Cargando…

Association of COVID-19-related discrimination with subsequent depression and suicidal ideation in healthcare workers

Previous cross-sectional studies showed that COVID-19-related discrimination against healthcare workers was linked to depression. However, no study has examined the longitudinal association that allows causal interpretations. This prospective cohort study aimed to examine whether COVID-19-related di...

Descripción completa

Detalles Bibliográficos
Autores principales: Narita, Zui, Okubo, Ryo, Sasaki, Yohei, Takeda, Kazuyoshi, Ohmagari, Norio, Yamaguchi, Koushi, Morisaki, Naho, Sampei, Makiko, Ishitsuka, Kazue, Kojima, Masayo, Nishimura, Kunihiro, Inoue, Manami, Yamamoto, Shohei, Konishi, Maki, Miyo, Kengo, Mizoue, Tetsuya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9849914/
https://www.ncbi.nlm.nih.gov/pubmed/36731380
http://dx.doi.org/10.1016/j.jpsychires.2023.01.025
_version_ 1784872062171480064
author Narita, Zui
Okubo, Ryo
Sasaki, Yohei
Takeda, Kazuyoshi
Ohmagari, Norio
Yamaguchi, Koushi
Morisaki, Naho
Sampei, Makiko
Ishitsuka, Kazue
Kojima, Masayo
Nishimura, Kunihiro
Inoue, Manami
Yamamoto, Shohei
Konishi, Maki
Miyo, Kengo
Mizoue, Tetsuya
author_facet Narita, Zui
Okubo, Ryo
Sasaki, Yohei
Takeda, Kazuyoshi
Ohmagari, Norio
Yamaguchi, Koushi
Morisaki, Naho
Sampei, Makiko
Ishitsuka, Kazue
Kojima, Masayo
Nishimura, Kunihiro
Inoue, Manami
Yamamoto, Shohei
Konishi, Maki
Miyo, Kengo
Mizoue, Tetsuya
author_sort Narita, Zui
collection PubMed
description Previous cross-sectional studies showed that COVID-19-related discrimination against healthcare workers was linked to depression. However, no study has examined the longitudinal association that allows causal interpretations. This prospective cohort study aimed to examine whether COVID-19-related discrimination at baseline is associated with depression and suicidal ideation several months later. Data were collected from October 2020 to July 2021. Multivariable logistic regression was performed. Fixed effects models were used to control for the effect of hospitals (Level 2 variable). Adjustments also included age, sex, living alone, alcohol consumption, exercise, BMI, working hours, comorbidity, and frontline worker status (Level 1 variables). Multiple sensitivity analyses were conducted to examine if the results substantially changed and were robust to unmeasured confounding. Multiple imputation for missing data was conducted via chained equations. As the final sample, 2862 healthcare workers without depression at baseline were studied. A total of 269 individuals (9.4%) experienced COVID-19-related discrimination. Depression was suggested in 205 participants (7.2%), and suicidal ideation in 108 participants (3.8%). In the adjusted models, COVID-19-related discrimination was significantly associated with subsequent depression (OR = 2.18, 95% CI = 1.39 to 2.90) and suicidal ideation (OR = 2.07, 95% CI = 1.22 to 3.50). Multiple sensitivity analyses verified the results. COVID-19-related discrimination results in depression and suicidal ideation in healthcare workers. Interventions to prevent such discrimination against healthcare workers, e.g., anti-discrimination campaigns, are crucial during the COVID-19 pandemic.
format Online
Article
Text
id pubmed-9849914
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Elsevier Ltd.
record_format MEDLINE/PubMed
spelling pubmed-98499142023-01-19 Association of COVID-19-related discrimination with subsequent depression and suicidal ideation in healthcare workers Narita, Zui Okubo, Ryo Sasaki, Yohei Takeda, Kazuyoshi Ohmagari, Norio Yamaguchi, Koushi Morisaki, Naho Sampei, Makiko Ishitsuka, Kazue Kojima, Masayo Nishimura, Kunihiro Inoue, Manami Yamamoto, Shohei Konishi, Maki Miyo, Kengo Mizoue, Tetsuya J Psychiatr Res Article Previous cross-sectional studies showed that COVID-19-related discrimination against healthcare workers was linked to depression. However, no study has examined the longitudinal association that allows causal interpretations. This prospective cohort study aimed to examine whether COVID-19-related discrimination at baseline is associated with depression and suicidal ideation several months later. Data were collected from October 2020 to July 2021. Multivariable logistic regression was performed. Fixed effects models were used to control for the effect of hospitals (Level 2 variable). Adjustments also included age, sex, living alone, alcohol consumption, exercise, BMI, working