Jahnke ◽  
Christopher K. Haddock ◽  
Nattinee Jitnarin ◽  
Christopher M. Kaipust ◽  
Brittany S. Hollerbach ◽  
...  

Intro. Both discrimination and harassment directly impact mental and physical health. Further, workplace discrimination degrades workplace culture and negatively impacts health behaviors, job-related outcomes, and family dynamics. Women represent a small proportion of the fire service and are often the targets of discrimination/harassment, yet little research documents the impact of such experiences. The purpose of this study was to evaluate the relationship between chronic work discrimination and/or harassment and women firefighters’ (FFs) physical and mental health, substance abuse, and job efficacy, stress, and satisfaction. Methods. Snowball sampling was used to solicit participation from women career FFs. Participants completed an online survey regarding physical and mental health, health behavior, job efficacy/stress/satisfaction, and family well-being. Logistic regression examined the impact of work discrimination-harassment severity on dichotomous variables. Results. 1,773 had complete data on their experiences with work-related discrimination and harassment. Women reported experiencing verbal (37.5%) and written (12.9%) harassment, hazing (16.9%), sexual advances (37.4%), and assaults (5.1%) in the fire service. FFs in the highest tertile of work discrimination-harassment severity reported over 40% more poor health days in the last 30 days (OR=1.42; 95%CI=1.33-1.51; p<0.001). Women who experienced moderate and severe discrimination/harassment had negative mental health outcomes including higher prevalence of depressive symptoms, anxiety, and PTSD symptoms. Those who experienced high rates of discrimination and/or harassment also were more likely to report issues with alcohol consumption. Conclusion. The impact of discrimination and harassment, related negative physical and mental outcomes, low levels of job satisfaction, and negative impact of these experiences on family/home stress likely take a significant toll on women in the fire service. Findings confirm and extend previous work suggesting there is a need to improve the mental and physical health of women FFs. Future work should examine the prospective relationship between discrimination/harassment and poor health outcomes and potential policies/practices to reduce these negative behaviors.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jodi Oakman ◽  
Natasha Kinsman ◽  
Rwth Stuckey ◽  
Melissa Graham ◽  
Victoria Weale

Abstract Background The coronavirus (COVID-19) pandemic has resulted in changes to the working arrangements of millions of employees who are now based at home and may continue to work at home, in some capacity, for the foreseeable future. Decisions on how to promote employees’ health whilst working at home (WAH) need to be based on the best available evidence to optimise worker outcomes. The aim of this rapid review was to review the impact of WAH on individual workers’ mental and physical health, and determine any gender difference, to develop recommendations for employers and employees to optimise workers’ health. Method A search was undertaken in three databases, PsychInfo, ProQuest, and Web of Science, from 2007 to May 2020. Selection criteria included studies which involved employees who regularly worked at home, and specifically reported on physical or mental health-related outcomes. Two review authors independently screened studies for inclusion, one author extracted data and conducted risk of bias assessments with review by a second author. Results Twenty-three papers meet the selection criteria for this review. Ten health outcomes were reported: pain, self-reported health, safety, well-being, stress, depression, fatigue, quality of life, strain and happiness. The impact on health outcomes was strongly influenced by the degree of organisational support available to employees, colleague support, social connectedness (outside of work), and levels of work to family conflict. Overall, women were less likely to experience improved health outcomes when WAH. Conclusions This review identified several health outcomes affected by WAH. The health/work relationship is complex and requires consideration of broader system factors to optimise the effects of WAH on workers’ health. It is likely mandated WAH will continue to some degree for the foreseeable future; organisations will need to implement formalised WAH policies that consider work-home boundary management support, role clarity, workload, performance indicators, technical support, facilitation of co-worker networking, and training for managers.


2021 ◽  
Vol 28 (5) ◽  
pp. 3900-3917 ◽  
Author(s):  
Cassidy Bradley ◽  
Gabriela Ilie ◽  
Cody MacDonald ◽  
Lia Massoeurs ◽  
Jasmine Dang Cam-Tu ◽  
...  

Prostate cancer (PCa) patients and survivors are at high risk of mental health illness. Here, we examined the contribution of treatment regret, mental and physical health indicators to the social/family, emotional, functional and spiritual well-being of PCa survivors. The study assessed 367 men with a history of PCa residing in the Maritimes Canada who were surveyed between 2017 and 2021. The outcomes were social/family, emotional, functional and spiritual well-being (FACT-P,FACIT-Sp). Predictor variables included urinary, bowel and sexual function (UCLA-PCI), physical and mental health (SF-12), and treatment regret. Logistic regression analyses were controlled for age, income, and survivorship time. Poor social/family, emotional, functional and spiritual well-being was identified among 54.4%, 26.5%, 49.9% and 63.8% of the men in the sample. Men who reported treatment regret had 3.62, 5.58, or 4.63 higher odds of poor social/family, emotional, and functional well-being, respectively. Men with low household income had 3.77 times higher odds for poor social/ well-being. Good mental health was a protective factor for poor social/family, emotional, functional, or spiritual well-being. Better physical and sexual health were protective factors for poor functional well-being. Seeking to promote PCa patients’ autonomy in treatment decisions and recognizing this process’ vulnerability in health care contexts is warranted.


