Psychosocial status and attitudes of healthcare workers amid the COVID-19 pandemic

Abstract Background/Aim: COVID-19 disease occurs in close contact due to its highly contagious nature. Healthcare workers (HCWs) are in the frontline of struggling with the COVID-19 pandemic. The thoughts, behaviors, attitudes, and psychosocial statuses of healthcare professionals working in this problematic condition have not yet been fully investigated in Turkey. We aimed to evaluate the mental health and psychosocial status, thoughts about the measures taken by the government, attitudes, and behaviors of healthcare workers facing the COVID-19 pandemic, and whether there is a difference between physician and non-physician HCWs. Methods: In this cross-sectional survey, a 56-question multiple-choice test created based on similar surveys and scales was performed by a one-to-one interview with the HCWs in three registered hospitals fighting the COVID-19 pandemic from 20 May to 10 June 2020. Mental health variables were assessed via the Patient Health Questionnaire-4 (PHQ-4) and the Turkish Beck Depression Scale to specify psychological manifestations. A scoring system was applied using a four-point Likert scale, from no points (“strongly disagree”) to three points (“strongly agree”) to determine the levels of anxiety and depression. Participants were divided into two groups as physician and non-physician HCWs for subgroup analysis. Results: A total of 300 HCWs (45 physicians, 255 non-physician health care workers) enrolled in the survey. Only 0.8% of HCWs received psychological support from a therapist or psychiatrist. The most common concern during the COVID-19 pandemic was about “the elderly and other risky population being infected” (37.9%). Compared with non-physician HCWs, physicians felt more concerned about the spread of COVID-19 (80% vs 47.1%, P=0.006 χ2=12.591) and they agreed at a higher rate that the number of tests performed was sufficient (53.3% vs. 41.2%, P=0.030, OR: 0.29-0.35, χ2=7.047). For all HCWs, the "feeling of being infected with COVID-19” item had the highest mean total score (2.60 (0.97). The mean score of the “feeling nervous/anxious/on edge” item was 2.53 (0.52) for physicians and 2.26 (0.86) for non-physician HCWs. Non- physicians HCWs had a higher mean score for “Feeling of increased body pain and agony” item than physicians 0.27(0.80) vs 0.76 (1.23), mean dif=-0.50, 95% confidence interval=-1.002 to 0.006, P<0.05). Conclusions: The results of this study showed that healthcare professionals were most anxious about “being infected with COVID-19”. Both physician and non-physician HCWs were feeling nervous/anxious/on edge according to anxiety scores.

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Prevalence and correlates of anxiety and depression in frontline healthcare workers treating people with COVID-19 in Bangladesh

BMC Psychiatry ◽

10.1186/s12888-021-03243-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Rafia Tasnim ◽

Md. Safaet Hossain Sujan ◽

Md. Saiful Islam ◽

Asmaul Husna Ritu ◽

Md. Abid Bin Siddique ◽

...

Keyword(s):

Mental Health ◽

Healthcare Workers ◽

Linear Regression Analysis ◽

Depression Scale ◽

Anxiety And Depression ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional ◽

Health Concerns ◽

Mental Health Concerns

Abstract Background Healthcare workers (HCWs) who are in the frontline during the COVID-19 pandemic are often under significant pressures that may predispose them to symptoms of poor mental health. This study aimed to investigate the prevalence of anxiety and depression among HCWs and factors correlated with mental health concerns during the COVID-19 pandemic in Bangladesh. And, it also aimed to evaluate the psychometric properties of the Bangla version of the Hospital Anxiety and Depression Scale (HADS). Methods A cross-sectional survey was conducted between July and August, 2020. A self-reported online questionnaire was utilized to collect data. The survey included questions concerning socio-demographic, lifestyle, and work setting, as well as the HADS. A confirmatory factor analysis (CFA) and multiple linear regression analysis were performed. Results Data from 803 HCWs (50.7% male; mean age: 27.3 [SD = 6.9]; age range: 18-58 years) were included in the final analysis. The Bangla HADS was psychometrically sound, and demonstrated good internal consistency and reliability (α = 0.83), and excellent construct validity. Prevalence estimates of anxiety and depression were 69.5%, and 39.5%, respectively, for less severe symptomology (at least borderline abnormal), and 41.2% and 15.7% for more severe (at least abnormal) symptomology. Regression analyses with the total HADS score as a dependent variable revealed significant (p < 0.05) associations with female gender, moderate and poor health status, infrequent physical exercising, smoking, having had regrets about one’s profession because of the pandemic and associated experiences, not updating on the latest COVID-19-related research, experiencing discrimination in the workplace, and facing social problems due to working in a lab or hospital during the COVID-19 pandemic. Conclusions Symptoms of anxiety and depression are prevalent among HCWs during the COVID-19 pandemic in Bangladesh. The findings suggest a need for screening for mental health concerns, and employing early intervention to help these individuals.

