Workers In Italy Research Articles

Psychological Impact of the Very Early Beginning of the COVID-19 Outbreak in Healthcare Workers: A Bayesian Study on the Italian and Swiss Perspectives.

BackgroundWe investigated the COVID19-related psychological impact on healthcare workers in Italy and in Italian-speaking regions of Switzerland, three weeks after its outbreak. All professional groups of public hospitals in Italy and Switzerland were asked to complete a 38 questions online survey investigating demographic, marital and working status, presence of stress symptoms and need for psychological support.ResultsWithin 38 h a total of 3,038 responses were collected. The subgroup analysis identified specific categories at risk according to age, type of work and region of origin. Critical care workers, in particular females, reported an increased number of working hours, decline in confidence in the future, presence of stress symptoms and need for psychological support. Respondents reporting stress symptoms and those with children declared a higher need for psychological support.ConclusionsThe large number of participants in such a short time indicates for a high interest on topic among health-care workers. The COVID19 outbreak has been experienced as a repeated trauma for many health-care professionals, especially among female nurses' categories. Early evidence of the need of implementating short and long-term measures to mitigate impact of the emotional burden of COVID-19 pandemic are still relevant.

One Year Facing COVID. Systematic Evaluation of Risk Factors Associated With Mental Distress Among Hospital Workers in Italy

IntroductionItaly was the first Western country affected by the COVID-19 pandemic that still constitutes a severe challenge for healthcare workers (HCWs), with a deep impact on their mental health. Several studies confirmed that a considerable proportion of HCW developed adverse psychological impairment (PsI). To focus on preventive and rehabilitation measures, it is fundamental to identify individual and occupational risk factors. We systematically assessed possible PsI among all employees in a large university hospital in Italy, using validated psychometric scales in the context of occupational health surveillance.MethodsIn the period of July 2020 to July 2021, we enrolled 990 HCWs. For each subject, the psychological wellbeing was screened in two steps. The first-level questionnaire collected gender, age, occupational role, personal and occupational COVID-19 exposure, general psychological discomfort (GHQ-12), post-traumatic stress symptoms (IES-R), and anxiety (GAD-7). Workers showing PsI (i.e., test scores above the cutoff in at least one among GHQ-12, IES-R, and GAD-7) have been further investigated by the second-level questionnaire (psycho-diagnostic) composed by PHQ-9, DES-II, and SCL-90 scales. If the second-level showed clinically relevant symptoms, then we offered individual specialist treatment (third level).ResultsThree hundred sixteen workers (32%) presented signs of PsI at the first-level screening questionnaire. Women, nurses, and subjects engaged in the COVID-19 area and with an infected family member showed significantly higher PsI risk. PsI prevalence was strongly associated with the pandemic trend in the region but sensibly decreased after January 2021, when almost all workers received the vaccination. A proportion of subjects with PsI presented clinically relevant symptoms (second-level screening) on PHQ-9 (35%), DES (20%), and SCL-90 (28%). These symptoms were associated neither to direct working experience with patients with COVID-19 nor to COVID-19 experience in the family and seemed not to be influenced by the pandemic waves or workers vaccination.ConclusionsThe evaluation of psychological wellbeing of all hospital workers, directly or indirectly exposed to pandemic consequences, constitutes a unique condition to detect individual, occupational, and non-occupational risk factors for PsI in situations of high stress and/or disasters, as well as variables associated with symptom chronicization.

The higher educated, the lower paid: the fixed-term wage penalty within highly educated workers in Italy

ABSTRACT This paper explores the temporary-permanent wage gap experienced by Italian graduate workers. To evaluate the wage gap along the entire wage distribution and account for heterogeneous effects of temporary employment, we apply the Recentered Influence Function (RIF) regression approach. The results suggest that the monthly net wage earned by Italian highly educated workers having a temporary contract is lower than that of their ‘permanent’ counterparts even after controlling for a plethora of individual and job characteristics. More than 50% of the wage gap is due to unobserved characteristics. The field of study, more than the location of the University, explains this discrimination effect due to contractual arrangement. Although the latter is verified along the entire distribution, major effects arise among high-paid and low-paid jobs depicting a U-shape pattern. Results are robust to self-selection, endogeneity, and gender controls.

Improving vaccination coverage among healthcare workers in Italy.

Improving vaccination coverage among healthcare workers in Italy.

Health and Economic Impact of Atrial Fibrillation of Workers in Italy: Social Security Benefits.