hours, comorbidity, and frontline worker status (Level 1 variables). Multiple sensitivity analyses were conducted to examine if the results substantially changed and were robust to unmeasured confounding. Multiple imputation for missing data was conducted via chained equations. As the final sample, 2862 healthcare workers without depression at baseline were studied. A total of 269 individuals (9.4%) experienced COVID-19-related discrimination. Depression was suggested in 205 participants (7.2%), and suicidal ideation in 108 participants (3.8%). In the adjusted models, COVID-19-related discrimination was significantly associated with subsequent depression (OR = 2.18, 95% CI = 1.39 to 2.90) and suicidal ideation (OR = 2.07, 95% CI = 1.22 to 3.50). Multiple sensitivity analyses verified the results. COVID-19-related discrimination results in depression and suicidal ideation in healthcare workers. Interventions to prevent such discrimination against healthcare workers, e.g., anti-discrimination campaigns, are crucial during the COVID-19 pandemic. Elsevier Ltd. 2023-03 2023-01-19 /pmc/articles/PMC9849914/ /pubmed/36731380 http://dx.doi.org/10.1016/j.jpsychires.2023.01.025 Text en © 2023 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Narita, Zui
Okubo, Ryo
Sasaki, Yohei
Takeda, Kazuyoshi
Ohmagari, Norio
Yamaguchi, Koushi
Morisaki, Naho
Sampei, Makiko
Ishitsuka, Kazue
Kojima, Masayo
Nishimura, Kunihiro
Inoue, Manami
Yamamoto, Shohei
Konishi, Maki
Miyo, Kengo
Mizoue, Tetsuya
Association of COVID-19-related discrimination with subsequent depression and suicidal ideation in healthcare workers
title Association of COVID-19-related discrimination with subsequent depression and suicidal ideation in healthcare workers
title_full Association of COVID-19-related discrimination with subsequent depression and suicidal ideation in healthcare workers
title_fullStr Association of COVID-19-related discrimination with subsequent depression and suicidal ideation in healthcare workers
title_full_unstemmed Association of COVID-19-related discrimination with subsequent depression and suicidal ideation in healthcare workers
title_short Association of COVID-19-related discrimination with subsequent depression and suicidal ideation in healthcare workers
title_sort association of covid-19-related discrimination with subsequent depression and suicidal ideation in healthcare workers
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9849914/
https://www.ncbi.nlm.nih.gov/pubmed/36731380
http://dx.doi.org/10.1016/j.jpsychires.2023.01.025
work_keys_str_mv AT naritazui associationofcovid19relateddiscriminationwithsubsequentdepressionandsuicidalideationinhealthcareworkers
AT okuboryo associationofcovid19relateddiscriminationwithsubsequentdepressionandsuicidalideationinhealthcareworkers
AT sasakiyohei associationofcovid19relateddiscriminationwithsubsequentdepressionandsuicidalideationinhealthcareworkers
AT takedakazuyoshi associationofcovid19relateddiscriminationwithsubsequentdepressionandsuicidalideationinhealthcareworkers
AT ohmagarinorio associationofcovid19relateddiscriminationwithsubsequentdepressionandsuicidalideationinhealthcareworkers
AT yamaguchikoushi associationofcovid19relateddiscriminationwithsubsequentdepressionandsuicidalideationinhealthcareworkers
AT morisakinaho associationofcovid19relateddiscriminationwithsubsequentdepressionandsuicidalideationinhealthcareworkers
AT sampeimakiko associationofcovid19relateddiscriminationwithsubsequentdepressionandsuicidalideationinhealthcareworkers
AT ishitsukakazue associationofcovid19relateddiscriminationwithsubsequentdepressionandsuicidalideationinhealthcareworkers
AT kojimamasayo associationofcovid19relateddiscriminationwithsubsequentdepressionandsuicidalideationinhealthcareworkers
AT nishimurakunihiro associationofcovid19relateddiscriminationwithsubsequentdepressionandsuicidalideationinhealthcareworkers
AT inouemanami associationofcovid19relateddiscriminationwithsubsequentdepressionandsuicidalideationinhealthcareworkers
AT yamamotoshohei associationofcovid19relateddiscriminationwithsubsequentdepressionandsuicidalideationinhealthcareworkers
AT konishimaki associationofcovid19relateddiscriminationwithsubsequentdepressionandsuicidalideationinhealthcareworkers
AT miyokengo associationofcovid19relateddiscriminationwithsubsequentdepressionandsuicidalideationinhealthcareworkers
AT mizouetetsuya associationofcovid19relateddiscriminationwithsubsequentdepressionandsuicidalideationinhealthcareworkers