School of Education, Hefei University, Hefei, China.
School of Physical Education, Anhui Normal University, Wuhu, China.
Front Public Health. 2024 May 14;12:1374667. doi: 10.3389/fpubh.2024.1374667. eCollection 2024.
The impact of the COVID-19 pandemic on mental health among healthcare workers has been widely reported during the initial and ongoing phases of the COVID-19 pandemic. Yet, little remains known about the mental health status of primary healthcare workers in China during the post-pandemic era.
A cross-sectional study was conducted between March 1, 2023, and May 31, 2023 in Anhui China. A total of 13,530 primary healthcare workers were recruited. Multiple logistic regression was used to identify potential factors associated with the incidence of depression and anxiety among primary healthcare workers.
The prevalence of depression and anxiety among primary healthcare workers was 50.7 and 26.4%, respectively. Multiple logistic regression revealed that female gender (OR = 1.345, 95%CI = 1.222-1.479), being divorced or widowed (OR = 1.432, 95%CI = 1.128-1.817), being a nurse (OR = 1.250, 95%CI = 1.126-1.388), and working more than 8 h per day (OR = 1.710, 95%CI = 1.583-1.846) were significantly associated with depression. A higher risk of anxiety among primary healthcare workers was associated with female gender (OR = 1.338, 95%CI = 1.198-1.494), being divorced or widowed (OR = 1.373, 95%CI = 1.056-1.770), being a nurse (OR = 1.139, 95%CI = 1.013-1.282), and working more than 8 h per day (OR = 1.638, 95%CI = 1.497-1.794). Better monthly income, more than 21 years of working experience and without experience of workplace violence were protective factors against depression and anxiety during the post-pandemic era.
Depressive symptoms are more common among primary healthcare workers in China during the post-pandemic era. Female gender, being divorced or widowed, being a nurse, working years, working seniority, monthly income, and experience of workplace violence were identified as associated factors. Targeted intervention is needed when developing strategies to reduce depression and improve primary healthcare workers' wellness and mental health.
在 COVID-19 大流行的初始和持续阶段，已有大量报道称 COVID-19 大流行对医护人员的心理健康产生了影响。然而，在大流行后时期，中国基层医疗工作者的心理健康状况却知之甚少。
2023 年 3 月 1 日至 2023 年 5 月 31 日在中国安徽进行了一项横断面研究。共招募了 13530 名基层医疗工作者。采用多因素逻辑回归分析识别与基层医疗工作者抑郁和焦虑发生相关的潜在因素。
基层医疗工作者的抑郁和焦虑发生率分别为 50.7%和 26.4%。多因素逻辑回归显示，女性（OR=1.345，95%CI=1.222-1.479）、离异或丧偶（OR=1.432，95%CI=1.128-1.817）、护士（OR=1.250，95%CI=1.126-1.388）和每天工作超过 8 小时（OR=1.710，95%CI=1.583-1.846）与抑郁显著相关。基层医疗工作者患焦虑的风险较高，与女性（OR=1.338，95%CI=1.198-1.494）、离异或丧偶（OR=1.373，95%CI=1.056-1.770）、护士（OR=1.139，95%CI=1.013-1.282）和每天工作超过 8 小时（OR=1.638，95%CI=1.497-1.794）有关。更好的月收入、21 年以上工作经验和没有工作场所暴力经历是大流行后时期预防抑郁和焦虑的保护因素。
在中国大流行后时期，基层医疗工作者的抑郁症状更为常见。女性、离异或丧偶、护士、工作年限、工作年限、月收入和工作场所暴力经历是相关因素。在制定减少抑郁、改善基层医疗工作者健康和心理健康的策略时，需要有针对性地进行干预。
