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Impacts and interactions of COVID-19 response involvement, health-related behaviours, health literacy on anxiety, depression and health-related quality of life among healthcare workers: a cross-sectional study.
Tran, Tien V; Nguyen, Hoang C; Pham, Linh V; Nguyen, Minh H; Nguyen, Huu Cong; Ha, Tung H; Phan, Dung T; Dao, Hung K; Nguyen, Phuoc B; Trinh, Manh V; Do, Thinh V; Nguyen, Hung Q; Nguyen, Thao T P; Nguyen, Nhan P T; Tran, Cuong Q; Tran, Khanh V; Duong, Trang T; Pham, Hai X; Nguyen, Lam V; Vo, Tam T; Do, Binh N; Duong, Thai H; Pham, Minh Khue; Pham, Thu T M; Nguyen, Kien Trung; Yang, Shwu-Huey; Chao, Jane C J; Duong, Tuyen Van.
  • Tran TV; Department of Infectious Diseases, Vietnam Military Medical University, Ha Noi, Viet Nam.
  • Nguyen HC; Director Office, Military Hospital 103, Hanoi, Hanoi, Viet Nam.
  • Pham LV; Director Office, Thai Nguyen National Hospital, Thai Nguyen, Viet Nam.
  • Nguyen MH; President Office, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Viet Nam.
  • Nguyen HC; Department of Pulmonary & Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy Hospital, Haiphong, Viet Nam.
  • Ha TH; Director Office, Hai Phong University of Medicine and Pharmacy Hospital, Haiphong, Viet Nam.
  • Phan DT; International Ph.D. Program in Medicine, Taipei Medical University, Taipei, Taiwan.
  • Dao HK; Director Office, E Hospital, Hanoi, Hanoi, Viet Nam.
  • Nguyen PB; Department of Thoracic and Cardiovascular Surgery, E Hospital, Hanoi, Viet Nam.
  • Trinh MV; Director Office, General Hospital of Agricultural, Hanoi, Viet Nam.
  • Do TV; Nursing Office, Thien An Obstetrics and Gynecology Hospital, Hanoi, Viet Nam.
  • Nguyen HQ; Faculty of Nursing, Hanoi University of Business and Technology, Hanoi, Viet Nam.
  • Nguyen TTP; Director Office, Bac Ninh Obstetrics and Pediatrics Hospital, Bac Ninh, UK.
  • Nguyen NPT; Director Office, Kien An Hospital, Haiphong, Viet Nam.
  • Tran CQ; Director Office, Quang Ninh General Hospital, Quang Ninh, Viet Nam.
  • Tran KV; Director Office, Bai Chay Hospital, Quang Ninh, Viet Nam.
  • Duong TT; Director Office, Quang Ninh Obstetrics and Pediatrics Hospital, Quang Ninh, Viet Nam.
  • Pham HX; Health Management Training Institute, University of Medicine and Pharmacy, Hue University, Thua Thien Hue, Viet Nam.
  • Nguyen LV; Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary.
  • Vo TT; General Planning Department, Danang Oncology Hospital, Danang, Viet Nam.
  • Do BN; Director Office, Thu Duc District Health Center, Ho Chi Minh, Viet Nam.
  • Duong TH; Faculty of Health, Mekong University, Vinh Long, Viet Nam.
  • Pham MK; Director Office, Hospital District 2, Ho Chi Minh, Viet Nam.
  • Pham TTM; Nursing Office, Tan Phu District Hospital, Ho Chi Minh, Viet Nam.
  • Nguyen KT; Director Office, District 9 Health Center, Ho Chi Minh, Viet Nam.
  • Yang SH; President Office, Can Tho University of Medicine and Pharmacy, Can Tho, Viet Nam.
  • Chao JCJ; Aesthetic Plastic Surgery & Skin Care Center, Can Tho University of Medicine and Pharmacy Hospital, Can Tho, Viet Nam.
  • Duong TV; Director Office, Trieu Phong District Health Center, Quang Tri, Viet Nam.
BMJ Open ; 10(12): e041394, 2020 12 07.
Article in English | MEDLINE | ID: covidwho-962850
Semantic information from SemMedBD (by NLM)
1. IMPACT gene AFFECTS Responsive Disease
Subject
IMPACT gene
Predicate
AFFECTS
Object
Responsive Disease
2. Depressive disorder PROCESS_OF Health Personnel
Subject
Depressive disorder
Predicate
PROCESS_OF
Object
Health Personnel
3. Alcohol consumption PROCESS_OF Health Personnel
Subject
Alcohol consumption
Predicate
PROCESS_OF
Object
Health Personnel
4. Smoking PROCESS_OF Health Personnel
Subject
Smoking
Predicate
PROCESS_OF
Object
Health Personnel
5. IMPACT gene AFFECTS Responsive Disease
Subject
IMPACT gene
Predicate
AFFECTS
Object
Responsive Disease
6. Depressive disorder PROCESS_OF Health Personnel
Subject
Depressive disorder
Predicate
PROCESS_OF
Object
Health Personnel
7. Alcohol consumption PROCESS_OF Health Personnel
Subject
Alcohol consumption
Predicate
PROCESS_OF
Object
Health Personnel
8. Smoking PROCESS_OF Health Personnel
Subject
Smoking
Predicate
PROCESS_OF
Object
Health Personnel
ABSTRACT

