Impacts and interactions of COVID-19 response involvement, health-related behaviours, health literacy on anxiety, depression and health-related quality of life among healthcare workers : a cross-sectional study
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ..
OBJECTIVES: We examined impacts and interactions of COVID-19 response involvement, health-related behaviours and health literacy (HL) on anxiety, depression, and health-related quality of life (HRQoL) among healthcare workers (HCWs).
DESIGN: A cross-sectional study was conducted. Data were collected 6 April to 19 April 2020 using online-based, self-administered questionnaires.
SETTING: 19 hospitals and health centres in Vietnam.
PARTICIPANTS: 7 124 HCWs aged 21-60 years.
RESULTS: The COVID-19 response-involved HCWs had higher anxiety likelihood (OR (95% CI)=4.41 (3.53 to 5.51)), higher depression likelihood (OR(95% CI)=3.31 (2.71 to 4.05)) and lower HRQoL score (coefficient, b(95% CI)=-2.14 (-2.89 to -1.38)), compared with uninvolved HCWs. Overall, HCWs who smoked or drank at unchanged/increased levels had higher likelihood of anxiety, depression and lower HRQoL scores; those with unchanged/healthier eating, unchanged/more physical activity and higher HL scores had lower likelihood of anxiety, depression and higher HRQoL scores. In comparison to uninvolved HCWs who smoked or drank at never/stopped/reduced levels, involved HCWs with unchanged/increased smoking or drinking had lower anxiety likelihood (OR(95% CI)=0.34 (0.14 to 0.83)) or (OR(95% CI)=0.26 (0.11 to 0.60)), and lower depression likelihood (OR(95% CI)=0.33 (0.15 to 0.74)) or (OR(95% CI)=0.24 (0.11 to 0.53)), respectively. In comparison with uninvolved HCWs who exercised at never/stopped/reduced levels, or with those in the lowest HL quartile, involved HCWs with unchanged/increased exercise or with one-quartile HL increment reported lower anxiety likelihood (OR(95% CI)=0.50 (0.31 to 0.81)) or (OR(95% CI)=0.57 (0.45 to 0.71)), lower depression likelihood (OR(95% CI)=0.40 (0.27 to 0.61)) or (OR(95% CI)=0.63 (0.52 to 0.76)), and higher HRQoL scores (b(95% CI)=2.08 (0.58 to 3.58)), or (b(95% CI)=1.10 (0.42 to 1.78)), respectively.
CONCLUSIONS: Physical activity and higher HL were found to protect against anxiety and depression and were associated with higher HRQoL. Unexpectedly, smoking and drinking were also found to be coping behaviours. It is important to have strategic approaches that protect HCWs' mental health and HRQoL.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2020 |
|---|---|
| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:10 |
|---|---|
| Enthalten in: |
BMJ open - 10(2020), 12 vom: 07. Dez., Seite e041394 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Tran, Tien V [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Anxiety disorders |
|---|
| Anmerkungen: |
Date Completed 21.12.2020 Date Revised 10.01.2021 published: Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1136/bmjopen-2020-041394 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM318588447 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM318588447 | ||
| 003 | DE-627 | ||
| 005 | 20231226202312.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2020 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1136/bmjopen-2020-041394 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1061.xml |
| 035 | |a (DE-627)NLM318588447 | ||
| 035 | |a (NLM)33293320 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Tran, Tien V |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Impacts and interactions of COVID-19 response involvement, health-related behaviours, health literacy on anxiety, depression and health-related quality of life among healthcare workers |b a cross-sectional study |
| 264 | 1 | |c 2020 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 21.12.2020 | ||
| 500 | |a Date Revised 10.01.2021 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. | ||
| 520 | |a OBJECTIVES: We examined impacts and interactions of COVID-19 response involvement, health-related behaviours and health literacy (HL) on anxiety, depression, and health-related quality of life (HRQoL) among healthcare workers (HCWs) | ||
