Psychosocial and occupational risk perception among health care workers: a Moroccan multicenter study.
BACKGROUND
International studies on occupational risks in public hospitals are infrequent and only few researchers have focused on psychosocial stress in Moroccan Health Care Workers (HCWs). The aim of this study was to present and analyze Moroccan HCWs occupational risk perception. Across nine public hospitals from three Moroccan regions (northern, central and southern), a 49 item French questionnaire with 4 occupational risks subscales, was distributed to 4746 HCWs. This questionnaire was based on the Job Content Questionnaire. Psychosocial job demand, job decision latitude and social support scores analysis were used to isolate high strain jobs. Occupational risks and high strain perception correlation were analyzed by univariate and multivariate logistic regression.


RESULTS
2863 HCWs (60%) answered the questionnaire (54% women; mean age 40 years; mean work seniority 11 years; 24% physicians; 45% nurses). 44% of Moroccan HCWs were at high strain. High strain was strongly associated with two occupational categories: midwives (2.33 OR; CI 1.41-3.85), full-time employment (1.65 OR; CI 1.24-2.19), hypnotics and sedatives use (1.41 OR; CI 1.11-1.79), analgesics use (1.37 OR; CI 1.13-1.66).


CONCLUSIONS
Moroccan HCWs, physicians included, perceive their job as high strain. Moroccan HCWs use of hypnotics, sedatives and analgesics is high. Risk prevention plan implementation is highly recommended.
Department of Occupational Medicine and Environment Health, University Hospital of Nantes, 5 rue du doyen Boquien, 44093, Nantes, France. giurgiudoina@gmail.com.|"Lucian Blaga" University of Sibiu, 10 Victoriei Boulevard, 550024, Sibiu, Romania. giurgiudoina@gmail.com.
Doina Ileana
DI
Giurgiu
Psychology Laboratory of Pays de la Loire, UPRES EA 4638, Chemin La Censive du Tertre, 44312, Nantes, France. christine.jeoffrion@univ-nantes.fr.
Christine
C
Jeoffrion
Department of Occupational Medicine and Environment Health, University Hospital of Nantes, 5 rue du doyen Boquien, 44093, Nantes, France. ben.grasset@hotmail.fr.|Psychology Laboratory of Pays de la Loire, UPRES EA 4638, Chemin La Censive du Tertre, 44312, Nantes, France. ben.grasset@hotmail.fr.
Benjamin
B
Grasset
Department of Public Health, Nantes University Hospital, 35 rue Saint Jacques, 44000, Nantes, France. brigitte.kerivendessomme@chu-nantes.fr.
Brigitte Keriven
BK
Dessomme
Department of Public Health, Nantes University Hospital, 35 rue Saint Jacques, 44000, Nantes, France. leila.moret@chu-nantes.fr.
Leila
L
Moret
Laboratory of Ergonomics Epidemiology Health and Work, LEEST-UA InVS, IFR 132-UPRES EA 4336, Faculty of Medicine, University Hospital, University of Angers, 4 rue Larrey, 49933, Angers Cedex, France. YvRoquelaure@chu-angers.fr.
Yves
Y
Roquelaure
Occupational Medicine Department, University Hospital of Rennes, 6 rue Henri Le Guilloux, 35000, Rennes, France. alain.caubet@univ-rennes1.fr.
Alain
A
Caubet
Occupational Medicine Department, University Hospital of Rennes, 6 rue Henri Le Guilloux, 35000, Rennes, France. christian.verger@univ-rennes1.fr.
Christian
C
Verger
Graduate School of Health Engineering and Project Management, 24 rue Lafontaine, Quartier Racine, 20100, Casablanca, Morocco. chlaraqui51@gmail.com.
Chakib El Houssine
Cel H
Laraqui
Public Health Department, SMBH, Paris 13 University, 74 Avenue Marcel Cachin, 93017, Bobigny, France. pierre.lombrail@orange.fr.
Pierre
P
Lombrail
Department of Occupational Medicine and Environment Health, University Hospital of Nantes, 5 rue du doyen Boquien, 44093, Nantes, France. christian.geraut@univ-nantes.fr.
Christian
C
Geraut
Department of Occupational Medicine and Environment Health, University Hospital of Nantes, 5 rue du doyen Boquien, 44093, Nantes, France. dominique.tripodi@chu-nantes.fr.|Psychology Laboratory of Pays de la Loire, UPRES EA 4638, Chemin La Censive du Tertre, 44312, Nantes, France. dominique.tripodi@chu-nantes.fr.
Dominique
D
Tripodi
D000328:Adult; D016009:Chi-Square Distribution; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009018:Morocco; D009784:Occupational Diseases / Q000523:psychology*; D018570:Risk Assessment / Q000379:methods / Q000706:statistics & numerical data; D012307:Risk Factors; D012944:Social Support; D013315:Stress, Psychological / Q000523:psychology*; D011795:Surveys and Questionnaires