Background: The aim of this research was to analyze trends in social security applications in Italy as a result of the onset of atrial fibrillation, analyzing data pertaining to the classification of professions and assessing the economic impact on the social security system. Methods: We analyzed all applications for invalidity allowances and invalidity pensions throughout Italy over a 10-year period from 01.01.2009 to 31.12.2019, giving specific attention to all reports indicating atrial fibrillation as the principal diagnosis (Cod. ICD-9-CM 427.31). We then extracted the relative expenditure data for said benefits. The results of all analyses have been collated in tables. Results: Over the period in question, a total of 3468 applications for assistance were filed throughout Italy indicating a diagnosis of atrial fibrillation, of which 58% were rejected, 41% qualified for an invalidity allowance, and only 1.1% qualified for a pension. On average, every year, 1100 workers received social security benefits as a result of a diagnosis of atrial fibrillation, which equates to an average annual expenditure of EUR 10 million. A comparison of the data from the first observation year (2009) with data from the last (2019) shows a rising trend in the number of beneficiaries and consequently in expenses. Conclusions: The social security assistance provided by the Italian government by means of the National Institute of Social Security is fundamental to social cohesion and to those who are either permanently disabled from working or those with a significantly diminished earning capacity. This assistance is associated with a significant financial cost, which requires careful monitoring.

Mobilizing precarious workers in Italy: two pathways of collective action intentions

ABSTRACT Following increased flexibilization of labour market and related decline of traditional labour unionism over the last few decades, studying mobilization processes of precarious workers has become particularly timely. While localized forms of organization and unionization are gradually emerging, little is known about why workers intend to join these coordinated forms of collective action. Integrating social movement studies with social psychological literature on collective action, this study fills this gap by exploring collective action intentions in the current context of non-standard labour. To do so, we surveyed precarious workers enrolled by temporary hiring agencies in Italy (N = 379) and found two parallel psychological pathways explaining their collective action intentions. On the one hand, participants exhibited high collective action intentions when they were able to collectively identify with other precarious workers as part of the same social group. Collective identification with precarious workers increased group-based injustice that in turn predicted collective action intentions. On the other hand, participants also exhibited high collective action intentions when they were able to politically identify with unionized workers. Politicized identification with unionized workers increased collective efficacy that in turn predicted collective action intentions. By singling out the complementary role played by these two parallel pathways of collective action intentions among precarious workers, this study shed light on the socio-psychological determinants underlying the mobilization propensity of individuals still lacking any organizational affiliation, a topic that has been relatively ignored in scholarly literature. In doing so, we combine social movement studies and social psychological literature in innovative ways.

One year facing Covid. Systematic evaluation of factors associated with mental distress among hospital workers in Italy

One year facing Covid. Systematic evaluation of factors associated with mental distress among hospital workers in Italy

A retrospective study on the impact of the first wave of the COVID-19 pandemic on the Health Care Workers in Italy

A retrospective study on the impact of the first wave of the COVID-19 pandemic on the Health Care Workers in Italy

Association between Extreme Temperature Exposure and Occupational Injuries Among Construction Workers in Italy. An Analysis of Risk Factors

Association between Extreme Temperature Exposure and Occupational Injuries Among Construction Workers in Italy. An Analysis of Risk Factors

Decomposing the employment effects of investment subsidies

Most governments tackle the economic issues of underdeveloped areas by offering subsidies aimed at fostering economic activities and local employment. Localized policies put constraints on where businesses may locate to receive subsidies, but they generally place few restrictions on whom subsidized businesses must hire. Using administrative data on firms and workers in Italy, we adopt a multi-cutoff regression discontinuity design to empirically assess and decompose the employment effect of substantial incentives for the replacement or establishment of new capital. Our empirical strategy allows identifying the geographical origin and labor market status of new hires. The results show how the majority of recruits come from new entrants to the labor market, in particular, young people and students, while displacement effects are limited. It appears that subsidized companies tend to keep their most valuable staff and hire more qualified young people. Overall, we find only a modest spatial dispersion of the effects or a possible crowding-out of the local labor market.

Determinants of workers' well-being during the COVID-19 outbreak: An exploratory study.

Inspired by the Conservation of Resource theory (Hobfoll, 1989), this study investigated the role of a broad set of personal vulnerabilities, social, and work-related stressors and resources as predictors of workers’ well-being during the COVID-19 outbreak. Participants were 594 workers in Italy. Results showed that personality predispostions, such as positivity, neuroticism and conscientiousness as well as key aspects of the individuals’ relationship with their work (such as job insecurity, type of employment contract or trust in the organization) emerged as factors promoting (or hampering) workers’ adjustment during the COVID -19 outbreak. Interactions between stressors and resources were also found and discussed.Supplementary InformationThe online version contains supplementary material available at 10.1007/s12144-021-02408-w.

