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      Sexual Harassment Among Chinese Psychiatrists and Its Impact on Quality of Life: A Cross-Sectional Survey

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          Abstract

          Objectives

          Sexual harassment (SH) is a prevalent issue in various professional fields worldwide. The current study aims to investigate the incidence of SH targeting psychiatrists in China and explore its impact on quality of life (QOL).

          Methods

          A consecutive recruitment of 1093 psychiatrists was conducted from 6 hospitals in China. The recorded data included participants’ socio-demographic characteristics, experiences of workplace SH within the previous year, and their QOL. SH comprised verbal harassment, physical harassment, and displaying of sexual organs. The Chinese version of the World Health Organization Quality of Life Brief Version (WHOQOL-BREF) was employed to assess QOL. We compared the demographic characteristics and QOL between the SH group and the non-SH group. Multiple logistic regression analysis was used to identify independent demographic correlates of SH.

          Results

          In total, 13.8% ( n = 151) of the psychiatrists reported SH, with 5.8% reporting it once, 4.4% reporting it twice, and 3.6% reporting it three times or more. Psychiatrists who had encountered SH exhibited lower QOL across social, psychological, physical, and environmental domains. Multiple logistic regression analysis revealed that young physicians and those with shorter work experience had a higher likelihood of experiencing SH.

          Conclusion

          The high prevalence of SH among Chinese psychiatrists is of concern. Given its detrimental effects on the well-being of physicians and the quality of medical care they provide, it is crucial to develop specialized employee training programs for this population to effectively manage workplace SH.

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          Most cited references45

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          Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group.

          (1998)
          The paper reports on the development of the WHOQOL-BREF, an abbreyiated version of the WHOQOL-100 quality of life assessment. The WHOQOL-BREF was derived from data collected using the WHOQOL-100. It produces scores for four domains related to quality of life: physical health, psychological, social relationships and environment. It also includes one facet on overall quality of life and general health. Domain scores produced by the WHOQOL-BREF correlate highly (0.89 or above) with WHOQOL-100 domain scores (calculated on a four domain structure). WHOQOL-BREF domain scores demonstrated good discriminant validity, content validity, internal consistency and test-retest reliability. These data suggest that the WHOQOL-BREF provides a valid and reliable alternative to the assessment of domain profiles using the WHOQOL-100. It is envisaged that the WHOQOL-BREF will be most useful in studies that require a brief assessment of quality of life, for example, in large epidemiological studies and clinical trials where quality of life is of interest. In addition, the WHOQOL-BREF may be of use to health professionals in the assessment and evaluation of treatment efficacy.
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            • Article: not found

            Harassment and discrimination in medical training: a systematic review and meta-analysis.

            Harassment and discrimination include a wide range of behaviors that medical trainees perceive as being humiliating, hostile, or abusive. To understand the significance of such mistreatment and to explore potential preventive strategies, the authors conducted a systematic review and meta-analysis to examine the prevalence, risk factors, and sources of harassment and discrimination among medical trainees.
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              SEXUAL HARASSMENT, WORKPLACE AUTHORITY, AND THE PARADOX OF POWER.

              Power is at the core of feminist theories of sexual harassment, though it has rarely been measured directly in terms of workplace authority. While popular characterizations portray male supervisors harassing female subordinates, power-threat theories suggest that women in authority may be more frequent targets. This article analyzes longitudinal survey data and qualitative interviews from the Youth Development Study (YDS) to test this idea and to delineate why and how supervisory authority, gender non-conformity, and workplace sex ratios affect harassment. Relative to non-supervisors, female supervisors are more likely to report harassing behaviors and to define their experiences as sexual harassment. Sexual harassment can serve as an "equalizer" against women in power, motivated more by control and domination than by sexual desire. The interviews point to social isolation as a mechanism linking harassment to gender non-conformity and women's authority, particularly in male-dominated work settings.
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                Author and article information

                Journal
                Risk Manag Healthc Policy
                Risk Manag Healthc Policy
                rmhp
                Risk Management and Healthcare Policy
                Dove
                1179-1594
                14 May 2024
                2024
                : 17
                : 1253-1261
                Affiliations
                [1 ]Psychosomatic Medical Center, The Fourth People’s Hospital of Chengdu , Chengdu, Sichuan Province, 610036, People’s Republic of China
                [2 ]Psychosomatic Medical Center, The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China , Chengdu, Sichuan Province, 610036, People’s Republic of China
                [3 ]Department of Urology, Baoding No.1 Central Hospital , Baoding, Hebei Province, 071030, People’s Republic of China
                [4 ]Mental Health Center, West China Hospital of Sichuan University , Chengdu, Sichuan Province, 610044, People’s Republic of China
                [5 ]Department of Gastroenterology, Xiangyang No.1 People’s Hospital, Hubei University of Medicine , Xiangyang, Hubei Province, 441011, People’s Republic of China
                [6 ]Nursing Department, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliate Cancer Hospital of University of Electronic Science and Technology of China , Chengdu, Sichuan Province, 610041, People’s Republic of China
                Author notes
                Correspondence: Yu Xiao, The Fourth People’s Hospital of Chengdu, No. 8, Huli West Lane 1, Yingmenkou Road, Chengdu, Sichuan Province, 610036, People’s Republic of China, Tel +86-028-85641749, Email xiaoy3@outlook.com
                Author information
                http://orcid.org/0000-0003-2216-9686
                Article
                463502
                10.2147/RMHP.S463502
                11102279
                38765780
                4f442d1c-8e02-4ebb-89bf-1879ef4ddbb1
                © 2024 Xiao et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 13 March 2024
                : 08 May 2024
                Page count
                Figures: 1, Tables: 2, References: 45, Pages: 9
                Categories
                Original Research

                Social policy & Welfare
                china,psychiatrists,quality of life,mental health professionals,sexual harassment,workplace safety

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