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Occupational Safety, Health, and Well

泰然健康网
2025-08-21 01:04

While the occupational health of sign language interpreters has traditionally focused on physical health, evidence demonstrating mental health concerns is growing and supporting a shift to a more integrated approach. We embarked on a qualitative study to guide the adaptation of a previously developed Total Worker Health® program to the context of sign language interpreting. Eight unstructured 90-min focus groups were conducted. Interpreters reported occupational safety, health, and well-being concerns and shared their solutions for management. Twenty-seven interpreters participated (aged 53.7 years; 81% female; 85% white). Predominant concerns centered on topics like workplace violence, secondary traumatic stress or vicarious trauma, lack of work–life integration or boundaries, and loss of agency or loss of self. The organizational culture of the field fostered deprioritization of self, oppression, elitism, sexism, and unhealthy relationships with interpreter peers and community members. Physical health remained a contributor, specifically the physical effects of non-physical work, aging, and differences in exposures across interpreting settings but paled in comparison to mental health and organizational culture. Solutions for management included but were not limited to prioritization of jobs, creating safe spaces/communities of supported practice, and exercise. This study supports the evolution of future research, practice, policy, and capacity building aspiring to a more integrated approach.

中文翻译：

手语翻译报告的职业安全、健康和福祉问题和管理解决方案：一项定性研究

虽然手语翻译的职业健康传统上侧重于身体健康，但越来越多的证据表明心理健康问题正在增加，并支持转向更加综合的方法。我们开始了一项定性研究，以指导将先前制定的 Total Worker Health® 计划适应手语口译的背景。进行了 8 个 90 分钟的非结构化焦点小组。口译员报告了职业安全、健康和福祉问题，并分享了他们的管理解决方案。27 名口译员参与其中（年龄 53.7 岁;81% 为女性;85% 为白人）。主要关注点集中在工作场所暴力、继发性创伤压力或替代性创伤、缺乏工作与生活的整合或界限以及失去能动性或自我丧失等话题。该领域的组织文化促进了自我的轻视、压迫、精英主义、性别歧视以及与口译员同行和社区成员的不健康关系。身体健康仍然是一个因素，特别是非体力工作的身体影响、衰老以及不同口译环境的暴露差异，但与心理健康和组织文化相比相形见绌。管理解决方案包括但不限于确定工作的优先级、创建支持实践和锻炼的安全空间/社区。本研究支持未来研究、实践、政策和能力建设的演变，以寻求更加综合的方法。