Mental Health Ward, Herat Regional Hospital, Herat, Afghanistan.
Afghanistan Center for Epidemiological Studies, Herat, Afghanistan.
BMC Psychol. 2023 Jan 30;11(1):29. doi: 10.1186/s40359-023-01059-9.
According to the World Health Organization, approximately 280 million individuals worldwide suffer from depression. One occupational group that is more prone to mental health issues is healthcare workers (HCWs). However, very little is known about the mental health of HCWs in Afghanistan. Therefore, the present study examined depression, quality of life (QOL), and related factors among Afghan HCWs.
A cross-sectional survey was administered in June 2022 among healthcare workers (N = 299) in the Herat province of Afghanistan. The survey examined depression, its risk factors and predictors among HCWs.
Of the 299 participants, 73.6% of them reported depression symptoms. Low monthly income, working in a private hospital, and being a cigarette smoker were some of the main variables associated with depression symptoms among Afghan HCWs. Multiple regression analysis indicated that field of work (aOR = 3.774, p = 0.0048), monthly income (aOR = 0.746, p = 0.0088), job type (aOR = 8.970, p < 0.0001), cigarette smoking (aOR = 2.955, p = 0.0069), a bad event happening during the past month (aOR = 2.433, p = 0.0157), physical domain of quality of life (aOR = 0.966, p = 0.0186), and psychological domain of quality of life (aOR = 0.950, p = 0.0005) were significantly associated with depression symptoms.
The prevalence of depression symptoms is high among healthcare workers in the Herat province of Afghanistan. One of the variables found to have a major impact on the prevalence of depression was their monthly income. Considering its impact on quality of life and the overall quality of healthcare services, the government should implement regular screening for depression, psychological counselling services, and psychiatric treatment for vulnerable healthcare workers.
根据世界卫生组织的数据，全球约有 2.8 亿人患有抑郁症。在更容易出现心理健康问题的职业群体中，医护人员（HCWs）是其中之一。然而，人们对阿富汗 HCWs 的心理健康知之甚少。因此，本研究调查了阿富汗 HCWs 的抑郁、生活质量（QOL）和相关因素。
2022 年 6 月，在阿富汗赫拉特省对医护人员（N=299）进行了横断面调查。该调查研究了 HCWs 中抑郁的风险因素和预测因素。
在 299 名参与者中，73.6%的人报告有抑郁症状。月收入低、在私立医院工作和吸烟是与阿富汗 HCWs 抑郁症状相关的主要变量之一。多因素回归分析表明，工作领域（OR=3.774，p=0.0048）、月收入（OR=0.746，p=0.0088）、工作类型（OR=8.970，p<0.0001）、吸烟（OR=2.955，p=0.0069）、过去一个月发生的不良事件（OR=2.433，p=0.0157）、生活质量的生理领域（OR=0.966，p=0.0186）和生活质量的心理领域（OR=0.950，p=0.0005）与抑郁症状显著相关。
阿富汗赫拉特省 HCWs 中抑郁症状的患病率很高。对抑郁患病率有重大影响的一个变量是他们的月收入。鉴于其对生活质量和整体医疗服务质量的影响，政府应针对弱势 HCWs 实施定期抑郁筛查、心理咨询服务和精神病治疗。
