Sexual-orientation based discrimination is associated with anxiety and depression in young physicians. A national study.

Duba, A; Messiaen, M.; Boulangeat, C.; Korchia, Théo; Lançon, Christophe; Bourbon, A.; Viprey, Marie; Auquier, Pascal; Boyer, Laurent; Fond, Guillaume

doi:10.1016/j.jad.2020.05.155

Cited by 11 publications

(11 citation statements)

References 25 publications

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“…[4][5][6][7][8][9][10][11][12] These studies have primarily focused on the perpetrator of mistreatment being another health care worker, have been conducted in a single specialty or outside the United States, or did not differentiate the potential impact of the experience by the type of perpetrator (institutional employee vs patient, family member, or visitor). 6,9,[13][14][15][16][17][18][19] Little is known about mistreatment and discrimination experiences of physicians by personal characteristics (eg, gender and race) and professional characteristics (eg, specialty, practice setting) or the potential professional impact of mistreatment and discrimination by patients, families, and visitors. 5 Therefore, we studied the prevalence of physicians experiencing mistreatment and discrimination originating from patients, their families, and visitors and explored the association between such experiences and occupational burnout.…”

Section: Introductionmentioning

confidence: 99%

Physicians’ Experiences With Mistreatment and Discrimination by Patients, Families, and Visitors and Association With Burnout

et al. 2022

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IMPORTANCEBurnout is common among physicians and is associated with suboptimal patient outcomes. Little is known about how experiences with patients, families, and visitors differ by physician characteristics or contribute to the risk of burnout. OBJECTIVE To examine the occurrence of mistreatment and discrimination by patients, families, and visitors by physician characteristics and the association between such interactions and experiencing burnout. DESIGN, SETTING, AND PARTICIPANTS This cross-sectional survey was conducted from November 20, 2020, to March 23, 2021, among US physicians. EXPOSURES Mistreatment and discrimination were measured using items adapted from the Association of American Medical College's Graduation Questionnaire with an additional item querying respondents about refusal of care because of the physicians' personal attributes; higher score indicated greater exposure to mistreatment and discrimination. MAIN OUTCOMES AND MEASURES Burnout as measured by the Maslach Burnout Inventory. RESULTS Of 6512 responding physicians, 2450 (39.4%) were female, and 369 (7.2%) were Hispanic; 681 (13.3%) were non-Hispanic Asian, Native Hawaiian, or Pacific Islander; and 3633 (70.5%) were non-Hispanic White individuals. Being subjected to racially or ethnically offensive remarks (1849 [29.4%]), offensive sexist remarks (1810 [28.7%]), or unwanted sexual advances (1291 [20.5%]) by patients, families, or visitors at least once in the previous year were common experiences.Approximately 1 in 5 physicians (1359 [21.6%]) had experienced a patient or their family refusing to allow them to provide care because of the physician's personal attributes at least once in the previous year. On multivariable analyses, female physicians (OR, 2.33; 95% CI, 2.02-2.69) and ethnic and racial

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Section: Introductionmentioning

confidence: 99%

Physicians’ Experiences With Mistreatment and Discrimination by Patients, Families, and Visitors and Association With Burnout

et al. 2022

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“…These modifications were included in a refined model only if they made sense theoretically and if they and did not affect our a priori assumptions. Based on our previous works on medical students ( Duba et al, 2020a , Duba et al, 2020b ; Messiaen et al, 2020 ), our hypothesis stated that each factor category (professional factors, individual factors and health risk behaviors) had a direct effect on the risk of depression and that professional and individual factors had an indirect effect through health risk behaviors (the theoretical model is presented in Supplementary Fig. 1).…”

Section: Discussionmentioning

confidence: 99%

“…History of lifetime sustained bullying at work, sexual harassment and sexual-based orientation discrimination were explored using the definitions of the French law used in our previous studies ( Duba et al, 2020a , Duba et al, 2020b , Duba et al, 2020c ; Messiaen et al, 2020 , Messiaen et al, 2021 ) and reported as binary variables.…”

