CDC COVID-19 Emergency Response Team.
MMWR Morb Mortal Wkly Rep. 2022 Jul 22;71(29):925-930. doi: 10.15585/mmwr.mm7129a4.
An increase in adverse mental health symptoms occurred in the general population at the onset of the COVID-19 pandemic, which peaked in 2020 and subsequently decreased (1-3). The pandemic exacerbated existing stress and fatigue among public health workers responding to the public health crisis.* During March-April 2021, a survey of state, tribal, local, and territorial (STLT) public health workers found that 52.8% of respondents experienced symptoms of at least one of the following mental health conditions: depression, anxiety, or posttraumatic stress disorder (PTSD) (4); however, more recent estimates of mental health symptoms among this population are limited. To evaluate trends in these conditions from the previous year, the prevalence of symptoms of mental health conditions and suicidal ideation, a convenience sample of STLT public health workers was surveyed during March 14-25, 2022. In total, 26,069 STLT public health workers responded to the survey. Among respondents, 6,090 (27.7%) reported symptoms of depression, 6,467 (27.9%) anxiety, 6,324 (28.4%) PTSD, and 1,853 (8.1%) suicidal ideation. Although the prevalences of depression, anxiety, and PTSD among public health workers were lower (p<0.001) among 2022 survey respondents compared with those of 2021 survey respondents (4), the prevalences of symptoms of suicidal ideation, anxiety, depression, and PTSD remained high among those who worked >60 hours per week (range = 11.3%-45.9%) and those who spent ≥76% of their work time on COVID-19 response activities (range = 9.0%-37.6%). Respondents were less likely to report mental health symptoms if they could take time off (prevalence ratio [PR] range = 0.48-0.55), or if they perceived an increase in mental health resources from their employer (PR range = 0.58-0.84). To support the mental health of public health workers, public health agencies can modify work-related factors, including making organizational changes for emergency responses and facilitating access to mental health resources and services..
在 COVID-19 大流行期间，普通人群的不良心理健康症状增加，在 2020 年达到峰值，随后有所下降（1-3）。这场大流行加剧了应对公共卫生危机的公共卫生工作者的现有压力和疲劳。*2021 年 3 月至 4 月，对州、部落、地方和地区（STLT）公共卫生工作者进行的一项调查发现，52.8%的受访者经历了以下至少一种心理健康状况的症状：抑郁症、焦虑症或创伤后应激障碍（PTSD）（4）；然而，目前对这一人群心理健康症状的最新估计有限。为了评估前一年这些疾病的趋势，对 STLT 公共卫生工作者进行了一项关于心理健康状况和自杀意念的症状流行率的便利抽样调查，调查于 2022 年 3 月 14 日至 25 日进行。共有 26,069 名 STLT 公共卫生工作者对调查做出了回应。在受访者中，6090 人（27.7%）报告有抑郁症状，6467 人（27.9%）有焦虑症状，6324 人（28.4%）有 PTSD 症状，1853 人（8.1%）有自杀意念。尽管 2022 年调查受访者中公共卫生工作者的抑郁、焦虑和 PTSD 患病率（p<0.001）低于 2021 年调查受访者（4），但每周工作>60 小时（范围为 11.3%-45.9%）和每周工作时间≥76%用于 COVID-19 应对活动的受访者（范围为 9.0%-37.6%）的自杀意念、焦虑、抑郁和 PTSD 症状的患病率仍然很高。如果公共卫生工作者可以休假（患病率比 [PR]范围为 0.48-0.55）或他们认为雇主增加了心理健康资源（PR 范围为 0.58-0.84），他们报告心理健康症状的可能性就会降低。为了支持公共卫生工作者的心理健康，公共卫生机构可以调整与工作相关的因素，包括为紧急应对做出组织变革，并为获得心理健康资源和服务提供便利。
