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Healthcare Worker’s Mental Health and Their Associated Predictors During the Epidemic Peak of COVID-19

Authors Yang Y, Lu L, Chen T, Ye S, Kelifa MO, Cao N, Zhang Q, Liang T, Wang W

Received 21 November 2020

Accepted for publication 15 January 2021

Published 24 February 2021 Volume 2021:14 Pages 221—231


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 4

Editor who approved publication: Professor Igor Elman

Yinmei Yang,1 Lili Lu,2 Tom Chen,3 Shangyuan Ye,3 Mohammedhamid Osman Kelifa,1 Na Cao,1 Qian Zhang,4 Tonger Liang,5 Wei Wang6

1School of Health Sciences, Wuhan University, Wuhan, Hubei, 430071, People’s Republic of China; 2Department of Gastroenterology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, 221004, People’s Republic of China; 3Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, Boston, MA, 02115, USA; 4Department of Dermatology, General Hospital of Jincheng Coal Mining Group, Jincheng, Shanxi, 048006, People’s Republic of China; 5Department of General Practice, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, 646000, People’s Republic of China; 6School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, People’s Republic of China

Correspondence: Wei Wang
School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, People’s Republic of China
Tel +86-15152118260
Lili Lu
Department of Gastroenterology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, 221004, People’s Republic of China
Tel +86-15905204534

Introduction: The outbreak of the coronavirus disease 2019 (COVID-19) poses an unprecedented challenge to healthcare workers (HCWs) globally. This study investigated potential factors related to depression, anxiety, and stress in a sample of Chinese HCWs during the peak of the COVID-19 epidemic.
Methods: An online survey was distributed to Chinese HCWs using respondent-driven sampling. Data were collected between February 13th and February 20th, 2020, immediately following the COVID-19 contagion peak in Hubei. A total of 1208 respondents were eligible for analysis. Mental health problems and social support were measured by the Depression Anxiety Stress Scales-21 (DASS-21) and the Perceived Social Support Scale (PSS).
Results: The prevalence rates of depression, (DASS-depression > 9) anxiety (DASS-anxiety > 7) and stress (DASS-stress > 14) were 37.8%, 43.0% and 38.5%, respectively. Multivariate logistic regressions revealed that stress, anxiety, and depression were positively related to lower levels of social support, longer working hours, discrimination experience and workplace violence. The scarcity of medical equipment was correlated with increased stress and depression. Chinese HCWs working at COVID 19 designated hospitals were more likely to report anxiety. Additionally, volunteering to work in the frontline health facilities was inversely associated with depression.
Conclusion: Mental health problems among Chinese HCWs were alarming during the peak of the COVID-19 epidemic. Health facilities require appropriate and standing services that address the mental health of healthcare workers, particularly during epidemic outbreaks.

Keywords: depression, anxiety, stress, COVID-19, pandemic, healthcare workers, mental health

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