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COVID-19 Knowledge among Healthcare Professionals in Gombe, Northeast, Nigeria: A Quick Online Cross-Sectional Survey

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2021/v33i430839 ◽

2021 ◽

pp. 105-114

Author(s):

Rabiu Ibrahim ◽

Abdulsalam Yakubu ◽

Ahmed Iya Girei ◽

Danladi Muhammed Umar

Keyword(s):

Infection Control ◽

Healthcare Workers ◽

Healthcare Professionals ◽

Close Contact ◽

Healthcare Setting ◽

Control Measures ◽

P Value ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional

Aims: Despite control measures adopted to check the rapid spread of the COVID-19 pandemic in Nigeria, healthcare workers still face a serious threat to infection due to SARS-CoV-2 virus. Adherence to control measures by healthcare workers depends on their knowledge. This study aimed to determine the knowledge of COVID-19 and related infection control practices among healthcare professionals in Gombe State. Mythology: A cross sectional study was conducted among healthcare professionals in Gombe. Relying on our network with the healthcare professionals, 500 participants were recruited into the study using simple random sampling method. The data were collected using online questionnaire consisting of socio-demographic questions and 17questions based on knowledge and infection control practices related to COVID-19 disease in the healthcare setting adapted from a study in India. The data were analyzed using SPSS version 23 at uni-variate and bivariate levels with p value at < 0.05. Results: Close to three-fourth (72.1%) of the participants reported correct answer about knowledge of COVID-19, thus overall knowledge was found to be adequate for all subgroups. About four-fifth (78.9%) of doctors’ responses were correct. and the lowest (65.5%) was from CHOs, Laboratory assistants and health recorders. 43.7% of the participants could correctly define “close contact.” More than three-fourths of the participants knew the various infection control measures like rapid triage, respiratory hygiene, and cough etiquette and having a separate, well ventilated waiting area for suspected COVID-19 patients. However, less than half (47.8) of the participants were aware of the correct sequence for the application of a mask/respirator, and 62.2% of them knew the preferred hand hygiene method for visibly soiled hands. Conclusion: Regular health educational programs aimed at improving COVID-19 knowledge and infection control are needed.

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Burnout of Healthcare Workers amid the COVID-19 Pandemic: A Japanese Cross-Sectional Survey

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18052434 ◽

2021 ◽

Vol 18 (5) ◽

pp. 2434

Author(s):

Yoshito Nishimura ◽

Tomoko Miyoshi ◽

Hideharu Hagiya ◽

Yoshinori Kosaki ◽

Fumio Otsuka

Keyword(s):

Healthcare Workers ◽

Healthcare Professionals ◽

Healthcare Delivery ◽

General Medicine ◽

Maslach Burnout Inventory ◽

University Hospital ◽

Survey Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Past

The coronavirus disease 2019 (COVID-19) global pandemic has drastically changed how we live and work. Amid the prolonged pandemic, burnout of the frontline healthcare professionals has become a significant concern. We conducted a cross-sectional survey study to provide data about the relationship between the COVID-19 pandemic and the prevalence of burnout in healthcare professionals in Japan. Healthcare workers in a single Japanese national university hospital participated in the survey, including basic demographics, whether a participant engaged in care of COVID-19 patients in the past 2 weeks and the Maslach Burnout Inventory. Of those, 25.4% fully answered the survey; 33.3% were doctors and 63.6% were nurses, and 36.3% engaged in care of COVID-19 patients in the past 2 weeks. Compared to those belonging to General Medicine, those in Emergency Intensive Care Unit were at higher risk of burnout (odds ratio (OR), 6.7; 95% CI, 1.1–42.1; p = 0.031). Of those who engaged in care of COVID-19 patients, 50% reported burnout while 6.1% did not (OR 8.5, 95% CI; 1.3–54.1; p = 0.014). The burnout of healthcare workers is a significant concern amid the pandemic, which needs to be addressed for sustainable healthcare delivery.

