Factors Associated with Insomnia Symptoms in a Longitudinal Study among New York City Healthcare Workers during the COVID-19 Pandemic.
Int J Environ Res Public Health
; 18(17)2021 08 26.
Article
in English
| MEDLINE | ID: covidwho-1374389
ABSTRACT
BACKGROUND:
Few studies have examined the longer-term psychological impact of COVID-19 in healthcare workers (HCWs).PURPOSE:
We examined the 10-week trajectory of insomnia symptoms in HCWs during the COVID-19 pandemic.METHODS:
HCWs completed a web-based survey at baseline (9 April-11 May 2020) and every 2 weeks for 10 weeks. The main outcome was the severity of insomnia symptoms in the past week. Multivariable-adjusted generalized estimating equation analyses examined factors associated with insomnia symptoms.RESULTS:
n = 230 completed surveys at baseline. n = 155, n = 130, n = 118, n = 95, and n = 89 completed follow-ups at weeks 2, 4, 6, 8, and 10, respectively. Prevalence of insomnia symptoms of at least moderate severity was 72.6% at baseline, and 63.2%, 44.6%, 40.7%, 34.7%, and 39.3% at weeks 2, 4, 6, 8, and 10, respectively. In multivariable analyses, factors significantly associated with increased odds of insomnia symptoms were younger age (OR 0.98, 95% CI 0.96-1.00), working in a COVID-facing environment (OR 1.75, 95% CI 1.15-2.67) and hours worked (OR 1.16, 95% CI 1.06-1.27).CONCLUSIONS:
The initial high rates of insomnia symptoms improved as time passed from the peak of local COVID-19 cases but four out of ten HCWs still had moderate-to-severe insomnia symptoms ten weeks after baseline.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
COVID-19
/
Sleep Initiation and Maintenance Disorders
Type of study:
Cohort study
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Topics:
Long Covid
Limits:
Humans
Country/Region as subject:
North America
Language:
English
Year:
2021
Document Type:
Article
Affiliation country:
Ijerph18178970
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