BMC health services research · 2025
Quality of life among healthcare workers in Gaza during the October 7 war: a cross-sectional analysis.
СтатьяНазвание и аннотация: Перевод в очереди
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Aldabbour Belal, Alnabih Asem, Alsarafandi Muath, Sammour Abd Al-Karim, Sweid Osama, Alrawabdeh Kareem, Barakat Yousef, Dardas Latefa Ali
Аннотация
BACKGROUND: Healthcare workers (HCWs) in Gaza face extreme personal and professional strain amid the ongoing war since October 2023. Prolonged violence, healthcare collapse, and widespread displacement have likely worsened their quality of life (QoL). This study assesses QoL and its associated factors among HCWs in Gaza's leading governmental hospitals.
METHODS: This cross-sectional study, conducted in November-December 2024, surveyed HCWs across seven hospitals using convenience sampling. Eligible participants were physicians, nurses, pharmacists, and laboratory technicians. Data collection included sociodemographic information, war-related exposures, and the Arabic version of the WHOQOL-BREF instrument. Bivariate analyses (independent t-tests and ANOVA) were performed to examine subgroup differences in QoL scores. Variables significant at p < 0.05 were included in multiple linear regression models to identify independent predictors of overall and domain-specific QoL scores.
RESULTS: A total of 403 HCWs participated (56.6% male, mean age 31.16 years ± 7.6). Nurses (44.9%) and physicians (36.2%) were the primary respondents. Most held bachelor's degrees (74.2%) and had ≤ 5 years of experience (62.5%). War-related trauma was widespread: 57.6% lost a friend, 56.3% a coworker, and 46.9% reported loss of family livelihood. The mean overall QoL was 46.9 (SD 23.07). The environmental domain scored the lowest (24.08), while the social domain scored the highest (46.38). Multivariate analysis revealed that loss of family livelihood was consistently associated with lower QoL across psychological, social, and environmental domains. Female sex, residence in the southern enclave during the Strip's partition by the Israeli army at the time of the study, and the death of a second-degree or distant relative were also associated with lower environmental QoL. The death of a friend was unexpectedly associated with higher psychological QoL. No significant predictors emerged for physical QoL.
CONCLUSIONS: This study highlights the severe decline in the QoL of HCWs in Gaza during the war, particularly in the environmental and psychological domains. The findings underscore the urgent need for comprehensive support strategies to protect HCWs' well-being as a cornerstone of healthcare system resilience in conflict zones.
METHODS: This cross-sectional study, conducted in November-December 2024, surveyed HCWs across seven hospitals using convenience sampling. Eligible participants were physicians, nurses, pharmacists, and laboratory technicians. Data collection included sociodemographic information, war-related exposures, and the Arabic version of the WHOQOL-BREF instrument. Bivariate analyses (independent t-tests and ANOVA) were performed to examine subgroup differences in QoL scores. Variables significant at p < 0.05 were included in multiple linear regression models to identify independent predictors of overall and domain-specific QoL scores.
RESULTS: A total of 403 HCWs participated (56.6% male, mean age 31.16 years ± 7.6). Nurses (44.9%) and physicians (36.2%) were the primary respondents. Most held bachelor's degrees (74.2%) and had ≤ 5 years of experience (62.5%). War-related trauma was widespread: 57.6% lost a friend, 56.3% a coworker, and 46.9% reported loss of family livelihood. The mean overall QoL was 46.9 (SD 23.07). The environmental domain scored the lowest (24.08), while the social domain scored the highest (46.38). Multivariate analysis revealed that loss of family livelihood was consistently associated with lower QoL across psychological, social, and environmental domains. Female sex, residence in the southern enclave during the Strip's partition by the Israeli army at the time of the study, and the death of a second-degree or distant relative were also associated with lower environmental QoL. The death of a friend was unexpectedly associated with higher psychological QoL. No significant predictors emerged for physical QoL.
CONCLUSIONS: This study highlights the severe decline in the QoL of HCWs in Gaza during the war, particularly in the environmental and psychological domains. The findings underscore the urgent need for comprehensive support strategies to protect HCWs' well-being as a cornerstone of healthcare system resilience in conflict zones.