Introduction : L’identification des facteurs de risques psychosociaux dans le secteur de la grande distribution est primordiale dans la mise en place d’une démarche de prévention adaptée à ce secteur. Objectif : Évaluer les contraintes psychosociales chez les salariés d’une chaîne de grande distribution. Méthodes : Il s’agissait d’une enquête transversale descriptive portant sur des salariés d’une chaîne de grande distribution. L’étude s’est basée sur un questionnaire recueillant les caractéristiques socioprofessionnelles des salariés et l’administration du questionnaire de Karasek. Résultats : L’effectif des salariés ayant participé à l’enquête était de 245 salariés. Il se caractérisait par un âge moyen de 32,4 ± 6,4 ans et un sexe-ratio de 0,84. L’ancienneté moyenne au poste de travail était de 6,3 ans (min. = 1 an ; max. = 18 ans). Les salariés étaient mariés dans 56,7 % des cas avec un nombre d’enfants à charge supérieur ou égal à deux retrouvé chez 60 % de l’effectif. Les employés étaient les plus représentés (56 %) ; les caissiers et les directeurs de magasin représentaient respectivement 24,5 et 19,5 %. Une tension au travail ( job strain ) était observée dans 28,2 % des cas. Il variait significativement avec l’ancienneté au poste de travail ( p = 0,03 ; coefficient de corrélation = 0,15). Les employés et les caissiers représentaient les postes les plus exposés. Les contractuels étaient 17 % à subir une situation de tension au travail, contre 31 % des salariés ayant un contrat à durée indéterminée (CDI) ( p = 0,04). Une forte demande psychologique a été retrouvée dans 48,2 % des cas. Les salariés travaillant dans les supermarchés étaient plus exposés que ceux travaillant dans les supérettes ( p < 0,001). Une faible latitude décisionnelle a été retrouvée dans 61,2 % des cas. Elle était plus importante chez les salariés en CDI ( p = 0,01). Un soutien social faible a été retrouvé dans 65,3 % des cas. Une situation d’isostrain (isolement) était observée dans 20 % des cas. Conclusion : L’évaluation objective des risques psychosociaux permet de cibler les catégories professionnelles vulnérables. Elle permet l’élaboration d’un plan d’action permettant des interventions dans le but de réduire les effets du travail sur la santé mentale.
Common clinical features of COVID‐19 are increasingly known but cutaneous manifestations are rarely described among healthcare workers. A review of cutaneous manifestations of COVID‐19 especially among healthcare workers (HCW) is thus required. The aim of our current study was to provide a comprehensive review of cutaneous manifestations of COVID‐19 among HCW through six case reports and a literature review. We conducted a literature search for cases reports, original and review articles using PubMed and the Google search engines. We included the written English studies that mentioned cutaneous symptoms during COVID‐19 infection. In addition to the review, 6 cases were collected among the HCW working at the Charles Nicolle Hospital of Tunis from September 2020 to January 2021. In our review, we included 17 articles in addition to our six cases. The type of papers was case series and case reports in respectively 8 and 9 studies. Skin manifestations were reported in two studies including two HCW, in addition to our series of six HCW. Skin manifestations were chilblain‐like lesions (44.5%), a generalized macular or maculopapular exanthem (32.1%), a papulovesicular rash and chicken pox‐like vesicles (11.5%), painful acral red–purple papules (4.6%), urticaria (2.8%), purpuric or petechial lesions (2.3%), and livedo reticularis lesions (0.45%). Of the 218 cases, 203 cases have reported the location of lesions. The very great majority of lesions were found on the trunk, hands, and feet. Fifty‐one patients (23.4%) experienced lesions on the trunk. The time of onset of cutaneous lesions was variable. At the diagnosis or the onset of COVID‐19 symptoms, 8.3% (18/218) of patients presented with cutaneous lesions. After the onset of respiratory symptoms or COVID‐19 diagnosis, 36.7% (80/218) of patients presented with cutaneous lesions. Of the 197 cases with reported healing times, healing times were up to 24 days. COVID‐19 has been associated with different cutaneous manifestations, likely of varying pathophysiology and severity, some preceding COVID‐19 symptomatology and others occurring during active disease or later in the course. Thus, heightened awareness and timely recognition of cutaneous manifestations in COVID‐19 are important for occupational physicians treating HCW with COVID‐19.
IntroductionThe COVID-19 pandemic had a considerable psychosocial impact on healthcare workers (HCWs) who were constantly requested during this era with an increased risk of infection. This implies behavioural changes, especially in smoking behaviour.ObjectivesTo study smoking behaviour in HCWs with COVID-19.MethodsA cross-sectional descriptive study conducted in the department of occupational pathology of Charles Nicolle Hospital in Tunis involving the smoking HCWs affected by COVID-19 during the period from September 1, 2020, to February 28, 2021. The data collection was carried out by a telephone call using a standardized questionnaire.ResultsDuring the study period, 61 smoking HCWs were identified. Thirty-two patients agreed to answer the questionnaire, with a response rate of 52%. The mean age was 41±10 years. The sex ratio (M/F) was 1.46. Half of the participants had comorbidities. The most represented occupational categories were blue-collar workers (n=11) followed by nurses (n=10) and physicians (n=7). The median professional seniority was 13 [3.5; 20] years. The mean age of smoking initiation was 20±5 years. The most common mode of smoking was cigarettes (93%) with an average consumption of 19 cigarettes per day. Water pipe smoking was noted in 3 patients. All patients started smoking before the COVID-19 infection. Strong tobacco dependence was noted in 25% of patients. Twenty-one per cent of the population had moderate dependence. Half of the participants maintained the same level of smoking as before the COVID-19 infection. An increase in smoking was noted in 34% of patients. A decrease in the level of smoking was reported by 15% of respondents. Four participants stopped smoking after COVID-19 infection. The reasons for smoking cessation were COVID-19 damage (n=3) and confinement with family (n=1).ConclusionsThe change in smoking behaviour during the COVID-19 pandemic is notable, particularly in HCWs who are exposed to a high physical and mental load. The presumed association of smoking with severe forms of COVID-19 infection makes tobacco control in HCWs an obligation in order to preserve the continuity of care.Disclosure of InterestNone Declared
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.