Sex and Gender in Research on Healthcare Workers in Conflict Settings: A Scoping Review

The occupational health literature has established that sex and gender are associated with all dimensions of the workplace. Sex and/or gender (sex/gender) factors play an important role in shaping the experiences, exposures, and health outcomes of male and female healthcare providers working in war and conflict settings. This study aims to (1) assess how sex/gender is considered in the occupational health literature on healthcare workers in conflict settings, and (2) identify the gaps in incorporating sex/gender concepts in this literature. A scoping review was carried out and nine electronic databases were searched using a comprehensive search strategy. Two reviewers screened the titles/abstracts and full-texts of the studies using specific inclusion and exclusion criteria. Key information was extracted from the studies and four themes were identified. Of 7679 identified records, 47 were included for final review. The findings underlined the harsh working conditions of healthcare workers practicing in conflict zones and showed sex/gender similarities and differences in experiences, exposures and health outcomes. This review revealed a dearth of articles with adequate consideration of sex/gender in the study design. Sex/gender-sensitive research in occupational health is necessary to develop effective occupational health and safety policies to protect men and women healthcare workers in conflict settings.

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Identifying occupational health hazards among healthcare providers and ancillary staff in Ghana: a scoping review protocol

BMJ Open ◽

10.1136/bmjopen-2021-058048 ◽

2022 ◽

Vol 12 (1) ◽

pp. e058048

Author(s):

Philip Apraku Tawiah ◽

Alberta Baffour-Awuah ◽

Emmanuel Appiah-Brempong ◽

Evans Afriyie-Gyawu

Keyword(s):

Occupational Health ◽

Scoping Review ◽

Healthcare Workers ◽

English Language ◽

Electronic Materials ◽

Grey Literature ◽

Healthcare Providers ◽

Health And Safety ◽

Occupational Exposures ◽

Reference List

IntroductionThe formation, modification and implementation of occupational health and safety policy for the Ghana healthcare industry hinge on data and reviews on occupational exposures. However, there is no synthesised review to speak to the issues of these occupational exposures. A scoping review on occupational exposures among the health workforce in Ghana will provide a broad overview of exposures, and can guide and assist in making decisions on occupational health issues relating to healthcare workers.Methods and analysisArksey and O’Malley’s scoping review methodology framework will guide the conduct of this scoping review. Primary research studies, government documents and other information on occupational exposures among healthcare workers published in the English language will be retrieved from databases including PubMed, CINAHL, Embase, MEDLINE, Scopus, PsycINFO and Google scholar. A systematic search strategy will be employed to identify articles from 1 January 2010 until 30 November 2021. Also, grey literature sources in Ghana including government and tertiary institutions websites will be searched. A reference list of key studies and other available non-electronic materials will also be screened to identify relevant studies for inclusion. The review will consider studies that address prevalence, knowledge and predisposing factors of occupational exposures along with the use of occupational hazards control/preventive measures. After removal of duplicates, and title and abstract screening, relevant articles will be subjected to full-text analysis. The screening processes will be conducted independently by two reviewers. Data will then be extracted and presented in tabular form with a narrative to aid easy comprehension.Ethics and disseminationThis scoping review does not require ethical approval. The findings will be disseminated through publications, conference presentations and stakeholder meetings.

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Protocol for a scoping review study to identify occupational health hazards among healthcare providers and ancillary staff in Ghana

10.21203/rs.3.rs-956533/v1 ◽

2021 ◽

Author(s):

Philip Apraku Tawiah ◽

Alberta Baffour-Awuah ◽

Emmanuel Appiah-Brempong ◽

Evans Afriyie-Gyawu

Keyword(s):

