Alejandra Paniagua-Avila, Franco Mascayano, and Ezra Susser are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Dorian E. Ramírez, Aida Barrera-Pérez, and Erwin Calgua are with Facultad de Ciencias Médicas, Universidad de San Carlos de Guatemala, Guatemala City, Guatemala. Claudia Castro is an independent researcher in Guatemala City. Ana Peralta-García is with the School of Public Health & Tropical Medicine, Tulane University, New Orleans, LA. Rubén Alvarado is with the School of Public Health, Faculty of Medicine, Universidad de Chile, Santiago, Chile. Victor Puac-Polanco is with the Department of Health Care Policy, Harvard Medical School, Boston, MA.
Am J Public Health. 2022 Aug;112(S6):S602-S614. doi: 10.2105/AJPH.2021.306648.
To assess the baseline prevalence of mental health conditions and associated exposures in a cohort of health care workers (HCWs) in Guatemala. We analyzed baseline information from the 2020 Web-based COVID-19 Health Care Workers Study (HEROES)-Guatemala. Outcomes included mental distress and depressive symptoms. Exposures included COVID-19 experiences, sociodemographic characteristics, and job characteristics. We used crude and adjusted Poisson regression models in our analyses. Of the 1801 HCWs who accepted to participate, 1522 (84.5%) completed the questionnaire; 1014 (66.8%) were women. Among the participants, 59.1% (95% confidence interval [CI] = 56.6, 61.5) screened positive for mental distress and 23% (95% CI = 20.9, 25.2) for moderate to severe depressive symptoms. COVID-19 experiences, sociodemographic characteristics, and job characteristics were associated with the study outcomes. Participants who were worried about COVID-19 infection were at higher risk of mental distress (relative risk [RR] = 1.47; 95% CI = 1.30, 1.66) and depressive symptoms (RR = 1.51; 95% CI = 1.17, 1.96). Similarly, the youngest participants were at elevated risk of mental distress (RR = 1.80; 95% CI = 1.24, 2.63) and depressive symptoms (OR = 4.58; 95% CI = 1.51, 13.87). Mental health conditions are highly prevalent among Guatemalan HCWs. (. 2022;112(S6):S602-S614. https://doi.org/10.2105/AJPH.2021.306648).
评估危地马拉医护人员（HCW）队列中心理健康状况和相关暴露因素的基线流行率。我们分析了 2020 年基于网络的 COVID-19 医护人员研究（HEROES）-危地马拉的基线信息。结果包括精神困扰和抑郁症状。暴露因素包括 COVID-19 经历、社会人口学特征和工作特征。我们在分析中使用了未经调整和调整后的泊松回归模型。在 1801 名同意参与的 HCW 中，有 1522 名（84.5%）完成了问卷；其中 1014 名（66.8%）为女性。在参与者中，59.1%（95%置信区间[CI] = 56.6，61.5）筛查出精神困扰阳性，23%（95% CI = 20.9，25.2）筛查出中重度抑郁症状。COVID-19 经历、社会人口学特征和工作特征与研究结果相关。担心 COVID-19 感染的参与者患精神困扰的风险更高（相对风险[RR] = 1.47；95% CI = 1.30，1.66）和抑郁症状（RR = 1.51；95% CI = 1.17，1.96）。同样，最年轻的参与者患精神困扰（RR = 1.80；95% CI = 1.24，2.63）和抑郁症状（OR = 4.58；95% CI = 1.51，13.87）的风险更高。危地马拉 HCW 中精神健康状况高度流行。（2022 年；112（S6）：S602-S614。https://doi.org/10.2105/AJPH.2021.306648）。