OBJECTIVES:

We examined impacts and interactions of COVID-19 response involvement, health-related behaviours and health literacy (HL) on anxiety, depression, and health-related quality of life (HRQoL) among healthcare workers (HCWs).

DESIGN:

A cross-sectional study was conducted. Data were collected 6 April to 19 April 2020 using online-based, self-administered questionnaires.

SETTING:

19 hospitals and health centres in Vietnam.

PARTICIPANTS:

7 124 HCWs aged 21-60 years.

RESULTS:

The COVID-19 response-involved HCWs had higher anxiety likelihood (OR (95% CI)=4.41 (3.53 to 5.51)), higher depression likelihood (OR(95% CI)=3.31 (2.71 to 4.05)) and lower HRQoL score (coefficient, b(95% CI)=-2.14 (-2.89 to -1.38)), compared with uninvolved HCWs. Overall, HCWs who smoked or drank at unchanged/increased levels had higher likelihood of anxiety, depression and lower HRQoL scores; those with unchanged/healthier eating, unchanged/more physical activity and higher HL scores had lower likelihood of anxiety, depression and higher HRQoL scores. In comparison to uninvolved HCWs who smoked or drank at never/stopped/reduced levels, involved HCWs with unchanged/increased smoking or drinking had lower anxiety likelihood (OR(95% CI)=0.34 (0.14 to 0.83)) or (OR(95% CI)=0.26 (0.11 to 0.60)), and lower depression likelihood (OR(95% CI)=0.33 (0.15 to 0.74)) or (OR(95% CI)=0.24 (0.11 to 0.53)), respectively. In comparison with uninvolved HCWs who exercised at never/stopped/reduced levels, or with those in the lowest HL quartile, involved HCWs with unchanged/increased exercise or with one-quartile HL increment reported lower anxiety likelihood (OR(95% CI)=0.50 (0.31 to 0.81)) or (OR(95% CI)=0.57 (0.45 to 0.71)), lower depression likelihood (OR(95% CI)=0.40 (0.27 to 0.61)) or (OR(95% CI)=0.63 (0.52 to 0.76)), and higher HRQoL scores (b(95% CI)=2.08 (0.58 to 3.58)), or (b(95% CI)=1.10 (0.42 to 1.78)), respectively.

CONCLUSIONS:

Physical activity and higher HL were found to protect against anxiety and depression and were associated with higher HRQoL. Unexpectedly, smoking and drinking were also found to be coping behaviours. It is important to have strategic approaches that protect HCWs' mental health and HRQoL.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Quality of Life / Health Behavior / Health Personnel / Health Literacy / COVID-19 Type of study: Controlled clinical trial / Prevalence study / Qualitative research / Randomized controlled trials / Risk factors Limits: Adult / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Asia Language: English Journal: BMJ Open Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Quality of Life / Health Behavior / Health Personnel / Health Literacy / COVID-19 Type of study: Controlled clinical trial / Prevalence study / Qualitative research / Randomized controlled trials / Risk factors Limits: Adult / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Asia Language: English Journal: BMJ Open Year: 2020 Document Type: Article