Comparison of prevalence and risk factors of somatization between Chinese health care workers and non-health care workers during COVID-19 outbreak

BMC Psychiatry. 2021 May 31;21(1):276. doi: 10.1186/s12888-021-03294-z.

Abstract

Background: This study aimed to compare prevalence and risk factors of somatization (SOM) between health care workers and non-health care workers during COVID-19 outbreak in China.

Methods: From 14 February to 29 March 2020, an online survey was performed in both 605 health care workers and 1151 non-health care workers. Based on the somatization dimension score of the Symptom Checklist-90, participants were divided into non-SOM group and SOM group.

Results: Health care workers had higher prevalence rate of SOM (p < 0.001) than non-health care workers, with an OR of 1.70 (95% CI, 1.22-2.36, p = 0.002). Multiple logistic regression analysis revealed that in non-health care workers, the risk factors of SOM included other ethnicities, insomnia, and suicide, while in health care workers, the risk factors included working 6-8 h per day, and working ≥10 h per day during COVID-19 outbreak.

Conclusions: Our research suggests that both non-health care workers and health care workers have a relatively high prevalence of somatization. However, the related factors for somatization in both groups are significantly different, showing that medical service-related factors are associated with somatization in health care workers, while demographic and clinical factors are associated with somatization in non-health care workers.

Keywords: COVID-19; Health care workers; Risk factors; Somatization.

MeSH terms

  • Anxiety
  • COVID-19*
  • China / epidemiology
  • Cross-Sectional Studies
  • Depression
  • Disease Outbreaks
  • Health Personnel
  • Humans
  • Mental Health
  • Prevalence
  • Risk Factors
  • SARS-CoV-2
  • Surveys and Questionnaires