Geographical distribution and prevalence of mental disorders among healthcare workers in China: A cross-sectional country-wide survey: A cross-sectional study to assess mental disorders of healthcare workers in China.

Autor: Yang X; Department of Hospital Management, School of Public Health, Fudan University, Key Laboratory of Health Technology Assessment of National Health Commission (Fudan University), Shanghai, China., Chen D; Biostatistics, dMed Biopharmaceutical Co., Ltd, Shanghai, China., Chen Y; Department of Epidemiology, University Medical Center Groningen, Groningen, The Netherlands., Wang N; Chinese Hospital Association, Beijing, China., Lyv C; Department of Hospital Management, School of Public Health, Fudan University, Key Laboratory of Health Technology Assessment of National Health Commission (Fudan University), Shanghai, China., Li Y; Chinese Hospital Association, Beijing, China., Jie J; Department of Hospital Management, School of Public Health, Fudan University, Key Laboratory of Health Technology Assessment of National Health Commission (Fudan University), Shanghai, China., Zhou T; Department of Hospital Management, School of Public Health, Fudan University, Key Laboratory of Health Technology Assessment of National Health Commission (Fudan University), Shanghai, China., Li Y; Chinese Hospital Association, Beijing, China., Zhou P; Biostatistics, dMed Biopharmaceutical Co., Ltd, Shanghai, China.
Jazyk: angličtina
Zdroj: The International journal of health planning and management [Int J Health Plann Manage] 2021 Sep; Vol. 36 (5), pp. 1561-1574. Date of Electronic Publication: 2021 May 08.
DOI: 10.1002/hpm.3186
Abstrakt: Background: Reliable and detailed nationwide data on the prevalence and distribution of mental disorders among healthcare workers in China during the coronavirus disease 2019 (COVID-19) outbreak are scarce.
Methods: We did a cross-sectional online survey from March 2 to 2 April 2020 and a total of 19,379 healthcare workers from 25 provinces participated. Depression, anxiety and post-traumatic stress disorder (PTSD) were assessed by the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7) and PTSD Checklist for DSM-5 (PCL-5), respectively.
Results: The age-standardized prevalence of depression, anxiety and PTSD was 15.5%, 12.7% and 5.2%, respectively. Frontline workers had higher prevalence estimates than non-frontline workers (depression: 18.2% vs. 13.9%; anxiety: 14.7% vs. 11.6%; PTSD: 6.1% vs. 4.6%). Subgroups who were nurses, were married or had dependent children reported higher prevalence of depression, anxiety and PTSD. Despite of the large variations, the prevalence of mental disorders was lowest in East China, followed by Middle China, and highest in West China.
Conclusion: Healthcare workers faced enormous stress not only from the direct risk presented by the COVID-19 outbreak, but also from the profound changes in their professional practice. Prevalence of adverse psychological outcomes has a significant association with geographically distribution of health resources and regional economic level. Sufficient medical resource may be a protective factor to mental health condition of healthcare personnel when such a public health emergency happened.
(© 2021 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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