Response to BNT162b2 mRNA COVID-19 vaccine among healthcare workers in Italy: a 3-month follow-up

This study investigated the response to BNT162b2 mRNA COVID-19 vaccine among healthcare workers (HCWs) in an Italian teaching hospital. 444 participants were surveyed with either multiple RT-PCR assays for detection of SARS-CoV-2 nucleic acid in nasopharyngeal swabs or serology testing for the research of virus-specific immunoglobulins. Adverse events following immunization (AEFI) were reported. Two weeks after the first dose anti-SARS-CoV-2 antibodies exceeded reactivity cut-off in 82.5% the participants. Four HCWs tested positive at nasopharyngeal swab after 3 months. More than three-quarters reported AEFIs. Our findings offer an insight regarding the vaccine response after 3 months from its administration, with a special focus on effectiveness data, as well as the type and number of AEFIs complained by HCW recipients. The presented study may serve as reference for future research which will be necessary to explore the long-term safety of this vaccine, especially in population at high risk for infection, such as HCWs.

COVID-19 and dental workers: The Italian Society of Periodontology and Implantology (SIdP) survey.

ObjectivesTo evaluate the proportion of COVID‐19 infections among a population of Italian Dental workers across different geographical area of Italy and to analyze the impact of both the preventive measures/strategies adopted and the psychological influences.Subjects and MethodsThe current cross‐sectional survey was administered with a web‐based form. To be eligible for the study, participants had to be 18 years and being dentists or dental hygienists members of the Italian Society of Periodontology and Implantology (SIdP). A 23‐item questionnaire concerning positiveness to COVID‐19, clinical strategies and psychological attitude within the pandemic was administered. Sub‐group analysis was conducted according to geographical macro‐area.ResultsA total of 790 dentists and dental hygienists were included. A total of 4.7% participants developed a positive diagnosis to COVID‐19. The Northwest of Italy experienced almost double of COVID‐19‐positive participants (p < 0.05). Preoperatory mouthwashes together with natural air change/ventilation were the most frequent approaches used to prevent COVID‐19 outbreak. Positive and proactive attitudes were predominant among participants. Only a reduced proportion feels some concerns for the future.ConclusionsPrevalence of positive COVID‐19 among dental workers in Italy was double in Northwest area in comparison with the whole country proportion. Preventive strategies comprise mainly ultrasound reduction and preoperative mouthwashes.

Risk of latent tuberculosis infection among healthcare workers in Italy: a retrospective study with Quantiferon Test.

SummaryObjectiveThe latent tuberculosis infection (LTBI) is a state of persistent immune response to stimulation by Mycobacterium Tuberculosis antigens without clinical manifestation: the healthcare workers (HCWs) have a higher exposure risk so prevention is an important challenge for occupational medicine. The aim of our study is to evaluate the prevalence of LTBI among HCWs of the Foundation Policlinic “Tor Vergata”.MethodsThis is a retrospective study conducted by analyzing the clinical records of 825 HCWs of the PTV, from January 1st to December 31th 2016. To evaluate the TB infection we used the Quantiferon TB Gold interferon-gamma release assay.ResultsOur study underlines the low prevalence of LTBI in the Italian healthcare workers.ConclusionAlthough the LTBI status is not contagious, the diagnosis and the safety strategies require specific clinical and preventive considerations.

Knowledge, attitudes and behaviors on antibiotic use and resistance among healthcare workers in Italy, 2019: investigation by a clustering method

BackgroundIdentifying healthcare workers (HCW) who have less awareness and knowledge on antibiotic use and resistance represents a challenge for public health, since it might help the development of novel educational and training initiatives tailored on specific subgroups of professionals. This work aims to compare knowledge, attitudes and behaviors on antibiotic use and resistance across different groups of Italian HCW.MethodsWe used data from the multi-country and multi-professional survey launched by the European Centre for Disease Prevention and Control between 28 January to 4 March 2019 to assess knowledge, attitude and behaviors of HCW on antibiotics, antibiotic use and resistance. We distinguished three clusters of HCW using the Two-Step Cluster analysis, based on their personal and professional characteristics (i.e. profession, role, activity as prescriber, setting, and activity as antibiotic use advisor).ResultsIn general, cluster 1 consisted mostly of allied healthcare workers, while clusters 2 and 3 were made up almost completely of pharmacists and medical doctors, respectively. Interestingly, healthcare workers in cluster 3 had the highest knowledge on antibiotic use and resistance. Workers in cluster 1, instead, were those reporting the highest awareness of the importance and role of hand hygiene as an infection prevention and control measure. However, HCW in cluster 2 were those who recognized more their role of advisors on prudent antibiotic use.ConclusionsItalian HCW exhibited different knowledge, attitudes, and behaviors on antibiotic use and resistance. These findings raised the need for educational and training interventions targeting specific professional groups.

