[Job perception and well-being among healthcare workers in Morocco]

Job satisfaction of primary healthcare professionals (public sector): A cross-sectional study in Morocco

Healthcare professionals (HCPs) are indispensable for improving the availability and quality of healthcare services. Therefore, the present cross-sectional study aimed to measure the job satisfaction of HCPs working in primary care (PC) centers in Marrakech, according to the job satisfaction scale. Using census sampling, this study involved HCPs working in PC centers. Data were collected using an electronic questionnaire and analyzes were performed using Jamovi (version 1.6). The Warr-Cook-Wall scale was used to assess the satisfaction of these professionals. Student's t-test, Kruskal-Wallis test and Mann-Whitney non-parametric tests were used for group comparisons (p < 0.05). The lowest satisfaction scores were recorded for general practitioners (GPs) and nurses. These were work safety (1.54 ± 0.85 vs. 1.51 ± 0.82), salary (1.58 ± 0.79 vs. 1.72 ± 0.87), chance of promotion (1.68 ± 0.87 vs. 1.80 ± 0.93), possibility of using its capacities (1.90 ± 1.04 vs. 2.01 ± 1.08), and workload (1.88 ± 1.10 vs. 2.05 ± 1.06). A statistically significant difference was observed between different professional statuses regarding facility management (p = 0.049). The overall job satisfaction of HCPs was low, especially among GPs and nurses: the scores for intrinsic job satisfaction with respect to sociodemographic characteristics were low, whereas they were medium for extrinsic job satisfaction. Further research is warranted to clarify the intrinsic and extrinsic factors of job satisfaction in Morocco's healthcare sector.

Prevalence of consumption of psychoactive substances among construction workers

INTRODUCTION

The prevalence of psychoactive substance is constantly increasing in developing countries, and all occupational sectors are concerned. Construction sector is a particular target because of the heavy workload as well as family and social isolation. However, few studies have investigated toxic habits in this population in Morocco. The aim of this study was to determine the prevalence of addictive substances consumption, use, and misuse amongst construction workers and to appreciate the poly-consumption according to socio-demographic and occupational parameters.

METHODS

This cross-sectional study was conducted amongst 1,128 construction workers. The interview with each person took place at occupational health service during his medical examination. The questions were formulated orally in French and /or in Arabic. The questionnaire covered socio-demographic and occupational parameters, toxic habits (tobacco, alcohol, cannabis and others psychotropic substances). The misuse was assessed by specific tests: dependence on smoking tobacco (Fagerstrom), Cannabis Abuse Screening Test (CAST) and Alcohol Use Disorders Identification Test (AUDIT).

RESULTS

The prevalence of consumption was 47.9% for smoking tobacco, 12.7% for cannabis, and 20.1% for alcohol. Amongst consumers, the prevalence of dependence or misuse was 68% for smoking tobacco, 70.6% for cannabis and 63% for alcohol. 42.7% of construction workers had no toxic habit, 36.1% one toxic habit, 16.3% two toxic habits, 4.8% three toxic habits and 0.1% four toxic habits. The most frequent associations were tobacco-alcohol (8.1%) and tobacco-cannabis (3.7%).

CONCLUSIONS

Occupational health physicians have to play a key role in raising awareness and fighting against toxic habits. The prevention approach needs a cooperative spirit. It will be more accepted and applied if all construction workers and their representatives are involved in its elaboration.