Occupational Health ◽

Scoping Review ◽

Healthcare Workers ◽

English Language ◽

Grey Literature ◽

Healthcare Providers ◽

Health And Safety ◽

Occupational Exposures ◽

Reference List ◽

Other Information

Abstract Introduction: The formation, modification and implementation of occupational health and safety policy for the Ghana health care industry hinges on data and reviews on occupational exposures. However, there is no synthesized review to speak to the issues of these occupational exposures. A scoping review on occupational exposures among the health workforce in Ghana will provide a broad overview of exposures, and can guide and assist in making decisions on occupational health issues relating healthcare workers. Methods: The Arksey and O’Malley’s scoping review methodology framework will guide the conduct of this scoping review. Primary research studies, government documents and other information on occupational exposures among healthcare workers published in English language will be retrieved from databases, including PubMed, CINAHL, Embase, Medline, Scopus, PsycINFO and Google scholar. Also, grey literature sources in Ghana including government and tertiary institutions websites will be searched. Reference list of key studies will also be screened to identify relevant studies for inclusion. The review will consider studies that address prevalence, knowledge and predisposing factors of occupational exposures along with utilization of occupational hazards preventive measures. After initial removal of duplicates, title and abstract screening, relevant articles will be subjected to full text analysis. The screening processes will be conducted independently by two reviewers. Data will then be extracted and presented in tabular form with a narrative to aid easy comprehension. Ethics and dissemination: This scoping review sought to identify predominant occupational exposures among healthcare providers and ancillary workers as described in published and unpublished literature. In addressing the increase of occupational exposures among healthcare workforce in Ghana, this scoping review is intended to bring all the literature together and predict the areas of occupational exposures that needs attention and redress. The findings of the study will be disseminated through publications, conference presentations and stakeholder meetings.

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Work-Related Musculoskeletal Disorders Interventions in a Seasonal Work Context: A Scoping Review of Sex and Gender Considerations

Proceedings of the 21st Congress of the International Ergonomics Association (IEA 2021) - Lecture Notes in Networks and Systems ◽

10.1007/978-3-030-74605-6_58 ◽

2021 ◽

pp. 462-469

Author(s):

Marie-Eve Major ◽

Hélène Clabault ◽

Audrey Goupil

Keyword(s):

Musculoskeletal Disorders ◽

Scoping Review ◽

Sex And Gender ◽

Work Context ◽

And Gender

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Women’s Healthcare Through a Feminist Ethics Lens

Ethical Issues in Women's Healthcare ◽

10.1093/med/9780190851361.003.0001 ◽

2019 ◽

pp. 1-18

Author(s):

Lori d’Agincourt-Canning ◽

Carolyn Ells

Keyword(s):

Ethical Issues ◽

Healthcare Providers ◽

Moral Life ◽

Sex And Gender ◽

Feminist Ethics ◽

Centered Care ◽

And Gender ◽

Feminist Bioethics

This chapter provides the book’s rationale, reviews themes that are central to the book, and presents an overview of its chapters. The collection aims to bring insights from healthcare providers, clinical ethicists, scholars, and community together as a way of broadening feminist bioethics and being responsive to ethical issues in women’s healthcare. A starting premise is that gender is central to the evaluation of healthcare and healthcare practices. Several feminist themes that are pertinent to the ethics analyses throughout the book are described. These include relational components of moral life, justice and oppression, women-centered care, implications of sex and gender distinctions, and examining issues through an ethics lens. The overview of chapters highlights the specific gaps in the literature each one fills, along with how they fit together as a collection.

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Gender Informed or Gender Ignored? Opportunities for Gender Transformative Approaches in Brief Alcohol Interventions on College Campuses

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17020396 ◽

2020 ◽

Vol 17 (2) ◽

pp. 396 ◽

Cited By ~ 2

Author(s):

Lindsay Wolfson ◽

Julie Stinson ◽

Nancy Poole

Keyword(s):

Alcohol Use ◽

Gender Equity ◽

Scoping Review ◽

College Campuses ◽

Sex And Gender ◽

Specific Population ◽

Alcohol Interventions ◽

Risky Alcohol ◽

And Gender ◽

Multiple Health

Brief alcohol interventions are an effective strategy for reducing harmful and risky alcohol use and misuse. Many effective brief alcohol interventions include information and advice about an individual’s alcohol use, changing their use, and assistance in developing strategies and goals to help reduce their use. Emerging research suggests that brief interventions can also be expanded to address multiple health outcomes; recognizing that the flexible nature of these approaches can be helpful in tailoring information to specific population groups. This scoping review synthesizes evidence on the inclusion of sex and gender in brief alcohol interventions on college campuses, highlighting available evidence on gender responsiveness in these interventions. Furthermore, this scoping review offers strategies on how brief alcohol interventions can be gender transformative, thereby enhancing the effectiveness of brief alcohol interventions as harm reduction and prevention strategies, and in promoting gender equity.

