1National Medical Academy for Post-Graduate Education named after P. L. Shupyk, Kyiv
2State Institution "Kundiiev Institute of Occupational Health of the National Academy of Medical Sciences of Ukraine", Kyiv
Introduction. There is yet insufficient number of scientific studies concerning the role of occupational factors in formation of somatic and mental health in workers of the dental service, causing limiting opportunities for developing modern risk-oriented programs for prophylaxis in the health care system.
Purpose of the work – to study somatic and mental health of workers of the dental service and to determine a role of workrelated factors on their health.
Маterials and methods. Medical and sociological and medico-psychological researches were conducted among 1000 employees of the dental service. The general subjective state of health (GSSH) (using a developed questionnaire) was studied as well as the severity of somatic disorders in the last month (SSD) (by the scale "PHQ-15"); level of depression (by the scale "PHQ9"); occupational burnout (according to the Maslach – Jackson questionnaire, adapted for medical workers); stress resistance (according to Semichenko questionnaire); workers’ contacts with harmful factors of the production environment, severity and tension of the work process (according to the developed questionnaire). The obtained data was processed by parametric statistics methods, Spearman's correlation non-parametric analysis, discriminant analysis (Wilks-test). The significance of the data was estimated using Fisher's coefficient (F).
Results. The GSSH of workers are rated "good" and "satisfactory", decreasing with age (after 30 years), its level is minimal among dentists (especially among orthodontists, orthopedists and surgeons). The SSD level is the highest among nurses and dental practitioners (especially among physicians and orthodontists). The general state of mental health in workers is assessed as "good" and "satisfactory". Among the dentists and other medical staff there are signs of a burnout syndrome (a high reduction of professionalism among 45,4 % of employees, depersonalization – 25,4 %, emotional exhaustion – 10,2 %). The worsening of somatic and mental health was determined by age and occupational factors.
Conclusion. The data obtained in the study indicate the work-conditioned nature in worsening somatic and mental health of the dental staff, which requires the development of the targeted measures on preventing morbidity and promoting the workers’ health.
Key words: health care, dental service, workers, somatic health, mental health, work conditions
ORCID ID of co-authors and their contribution to the preparation and writing of the article:
Varyvonchyk D.V. (ORCID ID 0000-0003-2107-6269) - formation of the concept of research, the choice of tools and methods of research; conducting approbation of developed author questionnaires; Participate in statistical processing, analysis, interpretation of data, formation of conclusions; participation in the writing of the article;
Kopach K.D. (ORCID ID 0000-0002-6771-4556) - development of author's questionnaires for research, preparation and conduct of medical-sociological and medical-psychological research among dental staff; Participate in statistical processing, analysis, interpretation of data, formation of conclusions; participate in writing an article.