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OR29-32-3

Organizational responses to violence against fire-based EMS providers and its association with depressive symptoms in South Korea

[Speaker] Lee, Nagyeong:1
[Co-author] Kim, Seung-sup:1
1:Department of Public Health Sciences, Graduate School of Korea University (Korea(Republic of Korea))

To examine whether depressive symptoms are associated with organizational responses to experiencing violence by citizens, we analyzed a nationwide survey of 1,979 fire-based EMS providers in South Korea. Experience of violence on duty (i.e. verbal assault, physical violence) was classified into three groups based on the victims' reporting and organizational responses: (1) 'No experience,' (2) 'Not reporting,' (3) 'Reporting-with organizational response,' and (4) 'Reporting-without organizational response'. Compared to the 'No experience' group, experience of physical violence was significantly associated with depressive symptoms (CES-D 11): 'Reporting-without organizational response' (PR: 3.30, 95%CI: 2.35, 4.26), 'Reporting-with organizational response' (PR: 2.01, 95%CI: 1.17, 3.13), and 'Not reporting' (PR: 1.69, 95%CI: 1.39, 2.03) after adjusting for confounders including years of service. Similar trends were observed in the analysis with verbal assault. Our findings suggest that organizational responses could play a critical role in reducing depressive symptoms among fire-based EMS providers who experienced violence at work.
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