scholarly journals Family medicine practitioners’ stress during the COVID-19 pandemic: a cross-sectional survey

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Marion Dutour ◽  
Anna Kirchhoff ◽  
Cécile Janssen ◽  
Sabine Meleze ◽  
Hélène Chevalier ◽  
...  

Abstract Background The COVID-19 pandemic has shaken the world in early 2020. In France, General Practitioners (GPs) were not involved in the care organization’s decision-making process before and during the first wave of the COVID-19 pandemic. This omission could have generated stress for GPs. We aimed first to estimate the self-perception of stress as defined by the 10-item Perceived Stress Score (PSS-10), at the beginning of the pandemic in France, among GPs from the Auvergne-Rhône-Alpes, a french administrative area severely impacted by COVID-19. Second, we aimed to identify factors associated with a self-perceived stress (PSS-10 ≥ 27) among socio-demographic characteristics of GPs, their access to reliable information and to personal protective equipment during the pandemic, and their exposure to well established psychosocial risk at work. Methods We conducted an online cross-sectional survey between 8th April and 10th May 2020. The self-perception of stress was evaluated using the PSS-10, so to see the proportion of “not stressed” (≤20), “borderline” (21 ≤ PSS-10 ≤ 26), and “stressed” (≥27) GPs. The agreement to 31 positive assertions related to possible sources of stress identified by the scientific study committee was measured using a 10-point numeric scale. In complete cases, factors associated with stress (PSS-10 ≥ 27) were investigated using logistic regression, adjusted on gender, age and practice location. A supplementary analysis of the verbatims was made. Results Overall, 898 individual answers were collected, of which 879 were complete. A total of 437 GPs (49%) were stressed (PSS-10 ≥ 27), and 283 GPs (32%) had a very high level of stress (PSS-10 ≥ 30). Self-perceived stress was associated with multiple components, and involved classic psychosocial risk factors such as emotional requirements. However, in this context of health crisis, the primary source of stress was the diversity and quantity of information from diverse sources (614 GPs (69%, OR = 2.21, 95%CI [1.40–3.50], p < 0.001). Analysis of verbatims revealed that GPs felt isolated in a hospital-based model. Conclusion The first wave of the pandemic was a source of stress for GPs. The diversity and quantity of information received from the health authorities were among the main sources of stress.

2020 ◽  
Author(s):  
Marion Dutour ◽  
Anna Kirchhoff ◽  
Cécile Janssen ◽  
Sabine Meleze ◽  
Hélène Chevalier ◽  
...  

Abstract Background The COVID-19 pandemic has shaken the world, but also caregiver’s practices. The World Health Organization warned about the stress it could generate for General Practitioners (GPs). In France, GPs were not involved in the decision-making process for organization of care before and during the first COVID-19 wave. Our objective was to estimate the self-perception of stress at the beginning of the pandemic in France, among GPs from the Auvergne-Rhône-Alpes (AuRA), a french administrative area severely impacted by COVID-19, and to identify which factors may have modulated this perception.Methods We conducted an online cross-sectional survey between 8th of April to 10th of May 2020. The self-perception of stress was evaluated using the 10-item Perceived Stress Score (PSS-10). An agreement score developed by the study scientific committee was measured for 31 positive assertion. Factors associated with stress were investigated using logistic regression, and triangulation based on verbatim analysis. Results Overall, 898 individual answers were collected. A total of 437 GPs (49%) were stressed (PSS≥27), and 283 GPs (32%) had a very high level of stress (PSS≥30). Perceived stress was associated with multiple components, and involved classic psychosocial risk factors such as emotional requirements: 415 GPs (49%) were affected by patient anxiety (OR=3.41, 95%CI [1.87-6.36], p<0.001). But in this context of health crisis, the main determinant of GPs’ stress appears to be the diversity and quantity of information from diverse sources (614 GPs (69%, OR=2.21, 95%CI [1.40-3.50], p<0.001). GPs felt isolated in a hospital-based model.Conclusion The first COVID-19 wave was stressful for AuRA’s GPs. One of the main determinants seems to be the diversity and quantity of information received from the health authorities.


