Cargando…
Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal
BACKGROUND: Health care workers exposed to COVID-19 might be at increased risk of developing mental health problems. The study aimed to identify factors associated with anxiety, depression and insomnia among health workers involved in COVID-19 response in Nepal. METHODS: This was a cross-sectional w...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7517059/ https://www.ncbi.nlm.nih.gov/pubmed/32977818 http://dx.doi.org/10.1186/s12992-020-00621-z |
_version_ | 1783587142489866240 |
---|---|
author | Khanal, Pratik Devkota, Navin Dahal, Minakshi Paudel, Kiran Joshi, Devavrat |
author_facet | Khanal, Pratik Devkota, Navin Dahal, Minakshi Paudel, Kiran Joshi, Devavrat |
author_sort | Khanal, Pratik |
collection | PubMed |
description | BACKGROUND: Health care workers exposed to COVID-19 might be at increased risk of developing mental health problems. The study aimed to identify factors associated with anxiety, depression and insomnia among health workers involved in COVID-19 response in Nepal. METHODS: This was a cross-sectional web-based survey conducted between April 26 and May 12, 2020. A total of 475 health workers participated in the study. Anxiety and depression were measured using a 14-item Hospital Anxiety and Depression Scale (HADS: 0–21) and insomnia was measured by using a 7-item Insomnia Severity Index (ISI: 0–28). Multivariable logistic regression analysis was done to determine the risk factors of mental health outcomes. RESULTS: Overall, 41.9% of health workers had symptoms of anxiety, 37.5% had depression symptoms and 33.9% had symptoms of insomnia. Stigma faced by health workers was significantly associated with higher odds of experiencing symptoms of anxiety (AOR: 2.47; 95% CI: 1.62–3.76), depression (AOR: 2.05; 95% CI: 1.34–3.11) and insomnia (AOR: 2.37; 95% CI: 1.46–3.84). History of medication for mental health problems was significantly associated with a higher likelihood of experiencing symptoms of anxiety (AOR: 3.40; 95% CI:1.31–8.81), depression (AOR: 3.83; 95% CI: 1.45–10.14) and insomnia (AOR: 3.82; 95% CI: 1.52–9.62) while inadequate precautionary measures in the workplace was significantly associated with higher odds of exhibiting symptoms of anxiety (AOR: 1.89; 95% CI: 1.12–3.19) and depression (AOR: 1.97; 95% CI: 1.16–3.37). Nurses (AOR: 2.33; 95% CI: 1.21–4.47) were significantly more likely to experience anxiety symptoms than other health workers. CONCLUSION: The study findings revealed a considerate proportion of anxiety, depression and insomnia symptoms among health workers during the early phase of the pandemic in Nepal. Health workers facing stigma, those with history of medication for mental health problems, and those reporting inadequate precautionary measures in their workplace were more at risk of developing mental health outcomes. A focus on improving mental wellbeing of health workers should be immediately initiated with attention to reduction of stigma, ensuring an adequate support system such as personal protective equipments, and family support for those with history of mental health problems. |
format | Online Article Text |
id | pubmed-7517059 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-75170592020-09-25 Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal Khanal, Pratik Devkota, Navin Dahal, Minakshi Paudel, Kiran Joshi, Devavrat Global Health Research BACKGROUND: Health care workers exposed to COVID-19 might be at increased risk of developing mental health problems. The study aimed to identify factors associated with anxiety, depression and insomnia among health workers involved in COVID-19 response in Nepal. METHODS: This was a cross-sectional web-based survey conducted between April 26 and May 12, 2020. A total of 475 health workers participated in the study. Anxiety and depression were measured using a 14-item Hospital Anxiety and Depression Scale (HADS: 0–21) and insomnia was measured by using a 7-item Insomnia Severity Index (ISI: 0–28). Multivariable logistic regression analysis was done to determine the risk factors of mental health outcomes. RESULTS: Overall, 41.9% of health workers had symptoms of anxiety, 37.5% had depression symptoms and 33.9% had symptoms of insomnia. Stigma faced by health workers was significantly associated with higher odds of experiencing symptoms of anxiety (AOR: 2.47; 95% CI: 1.62–3.76), depression (AOR: 2.05; 95% CI: 1.34–3.11) and insomnia (AOR: 2.37; 95% CI: 1.46–3.84). History of medication for mental health problems was significantly associated with a higher likelihood of experiencing symptoms of anxiety (AOR: 3.40; 95% CI:1.31–8.81), depression (AOR: 3.83; 95% CI: 1.45–10.14) and insomnia (AOR: 3.82; 95% CI: 1.52–9.62) while inadequate precautionary measures in the workplace was significantly associated with higher odds of exhibiting symptoms of anxiety (AOR: 1.89; 95% CI: 1.12–3.19) and depression (AOR: 1.97; 95% CI: 1.16–3.37). Nurses (AOR: 2.33; 95% CI: 1.21–4.47) were significantly more likely to experience anxiety symptoms than other health workers. CONCLUSION: The study findings revealed a considerate proportion of anxiety, depression and insomnia symptoms among health workers during the early phase of the pandemic in Nepal. Health workers facing stigma, those with history of medication for mental health problems, and those reporting inadequate precautionary measures in their workplace were more at risk of developing mental health outcomes. A focus on improving mental wellbeing of health workers should be immediately initiated with attention to reduction of stigma, ensuring an adequate support system such as personal protective equipments, and family support for those with history of mental health problems. BioMed Central 2020-09-25 /pmc/articles/PMC7517059/ /pubmed/32977818 http://dx.doi.org/10.1186/s12992-020-00621-z Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Khanal, Pratik Devkota, Navin Dahal, Minakshi Paudel, Kiran Joshi, Devavrat Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal |
title | Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal |
title_full | Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal |
title_fullStr | Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal |
title_full_unstemmed | Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal |
title_short | Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal |
title_sort | mental health impacts among health workers during covid-19 in a low resource setting: a cross-sectional survey from nepal |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7517059/ https://www.ncbi.nlm.nih.gov/pubmed/32977818 http://dx.doi.org/10.1186/s12992-020-00621-z |
work_keys_str_mv | AT khanalpratik mentalhealthimpactsamonghealthworkersduringcovid19inalowresourcesettingacrosssectionalsurveyfromnepal AT devkotanavin mentalhealthimpactsamonghealthworkersduringcovid19inalowresourcesettingacrosssectionalsurveyfromnepal AT dahalminakshi mentalhealthimpactsamonghealthworkersduringcovid19inalowresourcesettingacrosssectionalsurveyfromnepal AT paudelkiran mentalhealthimpactsamonghealthworkersduringcovid19inalowresourcesettingacrosssectionalsurveyfromnepal AT joshidevavrat mentalhealthimpactsamonghealthworkersduringcovid19inalowresourcesettingacrosssectionalsurveyfromnepal |