Department of Psychosomatic Medicine and Psychotherapy, Riga Stradiņš University, LV-1007 Riga, Latvia.
Department of Public Health and Epidemiology, Riga Stradiņš University, LV-1007 Riga, Latvia.
Medicina (Kaunas). 2021 Dec 18;57(12):1381. doi: 10.3390/medicina57121381.
The COVID-19 pandemic has negatively impacted the health care system. Front-line health care workers (HCWs) are at a higher risk of mental health adverse outcomes. The aim of this study was to evaluate the frequency of the symptoms of depression and anxiety and associated demographic and occupational factors among front-line HCWs in Latvia. A cross-sectional quantitative study was performed in a population of HCWs during the first wave of the COVID-19 pandemic in Latvia. The participants were interviewed between 28 April 2020 and 2 June 2020. Answers from 864 HCWs were obtained. The participants reported their demographics, work-related information, contacts with COVID-19-positive patients and completed two standardised questionnaires that assessed the symptoms of anxiety (GAD-7) and depression (PHQ-9). The gathered data were analysed by a chi-squared test and binary logistic regression. The data analysis was performed using SPSS v25. A total of 209 (24.8%) participants had depression symptoms and 145 (17.2%) had anxiety symptoms. Health care workers older than 50 had a lower risk of both depression (OR 0.422 (95% CI, 0.262-0.680)) and anxiety (OR 0.468 (95% CI, 0.270-0.813)). General practitioners had more frequent symptoms of depression and anxiety than participants who worked at hospitals (32.8% ( = 63) versus 19.4% ( = 73) and 27.1% ( = 52) versus 10.3% ( = 39), respectively ( = 0.037; < 0.000)). Working more than 48 h during the week was associated with a higher risk of depression (OR 2.222 (95% CI, 1.315-3.753)) and anxiety (OR 2.416 (95% CI, 1.272-4.586)). The vulnerability of the health care system before the COVID-19 pandemic led to significant mental health adverse outcomes of HCWs during the COVID-19 pandemic in Latvia. A further cohort study is needed to evaluate the dynamics of mental health and other predisposing factors of HCWs.
新冠疫情对医疗体系造成了负面影响。一线医护人员（HCWs）面临更高的心理健康不良后果风险。本研究旨在评估拉脱维亚一线 HCWs 中抑郁和焦虑症状的发生频率以及相关的人口统计学和职业因素。 在拉脱维亚新冠疫情的第一波期间，对 HCWs 进行了一项横断面定量研究。参与者于 2020 年 4 月 28 日至 2020 年 6 月 2 日之间接受了访谈。共获得了 864 名 HCWs 的回答。参与者报告了他们的人口统计学、工作相关信息、与新冠阳性患者的接触情况，并完成了两份评估焦虑症状（GAD-7）和抑郁症状（PHQ-9）的标准问卷。通过卡方检验和二项逻辑回归分析收集的数据。使用 SPSS v25 进行数据分析。共有 209 名（24.8%）参与者有抑郁症状，145 名（17.2%）有焦虑症状。50 岁以上的医护人员患抑郁和焦虑的风险较低（OR 0.422（95% CI，0.262-0.680）和 OR 0.468（95% CI，0.270-0.813））。全科医生比在医院工作的参与者更容易出现抑郁和焦虑症状（分别为 32.8%（=63）比 19.4%（=73）和 27.1%（=52）比 10.3%（=39）（=0.037；<0.000））。每周工作超过 48 小时与抑郁（OR 2.222（95% CI，1.315-3.753））和焦虑（OR 2.416（95% CI，1.272-4.586））的风险增加有关。在新冠疫情之前，医疗体系的脆弱性导致拉脱维亚新冠疫情期间 HCWs 出现了显著的心理健康不良后果。需要进一步的队列研究来评估 HCWs 的心理健康和其他易患因素的动态。
