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Irene(Chang) Liu

GPH-GU 2687 Thesis II

Spring 2023

A One-year Follow-up Longitudinal Study of Healthcare Workers' Mental Health During the Covid-19 Pandemic

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  • COVID-19 increased the prevalence of mental health problems
  • Well-documented of frontline healthcare workers experienced PTSD after public health crisis
  • Long-term psychological effect of COVID-19 is still ongoing
  • Identify the significant factors associated with the mental health issue

Background & Significance

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Research Question

Whether the COVID-19 pandemic had an impact on healthcare workers’ mental health

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  • Data source and study design:
    • CHPS Study: an analyses of a follow up longitudinal survey of New York State healthcare workers conducted in Spring 2020 and 2021
  • Measures:
    • Outcome: the presence of anxiety or depression at follow-up
    • Exposures: COVID-19 related variables (e.g. # of excess working hours, clinical resources, changed working circumstance)
  • Statistical analysis:
    • Pearson’s chi-square test, multivariate logistic regression

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Method

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Result

  • Age (years old):
    • 20-39: 25.1%
    • 40-59: 43.6%
    • >59: 26.1%
  • Female: 63.5%
  • Hospital: 46.4%
  • Working more hours: 22.3%
  • Direct contact: ~50% (more than 50: 15.7%)
  • COVID-19 patients died: 59% (more than 50: 26.5%)
  • Experience clinical shortage: 41.3%
  • Changed work circumstance: 41.1%

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Result

  • Unadjusted:
    • Age
    • Experience of clinical shortage
    • Changed working circumstance
    • Received crisis counseling

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  • Adjusted:
    • Changed working circumstance
    • Presence of mental health problem at baseline

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Limitation & Conclusion

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    • Not general to the other healthcare workers or other populations
    • Self-reported online survey
    • No information collected on pre-existing exposure

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    • Emphasize the need to prioritize the mental health of healthcare workers
    • Be aware of the effect of changing working circumstance
    • Identify and consider the protective factor

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THANK YOU

Reference

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  1. Saragih ID, Tonapa SI, Saragih IS, et al. Global prevalence of mental health problems among healthcare workers during the Covid-19 pandemic: A systematic review and meta-analysis. Int J Nurs Stud. 2021;121:104002. doi:10.1016/j.ijnurstu.2021.104002
  2. Maunder R, Hunter J, Vincent L, et al. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ. 2003;168(10):1245-1251
  3. Al Maqbali M, Al Sinani M, Al-Lenjawi B. Prevalence of stress, depression, anxiety and sleep disturbance among nurses during the covid-19 pandemic: A systematic review and meta-analysis. J. Psychosom. Res. 2021;141:110343.
  4. Zhang Y, Ma ZF. Impact of the covid-19 pandemic on mental health and quality of life among local residents in Liaoning province, China: a cross-sectional study. Int J Environ Res Public Health. 2020;17(7):2381. doi:10.3390/ijerph17072381
  5. Mohindra RR, Suri V, Bhalla A, Singh SM. Issues relevant to mental health promotion in frontline health care providers managing quarantined/isolated COVID19 patients. Asian J Psychiatr. 2020;51:102084. doi: 10.1016/j.ajp.2020.102084.