Volume 22, Issue 1 (2025)                   ioh 2025, 22(1): 257-272 | Back to browse issues page

Research code: 4011324
Ethics code: IR.MUMS.FHMPM.REC.1401.155

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Salari M, Sheykhi M, Shabanikiya H. INVESTIGATING OCCUPATIONAL VIOLENCE AGAINST COVID-19 VACCINATORS AND RELATED FACTORS. ioh 2025; 22 (1) : 15
URL: http://ioh.iums.ac.ir/article-1-3685-en.html
Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. , shabanikiahr@mums.ac.ir
Abstract:   (399 Views)
Introduction: Given the prevalence of workplace violence during the COVID-19 pandemic, this study aimed to investigate workplace violence against COVID-19 vaccinators and its related factors.
Methods: This study was cross-sectional, descriptive-analytical, and applied. The study sample included 333 COVID-19 vaccinators in Iran who were selected using stratified sampling. The data collection tool was a checklist consisting of six sections (demographic characteristics, physical, verbal, cultural, sexual violence, and the cause of violence). Descriptive and inferential statistical methods, including the Mann-Whitney test, Fisher's variance ratio test, and Pearson correlation, were used for data analysis.
Results: According to the findings of the study, 80% of vaccinators experienced violence at least once. The frequency of types of violence included verbal (77.5%), cultural (24%), physical (20%), and sexual (5%) in that order. The main group perpetrating violence in all four types of violence were family members of vaccine recipients. A significant relationship was observed between gender and work experience with physical violence, such that female vaccinators with higher work experience were more likely to be exposed to violence. From the perspective of the vaccinators, doubt about vaccine safety was the main cause of violence against them.
Conclusion: Exposure of COVID vaccinators to violence in the workplace was very high. Based on the results obtained, it seems that measures such as developing gender-oriented security guidelines with a focus on female vaccinators, restricting family access to vaccinators, employing younger staff in public vaccination programs, and providing correct information to the public about vaccines can lead to a reduction in violence.
 

Article number: 15
Full-Text [PDF 690 kb]   (220 Downloads)    
Type of Study: Research | Subject: Workplace Health
Received: 2024/10/20 | Accepted: 2025/08/17 | Published: 2025/03/30