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A Scoping Review of Literature on Sex and Gender Differences Among Dementia Spousal Caregivers

The Gerontologist ◽

10.1093/geront/gny177 ◽

2019 ◽

Vol 59 (6) ◽

pp. e802-e815 ◽

Cited By ~ 4

Author(s):

Ifah Arbel ◽

Kathleen S Bingham ◽

Deirdre R Dawson

Keyword(s):

Gender Differences ◽

Scoping Review ◽

Policy Development ◽

Empirical Studies ◽

Spousal Caregivers ◽

Future Research ◽

Sex And Gender ◽

Cross Sectional ◽

And Gender ◽

Sex And Gender Differences

Abstract Background and Objectives Sex and gender differences among dementia spousal caregivers have been investigated, but never systematically reviewed or synthesized. A synthesis of findings can help facilitate specificity in practice and in health policy development. As a first step towards such a synthesis, this scoping review reports the available evidence, identifies research gaps, and suggests possible directions for future research. Research Design and Methods A scoping review methodology was used to identify articles, and to chart and analyze data. Systematic searches for published, empirical studies, with an explicit goal or hypothesis related to sex or gender differences were conducted in seven databases. Results Sixty-one studies met inclusion criteria. Most (n = 45) were quantitative, cross-sectional studies. Caregivers included in the studies were generally 61–70 years old, Caucasian, middle-class, and highly educated. The most extensively investigated differences are: depression, burden, objective physical health, and informal supports. Discussion and Implications This scoping review is the first to summarize and critique the research on sex and gender differences that are specific to dementia spousal caregivers. The review can be used by researchers to make decisions regarding future systematic reviews and primary studies. To further strengthen the evidence base, future studies may benefit from including more caregivers of ethnic minorities, using more qualitative, longitudinal, or experimental designs, and focusing on variables needed to inform caregiving models and theories. Overall, this scoping review contributes to furthering gender-sensitive practices and policies that are better tailored to the specific needs of this population.

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Sex and gender considerations in transplantation research: protocol for a scoping review

Systematic Reviews ◽

10.1186/s13643-017-0578-4 ◽

2017 ◽

Vol 6 (1) ◽

Cited By ~ 4

Author(s):

Claudie Laprise ◽

Vikas Srinivasan Sridhar ◽

Lori West ◽

Bethany Foster ◽

Louise Pilote ◽

...

Keyword(s):

Scoping Review ◽

Sex And Gender ◽

Research Protocol ◽

And Gender

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Racial and Gender Discrimination Predict Mental Health Outcomes among Healthcare Workers Beyond Pandemic-Related Stressors: Findings from a Cross-Sectional Survey

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18179235 ◽

2021 ◽

Vol 18 (17) ◽

pp. 9235

Author(s):

Rachel Hennein ◽

Jessica Bonumwezi ◽

Max Jordan Nguemeni Tiako ◽

Petty Tineo ◽

Sarah Lowe

Keyword(s):

Mental Health ◽

Health Outcomes ◽

Posttraumatic Stress ◽

Gender Discrimination ◽

Healthcare Workers ◽

Mental Health Outcomes ◽

Linear Regression Models ◽

Cross Sectional Survey ◽

Symptoms Of Depression ◽

And Gender

Racial and gender discrimination are risk factors for adverse mental health outcomes in the general population; however, the effects of discrimination on the mental health of healthcare workers needs to be further explored, especially in relation to competing stressors. Thus, we administered a survey to healthcare workers to investigate the associations between perceived racial and gender discrimination and symptoms of depression, anxiety, posttraumatic stress, and burnout during a period of substantial stressors related to the COVID-19 pandemic and a national racial reckoning. We used multivariable linear regression models, which controlled for demographics and pandemic-related stressors. Of the 997 participants (Mean Age = 38.22 years, SD = 11.77), 688 (69.01%) were White, 148 (14.84%) Asian, 86 (8.63%) Black, 73 (7.32%) Latinx, and 21 (2.11%) identified as another race. In multivariable models, racial discrimination predicted symptoms of depression (B = 0.04; SE: 0.02; p = .009), anxiety (B = 0.05; SE: 0.02; p = .004), and posttraumatic stress (B = 0.01; SE: 0.01; p = .006) and gender discrimination predicted posttraumatic stress (B = 0.11; SE: 0.05; p = .013) and burnout (B = 0.24; SE: 0.07; p = .001). Discrimination had indirect effects on mental health outcomes via inadequate social support. Hospital-wide diversity and inclusion initiatives are warranted to mitigate the adverse mental health effects of discrimination.

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