Prevalence of mental health problems in frontline healthcare workers after the first outbreak of COVID-19 in China: a cross-sectional study

Health Qual Life Outcomes. 2021 Mar 22;19(1):103. doi: 10.1186/s12955-021-01743-7.

Abstract

Background: More than 210,000 medical workers have fought against the outbreak of Coronavirus Disease 2019 (COVID-19) in Hubei in China since December 2019. However, the prevalence of mental health problems in frontline medical staff after fighting COVID-19 is still unknown.

Methods: Medical workers in Wuhan and other cities in Hubei Province were invited to participate a cross-sectional and convenience sampling online survey, which assessed the prevalence of anxiety, insomnia, depression, and post-traumatic stress disorder (PTSD).

Results: A total of 1,091 responses (33% male and 67% female) were valid for statistical analysis. The prevalence was anxiety 53%, insomnia 79%, depression 56%, and PTSD 11%. Healthcare workers in Wuhan were more likely to face risks of anxiety (56% vs. 52%, P = 0.03) and PTSD (15% vs. 9%, P = 0.03) than those in other cities of Hubei. In terms of educational attainment, those with doctoral and masters' (D/M) degrees may experience more anxiety (median of 7.0, [interquartile range (IQR) 2.0-8.5] vs. median 5.0 [IQR 5.0-8.0], P = 0.02) and PTSD (median 26.0 [IQR 19.5-33.0] vs. median 23.0 [IQR 19.0-31.0], P = 0.04) than those with lower educational degrees.

Conclusions: The mental problems were an important issue for the healthcare workers after COVID-19. Thus, an early intervention on such mental problems is necessary for healthcare workers.

Keywords: Anxiety; Coronavirus disease 2019; Depression; Healthcare workers; Insomnia; Mental health outcome; Post-traumatic stress disorder.

MeSH terms

  • Adult
  • COVID-19*
  • China / epidemiology
  • Cross-Sectional Studies
  • Depressive Disorder / epidemiology*
  • Depressive Disorder / psychology
  • Disease Outbreaks*
  • Female
  • Health Personnel / psychology*
  • Humans
  • Male
  • Middle Aged
  • Occupational Diseases / epidemiology*
  • Occupational Diseases / psychology
  • Prevalence
  • Psychometrics
  • Quality of Life
  • SARS-CoV-2*
  • Surveys and Questionnaires
  • Young Adult