References
1. Alnofaiey Y, Alnfeeiye F, Alotaibi O, Aloufi A, Althobaiti S, Aljuaid A. Workplace violence toward emergency medicine physicians in the hospitals of Taif city, Saudi Arabia: a cross-sectional survey. BMC Emergency Medicine. 2022;22(1):59. [DOI:10.1186/s12873-022-00620-w] [PMID] []
2. Clari M, Conti A, Scacchi A, Scattaglia M, Dimonte V, Gianino M. Prevalence of workplace sexual violence against healthcare workers providing home care: a systematic review and meta-analysis. Int J Environ Res Public Health. 2020;17(23):8807. [DOI:10.3390/ijerph17238807] [PMID] []
3. Stahl-Gugger A, Hämmig O. Prevalence and health correlates of workplace violence and discrimination against hospital employees - a cross‑sectional study in German‑speaking Switzerland. BMC Health Services Research. 2022;22:291. [DOI:10.1186/s12913-022-07602-5] [PMID] []
4. Bitencourt M, Silva L, Alarcão A, Dutra A, Bitencourt M, Garcia G, et al. The Impact of Violence on the Anxiety Levels of Healthcare Personnel During the COVID-19 Pandemic. Front Psychiatry. 2021;12:761555. [DOI:10.3389/fpsyt.2021.761555] [PMID] []
5. Nikbakht F, Heidarian Miri H, Kokabisaghi F, Akbari Khalaj T, Shabanikiya H. An Exploration of Occupational Violence among Emergency Medical Staff of a Major Medical University; 2020. Iran Occupational Health. 2023;19(1):427-39 [DOI:10.52547/ioh.19.1.427]
6. Shabanikiya H, Kokabisaghi F, Mojtabaeian M, Sahebi T, Varmaghani M. Global Prevalence of Workplace Violence Against Paramedics: A Systematic Review and Meta-analysis. Health in Emergencies and Disasters Quarterly. 2021;6(4):205-16. [DOI:10.32598/hdq.6.4.259.3]
7. Spelten E, Thomas B, O'Meara P, van Vuuren J, McGillion A. Violence against Emergency Department nurses; Can we identify the perpetrators? PLoS one. 2020;15(4):e0230793. [DOI:10.1371/journal.pone.0230793] [PMID] []
8. Zhang S, Zhao Z, Zhang H, Zhu Y, Xi Z, Xiang K. Workplace violence against healthcare workers during the COVID‑19 pandemic: a systematic review and meta‑analysis. Environmental Science and Pollution Research. 2023;30:74838-52. [DOI:10.1007/s11356-023-27317-2] [PMID] []
9. Sahebi A, Golitaleb M, Moayedi S, Torres M, Sheikhbardsiri H. Prevalence of workplace violence against health care workers in hospital and pre-hospital settings: An umbrella review of meta-analyses. Frontiers in Public Health. 2022;10:895818. [DOI:10.3389/fpubh.2022.895818] [PMID] []
10. Zafar M. Impact of the COVID-19 on the Health System and Healthcare Workers: A Systematic Review. Health Scope. 2022;11(3):e123211. [DOI:10.5812/jhealthscope-123211]
11. Saragih I, Tarihoran D, Rasool A, Septriani I, Huey-Ming Tzeng H-M, Lin C-J. Global prevalence of stigmatization and violence against healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Journal of Nursing Scholarship. 2022;54(6):762-71. [DOI:10.1111/jnu.12794] [PMID] []
12. Elfish P, Willis D, Shah S, Bryant-Moore K, Rojo M, Selig J. Sociodemographic Determinants of COVID-19 Vaccine Hesitancy, Fear of Infection, and Protection Self-Efficacy. Journal of Primary Care & Community Health. 2021;12:1-6. [DOI:10.1177/21501327211040746] [PMID] []
13. Kalichman S, Eaton L, Earnshaw V, Brousseau N. Faster than warp speed: early attention to COVD-19 by anti-vaccine groups on Facebook. J Public Health (Oxf). 2022;44(1):e96-e105. [DOI:10.1093/pubmed/fdab093] [PMID] []
14. Babicki M, Malchrzak W, Mastalerz-Migas A. Assessment of Attitudes, Main Concerns and Sources of Knowledge Regarding COVID-19 Vaccination in Poland in the Unvaccinated Individuals- A Nationwide Survey. Vaccines. 2022;10(3):381. [DOI:10.3390/vaccines10030381] [PMID] []
15. Dubé E, Ward J, Verger P, MacDonald N. Vaccine Hesitancy, Acceptance, and Anti-Vaccination: Trends and Future Prospects for Public Health. Annu Rev Public Health. 2021;42:175-91. [DOI:10.1146/annurev-publhealth-090419-102240] [PMID]
16. Guarino K, Voorman A, Gasteen M, Stewart D, Wenger J. Violence, insecurity, and the risk of polio: A systematic analysis. PLoS One. 2017;12(10):e0185577. [DOI:10.1371/journal.pone.0185577] [PMID] []
17. Yap N, Buttery J, Crawford N, Omer S, Heininger U. The Impact of Australian Childhood Vaccination Mandates on Immunization Specialists and Their Interactions With Families. The Pediatric Infectious Disease Journal 2022;41(5):e188-e93. [DOI:10.1097/INF.0000000000003490] [PMID]
18. Dopelt K, Davidovitch N, Stupak A, Ben Ayun R, Lev Eltsufin A, Levy C. Workplace Violence against Hospital Workers during the COVID-19 Pandemic in Israel: Implications for Public Health. Int J Environ Res Public Health. 2022;19(8):4659. [DOI:10.3390/ijerph19084659] [PMID] []
19. Ghareeb N, El-Shafei D, Eladl A. Workplace violence among healthcare workers during COVID-19 pandemic in a Jordanian governmental hospital: the tip of the iceberg. Environmental Science and Pollution Research. 2021;28(43):61441-9. [DOI:10.1007/s11356-021-15112-w] [PMID] []
