Background: Health care workers stand out in recent studies as a function of high rates of workplace violence. Objective: To calculate the prevalence of workplace violence involving health care workers and associated factors. Methods: Cross-sectional study with municipal health care workers in Diamantina, Minas Gerais, Brazil. Data were collected in interviews from December 2016 through March 2017. Variable workplace violence was considered as outcome on univariate and multivariate analysis. Descriptive and analytical statistical techniques were used (Poisson regression). Results: The study population comprised 203 municipal health care workers (79% response rate). The prevalence of workplace violence was 40.4–47.9% for women and 22.0% for men. Occupational factors associated with violence were job satisfaction, support at work and psychological demands. Conclusion: The prevalence rates we found and associated factors point to the relevance of health protection policies targeting this category of workers which may contribute to mitigate the negative effects of violence on the health of workers and consequently on the quality of care delivery.
Objective This study’s main objective was to investigate the emergence of back pain as a consequence to changes in usual activities due to the COVID-19 pandemic among teachers in public schools in the state of Minas Gerais, Brazil. Methods A cross-sectional study was conducted among 15,276 schoolteachers using an online questionnaire. The variables included sociodemographic and occupational data, health situation, habits and behaviors during the COVID-19 pandemic. Bivariate analyses using Pearson’s chi-square test and multiple analyses using Poisson regression were performed to identify the associated factors. Results About 58% of schoolteachers reported back pain due to changes in routine activities during the pandemic. The adjusted model showed a correlation between back pain and female sex, longer working hours, overwork, difficulties concerning distance working, negative changes in health status and quality of sleep; frequent feeling of sadness, depression, or anxiety; use of medications to relax, sleep or against stress/anxiety/depression; physical inactivity or negative changes in the practice of physical activities; increased body weight; reduction of leisure time; increased time of use of computer or tablet and overload of housework. Conclusion During the COVID-19 pandemic, schoolteachers reported a high prevalence of emergence of back pain, which delineates a contradiction in terms: on the one hand, distance education allows social distancing that contributes to the preservation of teachers’ health by reducing the risk of contamination by COVID-19. On the other hand, it imposes new demands that—in disagreement with working conditions—can threaten the health of these workers.
Estudo transversal que investigou a prevalência e os fatores associados ao tabagismo em uma amostra aleatória e representativa de 6.510 professores da Educação Básica brasileira. Os dados foram obtidos por meio de questionários aplicados por telefone, contendo informações sociodemográficas, estado de saúde, afastamentos do trabalho e características do trabalho docente. O tabagismo foi analisado como variável dicotômica por meio de regressão logística univariada e multivariada. A prevalência de fumantes atuais foi de 4,4%. Entre os homens, a prevalência foi de 5,9%, sendo maior na faixa etária acima de 55 anos (10,7%). Para as mulheres, a taxa foi de 3,5% e maior na faixa etária entre 45 e 54 anos (5,5%). O modelo final da análise multivariada evidenciou associação negativa entre tabagismo e sexo feminino (OR = 0,46), viver acompanhado (OR = 0,53), problemas ocasionais no trabalho por causa da voz (OR = 0,64) e maior tempo de deslocamento entre a casa do professor e a escola (OR = 0,58). Foi encontrada associação positiva entre o desfecho e maior idade (OR = 2,59), viver nas regiões Sul (OR = 1,98) e Sudeste (OR = 2,07), insuficiência de atividades físicas (OR = 1,66) e o uso de ansiolíticos ou antidepressivos (OR = 2,46). A prevalência de tabagismo entre os professores da Educação Básica no Brasil foi relativamente baixa. Contrariamente ao esperado, apesar de indicadas como inadequadas pelos entrevistados, condições e demandas de trabalho nas escolas não alcançaram significância estatística em relação ao tabagismo no presente estudo.
Objective: to investigate the prevalence of negative self-rated health and associated factors among municipal health service workers in Diamantina, MG, Brazil. Methods: this was a cross-sectional census study using Poisson regression. Results: 203 health workers took part in the study, 70.9% were female, and 57.1% were up to 38 years old; prevalence of negative self-rated health was 28.6% (95%CI22.4;34.8); in the multivariate analysis, the following were associated with the outcome: being 39 years old or more (PR=1.56-95%CI1.01;2.40), monthly family income >3 minimum wages (PR=0.63-95%CI0.41;0.97), having another paid occupation (PR=0.55-95%CI0.34;0.89), poor sleep quality (PR=1.99-95%CI1.32;2.99), diagnosis of one disease (PR=2.33-95%CI1.13;4.81) or multiple diseases (PR=2.63-95%CI1.32;5.24), suffering aggression at work (PR=1.92-95%CI1.29;2.85), and frequent participation in domestic activities (PR=0.55-95%CI0.38;0.80). Conclusion: prevalence of negative self-rated health was high and was associated with sociodemographic, occupational, behavioral and health situation factors.
Resumo Objetivo: estimar a prevalência de doenças crônicas não transmissíveis (DCNT) e investigar fatores associados a multimorbidades crônicas entre trabalhadores da rede de saúde municipal. Métodos: estudo transversal com profissionais da atenção básica à saúde de Diamantina, Minas Gerais, Brasil. Os dados foram coletados por entrevista com aplicação de instrumentos validados. Houve identificação das características individuais, hábitos e estilo de vida, estado de saúde e condições de trabalho da população estudada. Utilizou-se regressão logística para construção de modelos multivariáveis. Resultados: participaram da pesquisa 203 dos 257 trabalhadores elegíveis, 144 do sexo feminino e 59 do masculino. As morbidades mais prevalentes foram: sobrepeso (27,0%), hipertensão (17,2%) e depressão/estresse (16,2%). A presença de multimorbidades (28,6%) foi significativamente associada à idade superior a 48 anos (Odds ratio - OR: 4,28; intervalo de confiança de 95% - IC95%: 1,66;11,04), à presença de transtornos mentais comuns (OR: 3,23; IC95%: 1,50;6,96), enquanto o apoio social adequado no trabalho permaneceu como fator de proteção (OR: 0,25; IC95%: 0,11;0,57). Conclusão: a presença de multimorbidades foi associada a maior idade, presença de transtornos mentais comuns e características organizacionais do trabalho.
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