Author(s):  
Yoko Iwaki ◽  
Santosh Kumar Rauniyar ◽  
Shuhei Nomura ◽  
Michael C. Huang

Tuberculosis (TB) has still remained a serious global health threat in low- and middle-income countries in recent years. As of 2021, Nepal is one of the high TB burden countries, with an increasing prevalence of cases. This study evaluates factors associated with TB awareness in Nepal. This study uses data from the Nepal Demographic and Health Survey, a cross-sectional survey carried out from June 2016 to January 2017. Multilevel logistic regression is performed to examine the association of demographic and socioeconomic factors with TB awareness. Our findings show a high level of TB awareness in all seven provinces of Nepal. Province 5 has the highest level of awareness (98.1%) among all provinces, followed by provinces 3 and 4, while province 6 has the lowest awareness level (93.2%) compared to others. Socioeconomic factors such as wealth, education and owning a mobile phone are significantly associated with TB awareness. Socioeconomic determinants are influential factors associated with TB awareness in Nepal. The wide variation in the proportion of awareness at a regional level emphasizes the importance of formulating tailored strategies to increase TB awareness. For instance, the use of mobile phones could be an effective strategy to promote TB awareness at a regional level. This study provides valuable evidence to support further research on the contribution of information and communication technology (ICT) usage to improving TB awareness in Nepal.


Author(s):  
Nonvignon Marius Kêdoté ◽  
Ghislain Emmanuel Sopoh ◽  
Steve Biko Tobada ◽  
Aymeric Joaquin Darboux ◽  
Pérince Fonton ◽  
...  

Perceived stress at work is an important risk factor that affects the mental and physical health of workers. This study aims to determine the prevalence and factors associated with perceived stress in the informal electronic and electrical equipment waste processing sector in French-speaking West Africa. From 14 to 21 November 2019, a cross-sectional survey was carried out among e-waste workers in five countries in the French-speaking West African region, and participants were selected by stratified random sampling. Participants were interviewed on socio-demographic variables and characteristics related to e-waste management activities using a questionnaire incorporating Cohen’s Perceived Stress Scale (10-item version). Factors associated with perceived stress were determined by multivariate logistic regression. A total of 740 e-waste workers were interviewed. The mean age of the workers was 34.59 ± 11.65 years, with extremes of 14 and 74 years. Most of the interviewees were repairers (43.11%). The prevalence of perceived stress among the e-waste workers was 76.76%. Insufficient income, number of working days per week, perceived violence at work, and the interference of work with family responsibilities or leisure were the risk factors that were the most associated with perceived stress. The high prevalence of perceived stress and its associated factors call for consideration and improvement of the working conditions of e-waste workers.


Author(s):  
Renu Sethia ◽  
Gaurav Sharma ◽  
Kirti Shekhawat ◽  
Aarti Aacharya ◽  
Rekha Acharya ◽  
...  

Background: Recently there is growing concern about stress during undergraduate’s medical training. Undue stress may cause adverse health consequences and lowered academic performance. Objective of the study was to know perceived level of stress and its causes among undergraduate medical students.Methods: A cross sectional survey, using self-structured questionnaire, was conducted among 65 third year medical students. Questionnaires were related to socio-demographic profile, perceived stress scale [PSS] and 32 item list of stressors (grouped as health related, academic and psycho-social). Student’s responses were recorded on five point Likert scale.Results: Mean PSS score was 25.53±5.55 and was significantly higher for females. Psycho-social stressors occurred most frequently, followed by the academic causes.Conclusions: Medical undergraduates face high level of stress and the causes may be varied. They need more interaction, counselling and support from faculty to relieve their stress.


10.3823/2430 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Denise Rodrigues Holsbach ◽  
Maria Lúcia Ivo ◽  
Leonardo Costa Pereira ◽  
Alexandra Maria Almeida Carvalho ◽  
Evandro Claudino de Sá ◽  
...  

Objectives: To evaluate the positively and negatively factors associated with the subjective well-being of adults with hemophilia from two associations of patients. Methods: This study is a cross-sectional survey, carried out with convenience sampling in two patient associations. Data collection took place in November and December of 2015. The evaluation protocol consisted of the application of two instruments: Hemophilia Well-Being Index and a collection form of sociodemographic and clinical data. Results: Fifty-three adults with hemophilia, and male, participated in the study. Their age ranged from 21 to 54 years old. It was observed a higher prevalence of participants with single marital status and third education level. The age and marital status of the participants did not influence their well-being. Conclusion: The high level of education was positively associated with the well-being of the participants, related to the item “economic situation.”  Keywords: Hemophilia A; Hemophilia B; Adult; Subjective Well-Being Scale.


2021 ◽  
Author(s):  
Maryam Pyar Ali Lakhdir ◽  
Ghazal Peerwani ◽  
Syed Iqbal Azam ◽  
Apsara Ali Nathwani ◽  
Romaina Iqbal ◽  
...  