Upward Transition of Indian Entrepreneurs: from Simple Working to Ethnic Entrepreneurship. A Case Study in an Italian Region

Abstract This paper explores the role of entrepreneurial orientation in addressing upward mechanisms of Indian immigrant workers in rural areas. To achieve this purpose, an empirical analysis was carried out to investigate how entrepreneurial orientation may affect mechanisms of professional transition. Precisely, we managed direct interviews among Indian workers (through the support of cultural mediators), local actors (like public and private advisors) and Italian entrepreneurs. Our funding suggests the presence of three Indian workers in Italy (simple workers, intrapreneurs, entrepreneurs), characterised by different entrepreneurial profile acting as engine or barrier to what we have labelled as “upward transition”. Immigrant entrepreneurs play a relevant role in Italy and in our point of view, it is of paramount importance to allow them to access to rural development policies, knowledge, training and education upgrading.

Compulsory Vaccination for Healthcare Workers in Italy for the Prevention of SARS-CoV-2 Infection.

The European Convention on Human Rights (ECHR) judgement no. 116(2021) of 8 April 2021 establishes the principle of mandatory vaccination, indicating the criteria that national legislation must comply with, following the principle of non-interference in the private life of the individual. Vaccination for the prevention of SARS-CoV-2 infection appears to be an essential requirement for providing healthcare assistance. The European experience with compulsory vaccinations, offers a composite panorama, as the strategy of some European countries is to make vaccinations compulsory, including financial penalties for non-compliance. As in other countries, there is a clear need for Italy to impose compulsory vaccination for healthcare workers, in response to a pressing social need to protect individual and public health, and above all as a defense for vulnerable subjects or patients, for whom health workers have a specific position of guarantee and trust. The Italian Republic provided for mandatory vaccinations for health professionals by Decree-Law of 1 April 2021 no. 44, to guarantee public health and adequate safety conditions. As stated by ECHR, the Italian State, despite having initially opted for recommendation as regards to SARS-CoV-2 vaccination, had to adopt the mandatory system to achieve the highest possible degree of vaccination coverage among health professionals to guarantee the safety of treatments and protection of patients’ health. We present the Italian situation on vaccine hesitation in healthcare workers, with updated epidemiological data as well as the doctrinaire, social, and political debate that is raging in Italy and Europe.

Social work and social workers in Italy

The article tackles the characteristics of social work in Italy, focusing on some specific features of this professional domain within the broader frame of the Italian welfare system. Indeed, given the historical roots of Italian welfare regime and the model of governance of policies, social assistance benefits and services are the less developed component of welfare provisions. This is one of the reasons for the late full acknowledgement and regulation of the social worker at the national level. In the first part of the article, we present the development of social work in Italy, with particular attention to the creation of academic courses and the formal regulation as a profession. Then we present the current situation of social work and social workers in Italy, taking into consideration the weakness of social assistance and the effects of the financial crisis. In fact, the crises had an impact on the dimensions and composition of vulnerable population, which is more and more large and fragmented, putting a growing pressure on social workers. At the same time, because fiscal austerity, resources for welfare benefits have been reduced in these years, changing the organizational settings and worsening the working conditions of social workers.

Initial impact of SARS-Cov-2 vaccination on healthcare workers in Italy– Update on the 28th of March 2021

In Italy, the COVID-19 vaccination campaign started in December 2020 with the vaccination of healthcare workers (HCW). To analyse the real-life impact that vaccination is having on this population group, we measured the association between week of diagnosis and HCW status using log-binomial regression. By the week 22–28 March, we observed a 74% reduction (PPR 0.26; 95% CI 0.22–0.29) in the proportion of cases reported as HCW and 81% reduction in the proportion of symptomatic cases reported as HCW, compared with the week with the lowest proportion of cases among HCWs prior to the vaccination campaign (31 August-7 September). The reduction, both in relative and absolute terms, of COVID-19 cases in HCWs that started around 30 days after the start of the vaccination campaign suggest that COVID-19 vaccines are being effective in preventing infection in this group.

Which social security regime for platform workers in Italy?

AbstractThis article highlights the debate on social security regimes applicable to platform workers in Italy. As social security regimes differ according to the type of employment or self‐employment relationship, Italian case law dealing with platform workers’ employment status will be illustrated. Italian legislation, case law and collective bargaining on health and safety at work will then be presented, clarifying the coverage to which platform workers are entitled in the event of accidents at work and occupational diseases, with a focus on the COVID‐19 pandemic impact. In turn, the two main Italian minimum income schemes and the related scholarly debate will be outlined, as well as their impact on the ability of digital labour platforms to avoid their responsibilities as regards workers’ rights, including access to adequate social protection.