20. Wical W, Harfouche M, Lovelady N, Aguilar N, Ross D, Richardson J. Exploring emergent barriers to hospital-based violence intervention programming during the COVID-19 pandemic. Preventive Medicine 2022;165:107232. [DOI:10.1016/j.ypmed.2022.107232] [PMID] []
21. Brunelli L, Scarpis E, Presti T, Fiorillo F, Campanella F, Zuliani P, et al. Health professionals who have worked in COVID-19 immunization centers suffer the effects of violence. Front Public Health. 2023;11:1264301. [DOI:10.3389/fpubh.2023.1264301] [PMID] []
22. Tiesman H, Hendricks S, Wiegand D, Lopes-Cardozo B, Rao C, Horter L, et al. Workplace Violence and the Mental Health of Public Health Workers During COVID-19. American Journal of Preventive Medicine. 2023;64(3):315-25. [DOI:10.1016/j.amepre.2022.10.004] [PMID] []
23. Mello M, Greene J, Sharfstein J. Attacks on Public Health Officials During COVID-19. JAMA. 2020;324(8):741-42. [DOI:10.1001/jama.2020.14423] [PMID]
24. Moshtaq Z, Saeedi M, Abed Saeedi Z, Alavi M, Najafi Z. Violence toward Nurses at Emergency Rooms (ERs) of Hospitals of Medical Universities in Tehran. Advances in Nursing and Midwifery. 2012;22(77):32-8.
25. WORKPLACE VIOLENCE IN THE HEALTH SECTOR COUNTRY CASE STUDIES RESEARCH INSTRUMENTS. 2003.
26. Ebadi A, Zarshenas L, Rakhshan M, Zareian A, Sharifnia H, Mojadi M. Fundamentals of Instrumentation in Health Sciences: Jamea-Negar; 2017.
27. Gressia R, Usman S, Kamil H, Syarif H, Susanti S. "Why do nurses do not report": A qualitative study of underreported workplace violence (WPV) in emergency department (ED). Enfermeria Clinica. 2022;32:S1-S5. [DOI:10.1016/j.enfcli.2022.03.007]
28. Tay G, Razak A, Foong K, Ng Q, Arulanandam S. Self-reported incidence of verbal and physical violence against emergency medical services (EMS) personnel in Singapore. Australas Emerg Care. 2021;24(3):230-4. [DOI:10.1016/j.auec.2020.09.001] [PMID]
29. Taylor J, Murray R, Binzer M, Borse C, Davis A, Gallogly V, et al. EMERG-ing data: Multi-city surveillance of workplace violence against EMS responders. J Saf Res. 2023;86:62-79. [DOI:10.1016/j.jsr.2023.06.008] [PMID] []
30. Timmins F, Catania G, Zanini M, Ottonello G, Napolitano F, Musio M, et al. Promoting holistic approaches to management of violence in the ED-a response to Ramacciati (2023). Journal of Clinical Nursing. 2023;32(19-20):6771-2. https://doi.org/10.1111/jocn.16597 https://doi.org/10.1111/jocn.16847 [DOI:10.1111/jocn.16211]
31. Hernández P, Buriel ME, Chugani V, Delgado M, González N. Attacks on personnel assigned to the Primary Care Management of Tenerife and the SARS-CoV2 pandemic. Medicina De Familia-Semergen. 2023;49(5).
32. Özdogru A, Akgül Ö. Lifetime Experiences of Violence Among Mental Health Professionals. Turk Psikoloji Dergisi. 2018;33(82):20-33.
33. Vicente M, Rodrigo M, Pardo F, Dordá P. Comparative study of the assaults to professionals in Primary Care against Specialized Care, in the Aragon Health Service during the year 2018. Revista Espanola De Salud Publica. 2020;94.
34. Becker G. Crime and Punishment: An Economic Approach. Journal of Political Economy. 1968;76(2):169-217. [DOI:10.1086/259394]
35. Ferri P, Silvestri M, Artoni C, Di Lorenzo R. Workplace violence in different settings and among various health professionals in an Italian general hospital: a cross-sectional study. Psychology Research and Behavior Management. 2016;9:263-75. [DOI:10.2147/PRBM.S114870] [PMID] []
36. Heddar Y, Djebabra M, Saadi S. An exploratory study on the prevalence of workplace violence: the case of Algerian hospitals. Employee Relations. 2022;44(5):1127-41. [DOI:10.1108/ER-09-2021-0409]
37. Li N, Wang Z, Dear K. Violence against health professionals and facilities in China: Evidence from criminal litigation records. Journal of Forensic and Legal Medicine. 2019;67:1-6. [DOI:10.1016/j.jflm.2019.07.006] [PMID]
38. Vezyridis P, Samoutis A, Mavrikiou P. Workplace violence against clinicians in Cypriot emergency departments: a national questionnaire survey. Journal of Clinical Nursing. 2015;24(9-10):1210-22. [DOI:10.1111/jocn.12660] [PMID]
39. Xie X, Zhao Y, An F, Zhang Q, Yu H, Yuan Z, et al. Workplace violence and its association with quality of life among mental health professionals in China during the COVID-19 pandemic. Journal of Psychiatric Research. 2021;135:289-93. [DOI:10.1016/j.jpsychires.2021.01.023] [PMID] []
40. Letvak S, Ruhm C, Gupta S. Differences in health, productivity and quality of care in younger and older nurses. Journal of Nursing Management. 2013;21(7):914-21. [DOI:10.1111/jonm.12181] [PMID]
41. Shaikh S, Ansari Baig L, Hashmi I, Khan M, Jamali S, Naseem Khan M, et al. The magnitude and determinants of violence against healthcare workers in Pakistan. BMJ Global Health. 2020;5:e002112. [DOI:10.1136/bmjgh-2019-002112] [PMID] []

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2026 CC BY-NC 4.0 | Iran Occupational Health

Designed & Developed by : Yektaweb