Alam Md Dhedharul, Islam Asraful, Hossain Md Sanwar, Hossain Afsana, Akhter Delara, Haider Md Masum, Xu Yi
Department of Psychiatry, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
The Key Laboratory of Mental Disorder Management in Zhejiang Province, Hangzhou, China.
Front Psychiatry. 2022 Aug 3;13:896419. doi: 10.3389/fpsyt.2022.896419. eCollection 2022.
BACKGROUND: Vaccination of teachers is recommended during the COVID-19 pandemic to reduce the risk of infection for themselves and their students, as well as to encourage their parents to get immunized. The present study investigated the mental health outcomes and associated factors among vaccinated and unvaccinated teachers against COVID-19 infection in Bangladesh. METHODS: A cross-sectional survey was conducted in Bangladesh from March 4 to September 9, 2021. The frequency of symptoms of psychological distress, depression, anxiety, stress, post-traumatic stress disorder (PTSD), insomnia, and fear was assessed using the Bangla versions of the GHQ-12, PHQ-2, GAD-2, PSS-4, PC-PTSD-5, ISI, and FCV-19S scales, respectively. RESULTS: A total of 1,527 Bangladeshi teachers completed the questionnaire, with 678 (44.4%) being vaccinated and 849 (55.6%) being unvaccinated. Compared with unvaccinated teachers, vaccinated teachers had a statistically significant lower prevalence of psychological distress (35.8 vs. 42.9%), depression (37.6 vs. 46.4%), anxiety (31.9 vs. 45.1%), stress (18.3 vs. 32.0%), PTSD (33.0 vs. 43.8%), insomnia (25.2 vs. 36.9%), and fear symptoms (23.3 vs. 29.6%). Among vaccinated teachers, participants with master's or lower degree levels had significantly higher symptoms of depression, stress, and fear than other education levels. Respondents with children had a significantly higher risk of depression, anxiety, stress, and fear symptoms than those who did not have children. Participants who lost family members, friends, or colleagues due to the COVID-19 pandemic had a significantly higher chance of experiencing symptoms of anxiety, PTSD, and fear than those who did not. On the other hand, unvaccinated male teachers were significantly associated with a higher risk of all mental health outcomes except psychological distress and PTSD symptoms compared to female teachers. Participants who were smokers had a significantly higher chance of anxiety, stress, and fear symptoms than non-smokers. Compared to participants with strong social support, those with poor social support had a higher risk of all mental health outcomes except PTSD symptoms. CONCLUSION: This study suggests emphasizing the vaccinated to unvaccinated teachers as soon as possible to control the infection and improve mental health outcomes. Vulnerable teachers also required special attention, health-related education, and psychological support.
背景:在新冠疫情期间,建议教师接种疫苗,以降低他们自身及学生的感染风险,并鼓励家长进行免疫接种。本研究调查了孟加拉国接种和未接种新冠疫苗的教师的心理健康状况及相关因素。 方法:于2021年3月4日至9月9日在孟加拉国进行了一项横断面调查。分别使用孟加拉语版的GHQ-12、PHQ-2、GAD-2、PSS-4、PC-PTSD-5、ISI和FCV-19S量表评估心理困扰、抑郁、焦虑、压力、创伤后应激障碍(PTSD)、失眠和恐惧症状的发生频率。 结果:共有1527名孟加拉国教师完成了问卷调查,其中678人(44.4%)接种了疫苗,849人(55.6%)未接种疫苗。与未接种疫苗的教师相比,接种疫苗的教师在心理困扰(35.8%对42.9%)、抑郁(37.6%对46.4%)、焦虑(31.9%对45.1%)、压力(18.3%对32.0%)、PTSD(33.0%对43.8%)、失眠(25.2%对36.9%)和恐惧症状(23.3%对29.6%)的患病率上具有统计学意义的显著降低。在接种疫苗的教师中,硕士及以下学历的参与者在抑郁、压力和恐惧症状方面明显高于其他学历水平。有孩子的受访者在抑郁、焦虑、压力和恐惧症状方面的风险明显高于没有孩子的受访者。因新冠疫情失去家庭成员、朋友或同事的参与者出现焦虑、PTSD和恐惧症状的几率明显高于未失去的参与者。另一方面,与女性教师相比,未接种疫苗的男性教师除心理困扰和PTSD症状外,在所有心理健康结果方面的风险均显著更高。吸烟者出现焦虑、压力和恐惧症状的几率明显高于非吸烟者。与社会支持较强的参与者相比,社会支持较差的参与者除PTSD症状外,在所有心理健康结果方面的风险均更高。 结论:本研究建议尽快向未接种疫苗的教师强调接种疫苗,以控制感染并改善心理健康状况。弱势教师也需要特别关注、健康相关教育和心理支持。
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