Investigating Self-rated Health Among Health Workers During COVID-19 Pandemic in Northwest Iran

M. Sheikhi, Z. Hosseinkhani, Ramesh Hoseinzadeh Khezri, Zohre Froozanfar, F. Khodamoradi
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Abstract

Background: Health promotion among health workers requires appropriate evidence of relevant determinants. Objective: This study was conducted to investigate the relationship between mental health and its measured covariates with self-rated health (SRH) among health workers during the COVID-19 pandemic in northwest Iran. Methods: In this cross-sectional study, we recruited 569 health workers from three educational hospitals of Qazvin University of Medical Sciences, Iran. From July 1 to September 5 (2020), participants were asked to provide demographic and clinical information and to complete the symptom checklist 90 (SCL-90) questionnaire. The relationship between suboptimal SRH with each of the SCL-90 domains and measured covariates were analyzed using logistic regression models. Findings: The Mean±SD age of participants was 34.73(7.95) years. A total of 148 health workers (26%) reported their suboptimal SRH, which was higher in women (odds ratio [OR]: 1.98; 95% confidence interval [CI]: 1.21, 3.24), as well as among participants without physical activity (OR: 2.14; 95% CI: 1.35, 3.39). Depression (OR: 2.13; 95% CI: 1.64, 2.77) and anxiety (OR: 3.76; 95% CI: 2.78, 5.09) showed significantly higher odds of suboptimal SRH. Also, other SCL-90 domains indicated a positive association with suboptimal SRH during the COVID-19 pandemic. Conclusion: Mental health, gender, and physical activity were significant variables related to SRH. The current findings suggest that we should pay attention to mental health problems and other important covariates during the COVID-19 epidemic. Hence, policymakers should consider this issue in health promotion programs for health workers.
调查伊朗西北部COVID-19大流行期间卫生工作者的自评健康状况
背景:促进卫生工作者的健康需要有关决定因素的适当证据。目的:探讨伊朗西北部地区2019冠状病毒病大流行期间卫生工作者心理健康及其测量协变量与自评健康(SRH)的关系。方法:在横断面研究中,我们从伊朗Qazvin医科大学的三所教育医院招募了569名卫生工作者。从2020年7月1日至9月5日,参与者被要求提供人口学和临床信息,并完成症状检查表90 (SCL-90)问卷。采用logistic回归模型分析次优SRH与SCL-90各域及测量协变量之间的关系。结果:参与者的平均±SD年龄为34.73(7.95)岁。共有148名卫生工作者(26%)报告他们的生殖健康状况不理想,其中女性更高(优势比[OR]: 1.98;95%可信区间[CI]: 1.21, 3.24),以及没有体育锻炼的参与者(OR: 2.14;95% ci: 1.35, 3.39)。抑郁(OR: 2.13;95% CI: 1.64, 2.77)和焦虑(OR: 3.76;95% CI: 2.78, 5.09)显示次优SRH的几率显著增加。此外,其他SCL-90结构域在COVID-19大流行期间与次优SRH呈正相关。结论:心理健康、性别和体力活动是与SRH相关的显著变量。目前的研究结果表明,在COVID-19流行期间,我们应该关注心理健康问题和其他重要的协变量。因此,决策者应在卫生工作者健康促进规划中考虑这一问题。
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