Abstract Background: The COVID-19 pandemic has paved the way for psychological crises, especially in resource-limited settings where mental health infrastructure is already crippled. This study aims to determine the prevalence and factors associated with perceived-stress in the Pakistani population during the Covid-19 pandemic. Methods: A web-based cross-sectional survey was conducted on 1679 Pakistani residents who received the study questionnaire's Google form link. A validated tool of perceived-stress scale-10 was used to screen perceived stress levels. Multiple Ordinal Regression was used to identify the factors associated perceived stress and the results are reported as adjusted odds ratios with 95% confidence intervals. Results: The mean score of perceived stress was 19.32 (SD=+6.67). Most of the participants screened positive for moderate (69%) and high levels (14%) of stress, respectively. A significant interaction was seen between generalized-anxiety and the phase of the lockdown. During the complete lockdown, the odds of high-perceived stress among severely anxious participants were 44.67(95% CI: 21.33, 93.53) times than participants with no/minimal generalized anxiety. Moreover, the odds of high levels of perceived-stress among moderately anxious respondents were 15.79(95% CI: 10.19-24.28) times compared to participants with no/minimal anxiety during the smart lockdown. Conclusion: This study evidences that the pandemic was extremely distressing for the Pakistani population causing the maximum level of perceived-stress in more than half of the population. Adequate and timely interventions are needed before high-stress levels culminate into psychological disorders.


2021 ◽  
Vol 11 (01) ◽  
pp. 35-39
Author(s):  
Mahnoor Khawaja M. Saleem ◽  
Abhishek Lal ◽  
Sabeen Masood ◽  
Dinaz Ghandhi ◽  
Anum Arif Sitai ◽  
...  

Objective: To assess the self-perception of halitosis among general population of Karachi along with the oral hygiene methods used. Secondly, the self-perception of halitosis was compared with predictor variables such as age, gender, level of education, and occupation. Study design and setting: Cross-sectional survey; a total of 401 participants of Karachi were recruited in September 2020, Pakistan. Methodology: Using Google Forms, an online questionnaire was developed and consisted of 27 questions regarding demographics and self-perceived halitosis, which was filled by the participants. For the statistical analysis, a multiple linear regression test was used to analyze any significant relation between predictor variables and self-perceived halitosis. Results: Out of the 401 participants, 168 (41.9%) were males and 233 (58.1%) were females. A total of 184 (45.9%) participants suffered from halitosis, with more prevalence in males. Mostly, 251 (62.6%) participants perceived to have halitosis themselves, with tooth brushing the most common (44.9%) way to reduce it. About 340 (84.8%) respondents brushed daily, with twice a day selected by 250 (62.3%). The coated tongue was seen by 124 (30.9%) of participants themselves. Age was found to be significantly associated with self-perceived halitosis. Conclusion: Halitosis is a frequent problem most prevalent in male gender. It has medical and psychosocial impact. Although in general, people are aware of perceiving bad breath themselves, there is still a need for public awareness campaigns to disseminate more knowledge and management options regarding halitosis. Frequent visits to dental and medical healthcare professionals should be encouraged to mitigate this problem.


2021 ◽  
Author(s):  
Maryam Pyar Ali Lakhdir ◽  
Ghazal Peerwani ◽  
Syed Iqbal Azam ◽  
Apsara Ali Nathwani ◽  
Romaina Iqbal ◽  
...  

Abstract Background: The COVID-19 pandemic has paved the way for psychological crises, especially in resource-limited settings where mental health infrastructure is already crippled. This study aims to determine the prevalence and factors associated with perceived stress in the Pakistani population during the Covid-19 pandemic. Methods: A web-based cross-sectional survey was conducted on 1679 Pakistani residents who received the study questionnaire's Google form link. We used a validated tool of perceived-stress scale-10 to screen perceived stress levels. Multiple Ordinal Regression was used to identify the factors associated with perceived stress, and the results are reported as adjusted odds ratios with 95% confidence intervals. Results: The mean score of perceived stress was 19.32 (SD=+6.67). Most of the participants screened positive for moderate (69%) and high levels (14%) of stress, respectively. A significant interaction was seen between generalized-anxiety and the phase of the lockdown. The odds of high-perceived stress among severely anxious participants were 44.67(95% CI: 21.33, 93.53) times than participants with no/minimal generalized anxiety during the complete lockdown. Moreover, the odds of high levels of perceived-stress among moderately anxious respondents were 15.79(95% CI: 10.19-24.28) times compared to participants with no/minimal anxiety during the smart lockdown. Conclusion: This study evidences that the pandemic was highly distressing for the Pakistani population causing the maximum level of perceived-stress in more than half of the population. Adequate and timely interventions are needed before high-stress levels culminate into psychological disorders.


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