| 520 | |a DESIGN: A cross-sectional study was conducted. Data were collected 6 April to 19 April 2020 using online-based, self-administered questionnaires | ||
| 520 | |a SETTING: 19 hospitals and health centres in Vietnam | ||
| 520 | |a PARTICIPANTS: 7 124 HCWs aged 21-60 years | ||
| 520 | |a RESULTS: The COVID-19 response-involved HCWs had higher anxiety likelihood (OR (95% CI)=4.41 (3.53 to 5.51)), higher depression likelihood (OR(95% CI)=3.31 (2.71 to 4.05)) and lower HRQoL score (coefficient, b(95% CI)=-2.14 (-2.89 to -1.38)), compared with uninvolved HCWs. Overall, HCWs who smoked or drank at unchanged/increased levels had higher likelihood of anxiety, depression and lower HRQoL scores; those with unchanged/healthier eating, unchanged/more physical activity and higher HL scores had lower likelihood of anxiety, depression and higher HRQoL scores. In comparison to uninvolved HCWs who smoked or drank at never/stopped/reduced levels, involved HCWs with unchanged/increased smoking or drinking had lower anxiety likelihood (OR(95% CI)=0.34 (0.14 to 0.83)) or (OR(95% CI)=0.26 (0.11 to 0.60)), and lower depression likelihood (OR(95% CI)=0.33 (0.15 to 0.74)) or (OR(95% CI)=0.24 (0.11 to 0.53)), respectively. In comparison with uninvolved HCWs who exercised at never/stopped/reduced levels, or with those in the lowest HL quartile, involved HCWs with unchanged/increased exercise or with one-quartile HL increment reported lower anxiety likelihood (OR(95% CI)=0.50 (0.31 to 0.81)) or (OR(95% CI)=0.57 (0.45 to 0.71)), lower depression likelihood (OR(95% CI)=0.40 (0.27 to 0.61)) or (OR(95% CI)=0.63 (0.52 to 0.76)), and higher HRQoL scores (b(95% CI)=2.08 (0.58 to 3.58)), or (b(95% CI)=1.10 (0.42 to 1.78)), respectively | ||
| 520 | |a CONCLUSIONS: Physical activity and higher HL were found to protect against anxiety and depression and were associated with higher HRQoL. Unexpectedly, smoking and drinking were also found to be coping behaviours. It is important to have strategic approaches that protect HCWs' mental health and HRQoL | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a anxiety disorders | |
| 650 | 4 | |a depression & mood disorders | |
| 650 | 4 | |a epidemiology | |
| 650 | 4 | |a infection control | |
| 650 | 4 | |a occupational & industrial medicine | |
| 650 | 4 | |a public health | |
| 700 | 1 | |a Nguyen, Hoang C |e verfasserin |4 aut | |
| 700 | 1 | |a Pham, Linh V |e verfasserin |4 aut | |
| 700 | 1 | |a Nguyen, Minh H |e verfasserin |4 aut | |
| 700 | 1 | |a Nguyen, Huu Cong |e verfasserin |4 aut | |
| 700 | 1 | |a Ha, Tung H |e verfasserin |4 aut | |
| 700 | 1 | |a Phan, Dung T |e verfasserin |4 aut | |
| 700 | 1 | |a Dao, Hung K |e verfasserin |4 aut | |
| 700 | 1 | |a Nguyen, Phuoc B |e verfasserin |4 aut | |
| 700 | 1 | |a Trinh, Manh V |e verfasserin |4 aut | |
| 700 | 1 | |a Do, Thinh V |e verfasserin |4 aut | |
| 700 | 1 | |a Nguyen, Hung Q |e verfasserin |4 aut | |
| 700 | 1 | |a Nguyen, Thao T P |e verfasserin |4 aut | |
| 700 | 1 | |a Nguyen, Nhan P T |e verfasserin |4 aut | |
| 700 | 1 | |a Tran, Cuong Q |e verfasserin |4 aut | |
| 700 | 1 | |a Tran, Khanh V |e verfasserin |4 aut | |
| 700 | 1 | |a Duong, Trang T |e verfasserin |4 aut | |
| 700 | 1 | |a Pham, Hai X |e verfasserin |4 aut | |
| 700 | 1 | |a Nguyen, Lam V |e verfasserin |4 aut | |
| 700 | 1 | |a Vo, Tam T |e verfasserin |4 aut | |
| 700 | 1 | |a Do, Binh N |e verfasserin |4 aut | |
| 700 | 1 | |a Duong, Thai H |e verfasserin |4 aut | |
| 700 | 1 | |a Pham, Minh Khue |e verfasserin |4 aut | |
| 700 | 1 | |a Pham, Thu T M |e verfasserin |4 aut | |
| 700 | 1 | |a Nguyen, Kien Trung |e verfasserin |4 aut | |
| 700 | 1 | |a Yang, Shwu-Huey |e verfasserin |4 aut | |
| 700 | 1 | |a Chao, Jane C J |e verfasserin |4 aut | |
| 700 | 1 | |a Duong, Tuyen Van |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t BMJ open |d 2012 |g 10(2020), 12 vom: 07. Dez., Seite e041394 |w (DE-627)NLM215724372 |x 2044-6055 |7 nnns |
| 773 | 1 | 8 | |g volume:10 |g year:2020 |g number:12 |g day:07 |g month:12 |g pages:e041394 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1136/bmjopen-2020-041394 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 10 |j 2020 |e 12 |b 07 |c 12 |h e041394 | ||