She Rui, Wang Xiaohui, Zhang Zhoubin, Li Jinghua, Xu Jingdong, You Hua, Li Yan, Liang Yuan, Li Shan, Ma Lina, Wang Xinran, Chen Xiuyuan, Zhou Peien, Lau Joseph, Hao Yuantao, Zhou Huan, Gu Jing
Centre for Health Behaviours Research, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
School of Public Health, Lanzhou University, Lanzhou, China.
Front Public Health. 2021 May 11;9:622677. doi: 10.3389/fpubh.2021.622677. eCollection 2021.
The COVID-19 outbreak in China has created multiple stressors that threaten individuals' mental health, especially among public health workers (PHW) who are devoted to COVID-19 control and prevention work. This study aimed to investigate the prevalence of mental help-seeking and associated factors among PHW using Andersen's Behavioral Model of Health Services Use (BMHSU). A cross-sectional survey was conducted among 9,475 PHW in five provinces across China between February 18 and March 1, 2020. The subsample data of those who reported probable mental health problems were analyzed for this report ( = 3,417). Logistic and hierarchical regression analyses were conducted to examine the associations of predisposing, enabling, need, and COVID-19 contextual factors with mental health help-seeking. Only 12.7% of PHW reported professional mental help-seeking during the COVID-19 outbreak. PHW who were older, had more days of overnight work, received psychological training, perceived a higher level of support from the society, had depression and anxiety were more likely to report mental help-seeking (OR range: 1.02-1.73, all < 0.05) while those worked in Centers for Disease Control and Prevention were less likely to seek help (OR = 0.57, < 0.01). The belief that mental health issues were not the priority (64.4%), lack of time (56.4%), and shortage of psychologists (32.7%) were the most frequently endorsed reasons for not seeking help. The application of BMHSU confirmed associations between some factors and PHW's mental health help-seeking. Effective interventions are warranted to promote mental health help-seeking of PHW to ameliorate the negative impact of mental illness and facilitate personal recovery and routine work.
中国的新冠疫情引发了多种压力源，威胁着个人的心理健康，尤其是在致力于新冠疫情防控工作的公共卫生工作者中。本研究旨在利用安德森卫生服务利用行为模型（BMHSU）调查公共卫生工作者中寻求心理帮助的患病率及相关因素。2020年2月18日至3月1日期间，在中国五个省份的9475名公共卫生工作者中进行了一项横断面调查。本报告分析了那些报告可能存在心理健康问题者的子样本数据（n = 3417）。进行了逻辑回归和分层回归分析，以检验易患因素、促成因素、需求因素和新冠疫情相关背景因素与寻求心理健康帮助之间的关联。在新冠疫情期间，只有12.7%的公共卫生工作者报告寻求过专业心理帮助。年龄较大、有更多天值夜班、接受过心理培训、感知到社会支持水平较高、有抑郁和焦虑情绪的公共卫生工作者更有可能报告寻求心理帮助（OR范围：1.02 - 1.73，均P < 0.05），而在疾病预防控制中心工作的人员寻求帮助的可能性较小（OR = 0.57，P < 0.01）。认为心理健康问题不是优先事项（64.4%）、缺乏时间（56.4%）和心理医生短缺（32.7%）是最常被认可的不寻求帮助的原因。BMHSU的应用证实了一些因素与公共卫生工作者寻求心理健康帮助之间的关联。有必要采取有效的干预措施来促进公共卫生工作者寻求心理健康帮助，以减轻精神疾病的负面影响，促进个人康复和日常工作。