2019 ◽  
Vol 52 (3) ◽  
pp. 427-448
Author(s):  
Megan S. Paceley ◽  
Jessica N. Fish ◽  
Margaret M. C. Thomas ◽  
Jacob Goffnett

Sexual and gender minority (SGM) youth experience high rates of victimization leading to health disparities. Community size and community climate are associated with health outcomes among SGM youth; however, we lack studies that include them as covariates alongside victimization to understand their collective impact on health. This study utilized minority stress theory to understand how community context shapes experiences of victimization and health among SGM youth. SGM youth in one Midwestern U.S. state completed an online survey ( n = 201) with measures of physical health, mental health, community context, and victimization. Data were analyzed via multiple regression using a path analysis framework. Results indicate that perceived climate was associated with mental, but not physical, health; Community size was unrelated to health outcomes. Victimization mediated the association between community climate and mental health. Findings are discussed in light of current literature and implications for research and practice are shared.


2020 ◽  
Author(s):  
Samantha Winter ◽  
Lena Moraa Obara ◽  
Sarah McMahon

Globally, one billion people live in informal settlements, and that number is expected to triple by 2050. Studies suggests that health in informal settlements is a serious and growing concern, yet there is a paucity of research focused on health outcomes and the correlates of health in these settlements. Studies cite individual, environmental and social correlates to health in informal settlements, but they often lack empirical evidence. In particular, research suggests that high rates of violence against women (VAW) in informal settlements may be associated with detrimental effects on women’s health, but few studies have investigated this link. The purpose of this study was to fill this gap by empirically exploring associations between women’s experiences of intimate partner violence (IPV) and their physical and mental health. Data for this study were collected in August 2018 in Mathare Valley Informal Settlement in Nairobi, Kenya. A total of 550 randomly-selected women participated in surveys; however, analyses for this study were run on a subpopulation of the women (n=361). Multivariate logistic regressions were used to investigate the link between psychological, sexual, and emotional IPV and women’s mental and physical health. Results suggest that while some socioeconomic, demographic, and environmental variables were significantly associated with women’s mental and physical health outcomes, all types of IPV emerged key correlates in this context. In particular, women’s experiences of IPV were associated with lower odds of normal-high physical health component scores (based on SF-36); higher odds of gynecological and reproductive health issues, psychological distress (based on K-10), depression, suicidality, and substance use. Findings from this study suggest that policies and interventions focused on prevention and response to VAW in informal settlements may make critical contributions to improving health for women in these rapidly growing settlements.


Author(s):  
Sam Parsons ◽  
Alice Sullivan ◽  
Emla Fitzsimons ◽  
George Ploubidis

Poor physical health and behavioural and emotional problems in childhood have a lasting impact on well-being in adolescence and adulthood. Here we address the relationship between poor parent and child physical and mental health in early childhood (age 5) and conduct, hyperactivity and emotional problems in mid-childhood (age 10/11). We compare results across two generations of British children born 30 years apart in 1970 (n = 15,856) and 2000/2 (16,628). We take advantage of rich longitudinal birth cohort data and establish that a child’s own poor health was associated with conduct, hyperactivity and emotional problems in mid-childhood in both generations, and that with the exception of conduct problems in the 1970 cohort these relationships remained when family socio-economic status and individual characteristics were accounted for. Poor maternal mental health was similarly associated with conduct, hyperactivity and emotional problems in both generations; poor parental physical health with a child having later hyperactivity and emotional problems in the younger generation. Results also indicated that earlier behaviour problems had more influence on later problems for children in the more recent cohort. Given the increasing proportion of children and adolescents with mental health problems and that socio-economic disadvantage increases physical and mental well-being concerns within families, policy solutions must consider the holistic nature of a child’s family environment to prevent some children experiencing a ‘double whammy’ of disadvantage. The early years provide the best opportunity to promote children’s resilience and well-being and minimise the development of entrenched negative behaviours and their subsequent costs to society.<br /><br />Key messages<br /><ul><li>Poor parental physical and mental health each have a negative association with behavioural adjustment in (two generations of British) children.</li><br /><li>A child’s poor health has a negative association with later behavioural adjustment in (two generations of British) children.</li><br /><li>The relationships remain even after family background and a child’s earlier behaviour scores are taken into account.</li></ul>


