Fundação Oswaldo Cruz Ceará. R. São José s/n, Precabura. 61773-270 Eusébio CE Brasil.
Fundação Oswaldo Cruz Pernambuco. Recife PE Brasil.
Cien Saude Colet. 2023 Aug;28(8):2363-2376. doi: 10.1590/1413-81232023288.06462023. Epub 2023 May 3.
This study aimed to analyze the factors related to the mental health of Community Health Workers (ACS) in the COVID-19 context. A total of 1,935 ACS from four Northeastern capitals and four cities in the inland region of Ceará participated. The following data were collected: sociodemographic; professional; SRQ-20; WHOQOL-Bref, exposure to violence, General Self-Efficacy Scale (EAEG), Multidimensional Scale of Perceived Social Support (MSPSS), COVID-19-related information, and the coronavirus anxiety scale (EAC). Approximately 40.5% had SRQ > 7, signaling high levels of Common Mental Disorders (CMD)/mental health issues. We adopted the Multiple linear (backward) regression. We observed that the increased risk of CMD was influenced by exposure to violence, EAC, not knowing they had COVID-19, not knowing the variables that reduced the risk, the physical and psychological domains of the WHOQOL-Bref, not having increased working hours, and not having had COVID-19. The data reveal the multidimensional dynamics of mental health and help understand the relationship between community violence, COVID-19, quality of life, age, and ESF working time with the mental health of ACS.
这项研究旨在分析与社区卫生工作者（ACS）在 COVID-19 背景下的心理健康相关的因素。共有来自四个东北部首府和塞阿拉内陆地区的四个城市的 1935 名 ACS 参与了这项研究。收集了以下数据：社会人口统计学；职业；SRQ-20；WHOQOL-Bref、暴力暴露、一般自我效能感量表（EAEG）、多维感知社会支持量表（MSPSS）、与 COVID-19 相关的信息和冠状病毒焦虑量表（EAC）。大约 40.5% 的人 SRQ>7，表明存在较高水平的常见精神障碍（CMD）/心理健康问题。我们采用了多元线性（向后）回归。我们观察到，CMD 的风险增加受到暴力暴露、EAC、不知道自己患有 COVID-19、不知道降低风险的变量、WHOQOL-Bref 的生理和心理领域、工作时间没有增加以及没有感染 COVID-19 的影响。这些数据揭示了心理健康的多维动态，并有助于理解社区暴力、COVID-19、生活质量、年龄和 ESF 工作时间与 ACS 心理健康之间的关系。
