COVID-19 大流行期间加拿大医护人员心理健康恶化的相关因素:横断面调查研究。

IF 1.9 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Ali AbdulHussein, Zahid Ahmad Butt, Stanko Dimitrov, Brian Cozzarin
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引用次数: 0

摘要

背景:在 COVID-19 大流行期间,加拿大的医护人员(HCWs)忍受了艰苦的条件。许多人在传染病环境中长时间工作,同时还要照顾病人。这增加了额外的负担,可能导致精神健康状况恶化:在本研究中,我们研究了与大流行开始前相比,人道协调工作者心理健康状况恶化的相关因素:方法:我们使用了加拿大统计局对高危职业工人的调查数据。我们使用回归模型来估算大流行开始后精神健康状况恶化的几率比(ORs)。估计出的几率比(OR)与不同的自变量有关,这些自变量包括人口统计学因素(年龄、性别、移民身份和地理区域)、职业因素(工作状态、职业类别和接触类别)以及个人防护设备(PPE)的不同获取水平:在接受调查的 18,139 名合格参与者中,13,990 人(77.1%)做出了有效回答。我们发现,与参照组(35-44 岁)相比,35 岁以下的高危工人更有可能出现心理健康状况恶化(OR 1.14,95% CI 1.03-1.27;P=.01)。在性别方面,男性高危工人的心理健康状况较差(OR 0.76,95% CI 0.67-0.86;P=.01):不同的高危工人群体因其人口和职业背景以及获得个人防护设备的机会不同,对大流行病的感受也不同。这些发现对于参与规划个性化支持计划的利益相关者来说非常重要,有助于在未来的危机中缓解心理健康问题。某些群体需要更多关注。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Associated With Worsened Mental Health of Health Care Workers in Canada During the COVID-19 Pandemic: Cross-Sectional Survey Study.

Background: Health care workers (HCWs) in Canada have endured difficult conditions during the COVID-19 pandemic. Many worked long hours while attending to patients in a contagious environment. This introduced an additional burden that may have contributed to worsened mental health conditions.

Objective: In this study, we examine the factors associated with worsened mental health conditions of HCWs as compared to before the start of the pandemic.

Methods: We use data from a survey of HCWs by Statistics Canada. A regression model is used to estimate the odds ratios (ORs) of worsened mental health after the start of the pandemic. The estimated odds ratio (OR) is associated with different independent variables that include demographics (age, sex, immigration status, and geographic area), occupational factors (work status, occupational group, and exposure category), and different access levels to personal protective equipment (PPE).

Results: Of 18,139 eligible participants surveyed, 13,990 (77.1%) provided valid responses. We found that HCWs younger than 35 years old were more likely (OR 1.14, 95% CI 1.03-1.27; P=.01) to exhibit worsened mental health as compared to the reference group (35-44 years old). As for sex, male HCWs were less likely (OR 0.76, 95% CI 0.67-0.86; P<.001) to exhibit worsened mental health as compared to female HCWs. Immigrant HCWs were also less likely (OR 0.57, 95% CI 0.51-0.64; P<.001) to exhibit worsened mental health as compared to nonimmigrant HCWs. Further, HCWs working in Alberta had the highest likelihood of exhibiting worsened mental health as compared to HCWs working elsewhere (Atlantic provinces, Quebec, Manitoba, Saskatchewan, Ontario, British Columbia, and Northern Territories). Frontline workers were more likely (OR 1.26, 95% CI 1.16-1.38; P<.001) to exhibit worsened mental health than nonfrontline HCWs. Part-time HCWs were less likely (OR 0.85, 95% CI 0.76-0.93; P<.001) to exhibit worsened mental health than full-time HCWs. HCWs who reported encountering COVID-19 cases were more likely (OR 1.55, 95% CI 1.41-1.70; P<.001) to exhibit worsened mental health as compared to HCWs who reported no contact with the disease. As for PPE, HCWs who never had access to respirators, eye protection, and face shields are more likely to exhibit worsened mental health by 1.31 (95% CI 1.07-1.62; P<.001), 1.51 (95% CI 1.17-1.96; P<.001), and 1.41 (95% CI 1.05-1.92; P=.02) than those who always had access to the same PPE, respectively.

Conclusions: Different HCW groups experienced the pandemic differently based on their demographic and occupational backgrounds as well as access to PPE. Such findings are important to stakeholders involved in the planning of personalized support programs and aid mental health mitigation in future crises. Certain groups require more attention.

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来源期刊
Interactive Journal of Medical Research
Interactive Journal of Medical Research MEDICINE, RESEARCH & EXPERIMENTAL-
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