Section: Population and Methodsmentioning

confidence: 99%

“…However, we do not know if the public sector has been affected to a similar level as the private sector ( Ervasti et al, 2017 ). We do however know that work environment (including speed/quantity, complexity/intensity, fragmentation/unpredictability, decision latitude and social support) ( Enns et al, 2015 ; Gi et al, 2011 ; Huang et al, 2022 ; Power et al, 2020 ; Tsutsumi et al, 2001 ), absenteeism/presenteeism ( Dyrbye et al, 2019 ; Enns et al, 2015 ), sustained bullying at the workplace ( Messiaen et al, 2020 ), sexual harassment ( Duba et al, 2020a ) and sexual orientation-based discrimination ( Duba et al, 2020b ) have also been associated with increased risk of depression in physicians. The role of burnout has been debated with some authors highlighting a causal role in the onset of depression ( Peter et al, 2020a ; Peter et al, 2020b ; Rudman et al, 2020 ) with overlap between burnout and depression ( Bianchi et al, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

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Depression in healthcare workers: Results from the nationwide AMADEUS survey

Fond

Fernandes²,

Lucas³

et al. 2022

International Journal of Nursing Studies

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“…We have also identified other professional factors associated with increased risk of burnout. In our previous studies, we have shown that sustained bullying at the workplace exposure, sexual harassment and sexual‐orientation‐based discrimination were associated with increased risk of depression in young physicians (Duba, Messiaen, Boulangeat, Boucekine, et al, 2020; Duba, Messiaen, Boulangeat, Korchia, et al, 2020; Duba, Messiaen, Masson, Lançon, et al, 2020; Messiaen et al, 2020, 2021). These factors were found to be highly frequent (40% for sustained bullying at the workplace, 20% for sexual harassment in women and 7% for sexual‐orientation‐based discrimination) (Duba, Messiaen, Boulangeat, Korchia, et al, 2020; Duba, Messiaen, Masson, Lançon, et al, 2020; Messiaen et al, 2021), but we have no data on health care workers.…”

Section: Introductionmentioning

confidence: 96%

Work environment and mental health in nurse assistants, nurses and health executives: Results from the AMADEUS study

Lucas

Colson

Boyer

et al. 2022

J Nursing Management

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Aim This study aimed to explore work environment and mental health in nurse assistants, nurses and health executives in a national large‐scale study. Background We have data for physicians but not for other health care workers categories. Methods A total of 6935 participants were recruited between May and June 2021 by professional mailings and professional networks. Results All professional categories reported high rates of high psychological demand (>90%), low social support (>60%), burnout (50% to 60%), exposure to potentially morally injurious events (>40%) and depression (approximately 30%). Surgery nurses reported the highest exposure to potentially morally injurious events. Major depression was identified in approximately 30% of participants in all categories, but less than 10% reported consuming antidepressants. A total of 31% to 49% of participants reported sleep disorders and 16% to 21% reported consuming regularly hypnotics. Physicians reported high hazardous drinking behaviour and nurse assistant high smoking rates. Conclusions and Implications for Nursing Management Our results suggest that preventing burnout and depression in health care workers is a priority. To reach this goal, nursing managers could develop some interventions to reduce psychological demand and increase personal accomplishment and social support between colleagues, and prevent sustained bullying at the workplace and health risk behaviours. These interventions should be further developed and evaluated.

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Sexual-orientation based discrimination is associated with anxiety and depression in young physicians. A national study.

Cited by 11 publications

References 25 publications

Physicians’ Experiences With Mistreatment and Discrimination by Patients, Families, and Visitors and Association With Burnout

Physicians’ Experiences With Mistreatment and Discrimination by Patients, Families, and Visitors and Association With Burnout

Depression in healthcare workers: Results from the nationwide AMADEUS survey

Work environment and mental health in nurse assistants, nurses and health executives: Results from the AMADEUS study

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