Alenko Arefayne, Agenagnew Liyew, Beressa Girma, Tesfaye Yonas, Woldesenbet Yohannes Markos, Girma Shimelis
Department of Psychiatry, Institute of Health, Jimma University, Jimma, Ethiopia.
Department of Public Health, School of Health Sciences, Madda Walabu University, Goba, Ethiopia.
J Multidiscip Healthc. 2021 Apr 29;14:987-996. doi: 10.2147/JMDH.S305164. eCollection 2021.
The outbreak of coronavirus disease 2019 (COVID-19) is a stressful and overwhelming situation for health care professionals (HCP), especially, who are caring for patients in the resource-limited health care settings of low-income countries. Due to the increasing number of COVID-19 cases in Ethiopia, HCPs are at risk for COVID-19-related anxiety and associated inadequate nutrition. However, the magnitude of COVID-19-related anxiety and its association with dietary diversity among HCPs is not well studied.
To assess the magnitude of COVID-19-related anxiety and its association with dietary diversity score among health care professionals in Ethiopia.
A web-based cross-sectional survey was conducted among HCPs working in university hospitals, primary hospitals, and health centers in south and southwest Ethiopia. A structured online survey questionnaire was designed on Google forms and carried out from May 15 to June 14, 2020. COVID-19-related anxiety was assessed using the coronavirus anxiety scale. Dietary diversity was measured using 9 items individual dietary diversity score. Data analysis was done using the Statistical Package for Social Sciences version 24. Multiple logistic regression was computed to identify independent factors associated with COVID-19-related anxiety. Statistical significance was set at p<0.05.
The prevalence of COVID-19-related anxiety among health care professionals was found to be 20.2%. COVID-19-related anxiety is significantly associated with a low dietary diversity score [AOR=5.93 (1.67, 21.07)]. The other factors which are independently associated with COVID-19-related anxiety are the presence of depression [AOR=6.98 (2.91-16.73)] and diploma educational status [AOR=0.16 (0.04-0.55)].
One-fifth of the study participants were found to have probable COVID-19-related anxiety. Designing a screening and intervention strategy for COVID-19-related anxiety among HCPs, particularly to those with low dietary diversity scores and depression, is recommended.
2019年冠状病毒病（COVID-19）疫情对医护人员来说是一个压力巨大且难以应对的情况，尤其是在低收入国家资源有限的医疗环境中照顾患者的医护人员。由于埃塞俄比亚COVID-19病例数量不断增加，医护人员面临与COVID-19相关的焦虑以及随之而来的营养不足风险。然而，医护人员中与COVID-19相关的焦虑程度及其与饮食多样性的关联尚未得到充分研究。
评估埃塞俄比亚医护人员中与COVID-19相关的焦虑程度及其与饮食多样性得分的关联。
对埃塞俄比亚南部和西南部大学医院、基层医院及健康中心的医护人员进行了一项基于网络的横断面调查。在谷歌表单上设计了一份结构化在线调查问卷，并于2020年5月15日至6月14日开展调查。使用冠状病毒焦虑量表评估与COVID-19相关的焦虑。通过9项个体饮食多样性得分来衡量饮食多样性。使用社会科学统计软件包第24版进行数据分析。计算多重逻辑回归以确定与COVID-19相关焦虑相关的独立因素。统计学显著性设定为p<0.05。
医护人员中与COVID-19相关的焦虑患病率为20.2%。与COVID-19相关的焦虑与低饮食多样性得分显著相关[AOR=5.93（1.67，21.07）]。与COVID-19相关焦虑独立相关的其他因素包括抑郁的存在[AOR=6.98（2.91 - 16.73）]和文凭教育程度[AOR=0.16（0.04 - 0.55）]。
研究参与者中有五分之一可能患有与COVID-19相关的焦虑。建议为医护人员中与COVID-19相关的焦虑设计筛查和干预策略，特别是针对饮食多样性得分低和有抑郁症状的人员。