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Protecting the front line: a cross-sectional survey analysis of the occupational factors contributing to healthcare workers’ infection and psychological distress during the COVID-19 pandemic in the USA

BMJ Open ◽

10.1136/bmjopen-2020-042752 ◽

2020 ◽

Vol 10 (10) ◽

pp. e042752 ◽

Cited By ~ 2

Author(s):

Tsion Firew ◽

Ellen D Sano ◽

Jonathan W Lee ◽

Stefan Flores ◽

Kendrick Lang ◽

...

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Healthcare Workers ◽

Anxiety Symptoms ◽

Front Line ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Convenience Sample ◽

Burn Out ◽

The Usa

ObjectiveThe COVID-19 pandemic has been associated with significant occupational stressors and challenges for front-line healthcare workers (HCWs), including COVID-19 exposure risk. Our study sought to assess factors contributing to HCW infection and psychological distress during the COVID-19 pandemic in the USA.DesignWe conducted a cross sectional survey of HCWs (physicians, nurses, emergency medical technicians (EMTs), non-clinical staff) during May 2020. Participants completed a 42-item survey assessing disease transmission risk (clinical role, work environment, availability of personal protective equipment) and mental health (anxiety, depression and burn-out).SettingThe questionnaire was disseminated over various social media platforms. 3083 respondents from 48 states, the District of Columbia and US territories accessed the survey.ParticipantsUsing a convenience sample of HCWs who worked during the pandemic, 3083 respondents accessed the survey and 2040 participants completed at least 80% of the survey.Primary outcomePrevalence of self-reported COVID-19 infection, in addition to burn-out, depression and anxiety symptoms.ResultsParticipants were largely from the Northeast and Southern USA, with attending physicians (31.12%), nurses (26.80%), EMTs (13.04%) with emergency medicine department (38.30%) being the most common department and specialty represented. Twenty-nine per cent of respondents met the criteria for being a probable case due to reported COVID-19 symptoms or a positive test. HCWs in the emergency department (31.64%) were more likely to contract COVID-19 compared with HCWs in the ICU (23.17%) and inpatient settings (25.53%). HCWs that contracted COVID-19 also reported higher levels of depressive symptoms (mean diff.=0.31; 95% CI 0.16 to 0.47), anxiety symptoms (mean diff.=0.34; 95% CI 0.17 to 0.52) and burn-out (mean diff.=0.54; 95% CI 0.36 to 0.71).ConclusionHCWs have experienced significant physical and psychological risk while working during the COVID-19 pandemic. These findings highlight the urgent need for increased support for provider physical and mental health well-being.

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Exploring the factors associated with the mental health of frontline healthcare workers during the COVID-19 pandemic in Cyprus

PLoS ONE ◽

10.1371/journal.pone.0258475 ◽

2021 ◽

Vol 16 (10) ◽

pp. e0258475

Author(s):

Konstantinos Kapetanos ◽

Stella Mazeri ◽

Despo Constantinou ◽

Anna Vavlitou ◽

Marios Karaiskakis ◽

...

Keyword(s):