2020 ◽  
Author(s):  
Franziska Knolle ◽  
Lisa Ronan ◽  
Graham K Murray

In March 2020 the SARS-CoV-2infection (COVID-19) was declared a pandemic. In response to its world-wide outbreak radical measures were taken by governments across the world including curfew, quarantine, travel bans, social distancing, work place and school closures, etc, to reduce the transmission of the virus. These measures led to dramatic social and economic changes for the general population, in addition to the fears and worries related to the disease and its contraction. First studies report the impact of the pandemic on mental well-being of the general population showing increased levels of anxiety, stress and depression. In this study, we compare the impact of the pandemic on two European countries: the UK and Germany, which reported their first cases within a week. 241 residents of the UK and 541 residents of Germany filled in an online survey, including questions on COVID-19 exposure, impact on financial situation and work, substance and media consumption, self-reported mental and physical health, as well as including two clinical questionnaires, the general mental health Symptom Check List-27 (SCL-27) and the Schizotypal Personality Questionnaire. Data collection was completed between 27/04/20-31/05/20. We found distinct differences between the two countries. UK responders reported a stronger direct impact on their health, financial situation and their families. UK responders had higher clinical scores on the SCL-27, with a higher percentage being above cut-off. Interestingly, however, we found that German responders were less hopeful for an end of the pandemic and more concerned about their life-stability. Generally, we found that a younger age, being female, lower education, poorer mental and physical health before the pandemic, as well as more social media and substance consumption was associated with a higher clinical risk. This research shows strong differences between two economically and culturally similar countries, but as 25% of both German and UK responders reported a subjective worsening of the general psychological symptoms and 20-50% of German and UK responders reached the clinical cut-off for depressive, dysthymic and anxieties, it specifically shows the need for health emergency tailored intervention systems to assist not only people vulnerable for mental health problems, but also large proportions of the general public.


Author(s):  
Mike McHugh

Until recently the biomedical model dominated thinking about both physical health and mental health in Western society. It is now more useful to frame health as an integrated totality—one that includes physiological functioning, psychological and spiritual processes, and behaviour. This chapter explores this emerging agenda and focuses on well-being and prevention, particularly where well-being and prevention impact on both physical and mental illness. Evidence tells us that by strengthening mental health and well-being we not only reduce the risk of mental illness, but we also enhance physical health and population health more widely. Equally, improving physical health has a significantly positive influence on population mental health. We can increasingly exploit our understanding of these interconnections and release their potential to tackle some of the pressing health and well-being challenges we face. We have an opportunity to meaningfully draw physical and mental health together as a mutually dependent, integrated whole.


2017 ◽  
Vol 14 (02) ◽  
pp. 103-110
Author(s):  
S. Tomassi ◽  
M. Ruggeri

Summary Background: The global crisis that began in 2007 has been the most prolonged economic recession since 1929. It has caused worldwide tangible costs in terms of cuts in employment and income, which have been widely recognised also as major social determinants of mental health (1, 2). The so-called “Great Recession” has disproportionately affected the most vulnerable part of society of the whole Eurozone (3). Across Europe, an increase in suicides and deaths rates due to mental and behavioural disorders was reported among those who lost their jobs, houses and economic activities as a consequence of the crisis.


2021 ◽  
pp. 014303432110250
Author(s):  
Celeste Simões ◽  
Anabela C. Santos ◽  
Paula Lebre ◽  
João R. Daniel ◽  
Cátia Branquinho ◽  
...  

Resilience is an individual’s ability to adapt successfully to and persevere during and after significant challenges. Resilience programmes based on a socioemotional learning approach have been associated with an increase in protextive factors (e.g., prosocial competencies), improvements in physical and mental health, and a decrease in internalised and externalised symptoms. The present study aimed to evaluate the impact of the RESCUR curriculum implemented in Portuguese schools on students’ academic, behavioural, and socioemotional outcomes, based on child and teacher reports. Participants included 1,084 children (53.2% male) aged 3-15 ( M = 7.24, SD = 2.31). A quasi-experimental study compared outcomes for an experimental intervention group (AIG) with a waiting list control group (WG). The results showed the RESCUR programme decreased mental health difficulties while increasing both prosocial behaviours and well-being. In addition, academic performance increased for those in preschool after implementation. Both teachers and children consistently reported positive behavioural changes in resilience-related competencies after implementing RESCUR. Our findings contribute to the recent research on the potential of RESCUR to address key socioemotional competencies and improve relevant protextive factors. Study limitations and future recommendations are addressed.


2021 ◽  
pp. 1-11
Author(s):  
Eileen Vizard ◽  
Jenny Gray ◽  
Arnon Bentovim

SUMMARY This article gives a general overview of the current situation in relation to a range of widely recognised and also newly identified types of child maltreatment. The academic and clinical evidence relating to the impact of child maltreatment on the mental and physical health of child victims is substantial and steadily increasing in volume. New types of abuse are being identified, and changing environmental circumstances, which exacerbate the possibility of widely recognised types of child maltreatment occurring, are also being described. These include multi-type maltreatment, female genital mutilation and online child maltreatment. Serious questions may arise regarding neglect of the moral and social development of children and young people who become addicted to online gaming and pornography. Multiple national and local definitions of each of these existing and new forms of maltreatment have been created, some of which are covered here. The impact of these abuses on the physical and mental health and development of child victims in families or settings where abuse or neglect has occurred is discussed.


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