Samsoor Ali Ahmad, Stanikzai Muhammad Haroon
Department of Clinic, Faculty of Medicine, Malalay Institute of Higher Education, Kandahar, Afghanistan.
Department of Public Health, Faculty of Medicine, Kandahar University, Kandahar, Afghanistan.
Indian J Occup Environ Med. 2024 Apr-Jun;28(2):154-158. doi: 10.4103/ijoem.ijoem_34_24. Epub 2024 Jun 28.
Decades of conflict and cycles of disasters in Afghanistan have caused enormous impacts on health, the economy, and even national security.
We aimed to assess the levels of depression, anxiety, and stress symptoms and their determinants among Afghan healthcare workers.
A cross-sectional study of 830 Afghan healthcare workers working in public and private hospitals was conducted between May and July 2021. We employed a non-probability sampling method to select our subjects. The questionnaire was composed of sections on sociodemographic information, working conditions, and Depression, Anxiety, and Stress Scale-21 (DASS-21). Multivariable linear regression models were fitted using SPSS 21 to identify determinants of mental health symptoms among Afghan healthcare workers at a 5% significance level.
Of all participants, 52.3% (435) had symptoms of depression, 48.8% (405) anxiety, and 46.9% (389) stress. The likelihood of mental health symptoms was higher among those who worked in an urban setting ( = 0.001), were physically inactive ( = <0.001), had a decrease in income or an unpaid salary in the past six months ( = <0.001), thinking of leaving Afghanistan ( = <0.001), had medical comorbidity ( = <0.001), and being single ( = 0.048)].
This study highlights the important findings about the psychological health of healthcare workers in Afghanistan. These findings suggest rapid, actionable, and locally relevant interventions to assure potential improvements in working and living conditions for the health staff.
阿富汗数十年的冲突和灾难循环对健康、经济乃至国家安全都造成了巨大影响。
我们旨在评估阿富汗医护人员的抑郁、焦虑和压力症状水平及其决定因素。
2021年5月至7月对830名在公立和私立医院工作的阿富汗医护人员进行了一项横断面研究。我们采用非概率抽样方法选取研究对象。问卷由社会人口统计学信息、工作条件以及抑郁、焦虑和压力量表-21（DASS-21）等部分组成。使用SPSS 21拟合多变量线性回归模型，以5%的显著性水平确定阿富汗医护人员心理健康症状的决定因素。
在所有参与者中，52.3%（435人）有抑郁症状，48.8%（405人）有焦虑症状，46.9%（389人）有压力症状。在城市地区工作的人（P = 0.001）、身体不活动的人（P <0.001）、在过去六个月收入减少或未领到工资的人（P <0.001）、考虑离开阿富汗的人（P <0.001）、有合并症的人（P <0.001）以及单身的人（P = 0.048）出现心理健康症状的可能性更高。
本研究突出了有关阿富汗医护人员心理健康的重要发现。这些发现表明需要迅速采取切实可行且与当地相关的干预措施，以确保医护人员的工作和生活条件有可能得到改善。
