Global Prevalence of Workplace Violence Against Paramedics: A Systematic Review and Meta-analysis

Background: Violence is increasing in societies and workplaces around the world. This study aimed to review the literature on violence against paramedics in the prehospital setting and estimate the related exposure rates and types. Materials and Methods: The study was conducted based on the guideli...

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Main Authors: Mehdi Varmaghani, Tara Sahebi, Morteza Mojtabaeian, Fatemeh Kokabisaghi, Hamidreza Shabanikiya
Format: Article
Language:English
Published: Negah Institute for Scientific Communication 2021-07-01
Series:Health in Emergencies & Disasters Quarterly
Subjects:
Online Access:https://hdq.uswr.ac.ir/article-1-317-en.html
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author Mehdi Varmaghani
Tara Sahebi
Morteza Mojtabaeian
Fatemeh Kokabisaghi
Hamidreza Shabanikiya
author_facet Mehdi Varmaghani
Tara Sahebi
Morteza Mojtabaeian
Fatemeh Kokabisaghi
Hamidreza Shabanikiya
author_sort Mehdi Varmaghani
collection DOAJ
description Background: Violence is increasing in societies and workplaces around the world. This study aimed to review the literature on violence against paramedics in the prehospital setting and estimate the related exposure rates and types. Materials and Methods: The study was conducted based on the guidelines of systematic reviews and meta-analyses. The literature on the prevalence of workplace violence against paramedics published from January 1990 to September 2019 was searched in PubMed, Web of Science, Scopus, ProQuest, and Embase databases. The prevalence of violence was measured by using the random-effects model in Stata software. Sub-group analysis and meta-regression models were applied to explain the sources of heterogeneities. Results: The prevalence of overall violence, physical violence, verbal violence, and sexual harassment among study subjects were calculated to be 0.66 (95% CI CI: 0.20-1.11), 0.25 (CI: 0.16- 0.34), 0.58 (CI: 0.29-0.86) and 0.16 (CI: 0.09-0.22), respectively. There was no significant difference between male and female paramedics in terms of violence types. However, the prevalence of sexual harassment among women was higher than men (24% vs. 6%). The highest rate of physical violence and sexual harassment belonged to Europe and North America, while they had the lowest verbal violence. Asia and Australia had the lowest rate of physical violence and sexual harassment. Conclusion: Prehospital emergency service providers face a higher risk of potential exposure to violence in health care settings. This issue necessitates the special attention of prehospital care administrators to reduce the risk and related consequences of workplace violence by taking effective measures.
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spelling doaj.art-6950bd6663e44df0918a3e0e322979792022-12-21T23:28:23ZengNegah Institute for Scientific CommunicationHealth in Emergencies & Disasters Quarterly2345-42102021-07-016420521610.32598/hdq.6.4.259.3Global Prevalence of Workplace Violence Against Paramedics: A Systematic Review and Meta-analysisMehdi Varmaghani 0Tara Sahebi1Morteza Mojtabaeian2Fatemeh Kokabisaghi3Hamidreza Shabanikiya4Department of Management Sciences and Health Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.Student Research Committee, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.Student Research Committee, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Management Sciences and Health Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Management Sciences and Health Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.Background: Violence is increasing in societies and workplaces around the world. This study aimed to review the literature on violence against paramedics in the prehospital setting and estimate the related exposure rates and types. Materials and Methods: The study was conducted based on the guidelines of systematic reviews and meta-analyses. The literature on the prevalence of workplace violence against paramedics published from January 1990 to September 2019 was searched in PubMed, Web of Science, Scopus, ProQuest, and Embase databases. The prevalence of violence was measured by using the random-effects model in Stata software. Sub-group analysis and meta-regression models were applied to explain the sources of heterogeneities. Results: The prevalence of overall violence, physical violence, verbal violence, and sexual harassment among study subjects were calculated to be 0.66 (95% CI CI: 0.20-1.11), 0.25 (CI: 0.16- 0.34), 0.58 (CI: 0.29-0.86) and 0.16 (CI: 0.09-0.22), respectively. There was no significant difference between male and female paramedics in terms of violence types. However, the prevalence of sexual harassment among women was higher than men (24% vs. 6%). The highest rate of physical violence and sexual harassment belonged to Europe and North America, while they had the lowest verbal violence. Asia and Australia had the lowest rate of physical violence and sexual harassment. Conclusion: Prehospital emergency service providers face a higher risk of potential exposure to violence in health care settings. This issue necessitates the special attention of prehospital care administrators to reduce the risk and related consequences of workplace violence by taking effective measures.https://hdq.uswr.ac.ir/article-1-317-en.htmlparamedicsworkplace violencemeta-analysisassaultive behavior
spellingShingle Mehdi Varmaghani
Tara Sahebi
Morteza Mojtabaeian
Fatemeh Kokabisaghi
Hamidreza Shabanikiya
Global Prevalence of Workplace Violence Against Paramedics: A Systematic Review and Meta-analysis
Health in Emergencies & Disasters Quarterly
paramedics
workplace violence
meta-analysis
assaultive behavior
title Global Prevalence of Workplace Violence Against Paramedics: A Systematic Review and Meta-analysis
title_full Global Prevalence of Workplace Violence Against Paramedics: A Systematic Review and Meta-analysis
title_fullStr Global Prevalence of Workplace Violence Against Paramedics: A Systematic Review and Meta-analysis
title_full_unstemmed Global Prevalence of Workplace Violence Against Paramedics: A Systematic Review and Meta-analysis
title_short Global Prevalence of Workplace Violence Against Paramedics: A Systematic Review and Meta-analysis
title_sort global prevalence of workplace violence against paramedics a systematic review and meta analysis
topic paramedics
workplace violence
meta-analysis
assaultive behavior
url https://hdq.uswr.ac.ir/article-1-317-en.html
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