Stigmatization from work-related COVID-19 exposure has not been investigated in detail yet. Therefore, we systematically searched three databases: Medline, Embase, and PsychInfo (until October 2020), and performed a grey literature search (until February 2021). We identified 46 suitable articles from 24 quantitative and 11 qualitative studies, 6 systematic reviews, 3 study protocols and 1 intervention. The assessment of stigmatization varied widely, ranging from a single-item question to a 22-item questionnaire. Studies mostly considered perceived self-stigma (27 of 35 original studies) in healthcare workers (HCWs) or hospital-related jobs (29 of 35). All articles reported on stigmatization as a result of work-related COVID-19 exposure. However, most quantitative studies were characterized by convenience sampling (17 of 24), and all studies—also those with an adequate sampling design—were considered of low methodological quality. Therefore, it is not possible to determine prevalence of stigmatization in defined occupational groups. Nevertheless, the work-related stigmatization of occupational groups with or without suspected contact to COVID-19 is a relevant problem and increases the risk for depression (odds ratio (OR) = 1.74; 95% confidence interval CI 1.29–2.36) and anxiety (OR = 1.64; 95% CI 1.18–2.28). For promoting workers’ health, anti-stigma strategies and support should be implemented in the workplace.
In the design of future studies to analyse the distribution of corporate health management programmes, there is a need to agree on common definitions and data collection methods and how the results are to be categorised. When evaluating the effects of corporate programmes, the quantitative data would need to be supplemented with qualitative data that would be capable of identifying how such programmes are implemented and the associated organisation-specific cultural patterns.
Zusammenfassung
Im Juni 2015 haben die wissenschaftlichen Akademien Leopoldina und acatech und die Union der Deutschen Akademien der Wissenschaften eine Stellungnahme zu Public und Global Health in Deutschland ver?ffentlicht. Die Stellungnahme enth?lt eine Reihe von wertvollen, aber allgemein gehaltenen und weitgehend bekannten Empfehlungen. Die wenigen konkreten Empfehlungen sehen eine Zentralisierung der Forschung und eine Abwertung der Rolle der Universit?ten vor. Gegen?ber anderen Bereichen soll Public Health Genomics weiter ausgebaut werden. Diese Empfehlungen werden durch keine empirischen oder theoretischen Analysen gest?tzt und laufen Gefahr, die erfolgreichen Prozesse der letzten Jahre umzukehren. Um Public und Global Health in Deutschland wirksam zu st?rken sollten stattdessen die vorhandenen Institutionen besser unterst?tzt und die Forschungsf?rderung ausgebaut werden.
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