Mental Health ◽

Healthcare Workers ◽

Healthcare Professionals ◽

Maslach Burnout Inventory ◽

Sample Population ◽

Negative Effects ◽

Cross Sectional ◽

Logistic Regression Models ◽

Factors Associated ◽

Frontline Healthcare Workers

Introduction The spread of COVID-19 into a global pandemic has negatively affected the mental health of frontline healthcare-workers. This study is a multi-centre, cross-sectional epidemiological study that uses nationwide data to assess the prevalence of stress, anxiety, depression and burnout among health care workers managing COVID-19 patients in Cyprus. The study also investigates the mechanism behind the manifestation of these pathologies, as to allow for the design of more effective protective measures. Methods Data on the mental health status of the healthcare workers were collected from healthcare professionals from all over the nation, who worked directly with Covid patients. This was done via the use of 64-item, self-administered questionnaire, which was comprised of the DASS21 questionnaire, the Maslach Burnout Inventory and a number of original questions. Multivariable logistic regression models were used to investigate factors associated with each of the mental health measures. Results The sample population was comprised of 381 healthcare professionals, out of which 72.7% were nursing staff, 12.9% were medical doctors and 14.4% belonged to other occupations. The prevalence of anxiety, stress and depression among the sample population were 28.6%, 18.11% and 15% respectively. The prevalence of burnout was 12.3%. This was in parallel with several changes in the lives of the healthcare professionals, including; working longer hours, spending time in isolation and being separated from family. Discussion This study indicates that the mental health of a significant portion of the nation’s workforce is compromised and, therefore, highlights the need for an urgent intervention particularly since many countries, including Cyprus, are suffering a second wave of the pandemic. The identified risk factors should offer guidance for employers aiming to protect their frontline healthcare workers from the negative effects of the COVID-19 pandemic.

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Lessons From the First Wave of COVID-19: Work-Related Consequences, Clinical Knowledge, Emotional Distress, and Safety-Conscious Behavior in Healthcare Workers in Switzerland

Frontiers in Psychology ◽

10.3389/fpsyg.2021.628033 ◽

2021 ◽

Vol 12 ◽

Author(s):

Marco Riguzzi ◽

Shkumbin Gashi

Keyword(s):

Risk Perception ◽

Emotional Distress ◽

Healthcare Workers ◽

Physical Contact ◽

Clinical Knowledge ◽

Physical And Mental Health ◽

Work Situation ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Government

The coronavirus disease (COVID-19) imposes an unusual risk to the physical and mental health of healthcare workers and thereby to the functioning of healthcare systems during the crisis. This study investigates the clinical knowledge of healthcare workers about COVID-19, their ways of acquiring information, their emotional distress and risk perception, their adherence to preventive guidelines, their changed work situation due to the pandemic, and their perception of how the healthcare system has coped with the pandemic. It is based on a quantitative cross-sectional survey of 185 Swiss healthcare workers directly attending to patients during the pandemic, with 22% (n = 40) of them being assigned to COVID-19-infected patients. The participants answered between 16th June and 15th July 2020, shortly after the first wave of COVID-19 had been overcome and the national government had relaxed its preventive regulations to a great extent. The questionnaire incorporated parts of the “Standard questionnaire on risk perception of an infectious disease outbreak” (version 2015), which were adapted to the case of COVID-19. Clinical knowledge was lowest regarding the effectiveness of standard hygiene (p < 0.05). Knowledge of infectiousness, incubation time, and life-threatening disease progression was higher, however still significantly lower than regarding asymptomatic cases and transmission without physical contact (p < 0.001). 70% (95%-confidence interval: 64-77%) of the healthcare workers reported considerable emotional distress on at least one of the measured dimensions. They worried significantly more strongly about patients, elderly people, and family members, than about their own health (p < 0.001). Adherence to (not legally binding) preventive guidelines by the government displayed patterns such that not all guidelines were followed equally. Most of the participants were faced with a lack of protective materials, personnel, structures, processes, and contingency plans. An increase in stress level was the most prevalent among the diverse effects the pandemic had on their work situation. Better medical equipment (including drugs), better protection for their own mental and physical health, more (assigned) personnel, more comprehensive information about the symptoms of the disease, and a system of earlier warning were the primary lessons to be learned in view of upcoming waves of the pandemic.

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Psychosocial Aspects During the First Wave of COVID-19 Infection in South Africa

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.663758 ◽

2021 ◽

Vol 12 ◽

Author(s):

Antonio G. Lentoor ◽

Mokoena Patronella Maepa

Keyword(s):

Mental Health ◽

South Africa ◽

Online Survey ◽

Psychosocial Interventions ◽

Situational Factors ◽

Cross Sectional Survey ◽

Mental Health Diagnosis ◽

Cross Sectional ◽

The Government ◽

Health Diagnosis

Background: In South Africa, as in many countries, the nationwide spread of COVID-19 caused a public health emergency that resulted in the government implementing necessary restrictive measures such as the nationwide lockdown as a way of containing the pandemic. Such restrictive measure, while necessary, can disrupt many aspects of people's lives resulting in unprecedented psychosocial distress.Aim: The present study aims to describe the psychosocial health and situational factors associated with the novel coronavirus (COVID-19) in South Africa during the first wave of infection.Methods: This cross-sectional survey, recruited a total of 203 participants through convenience sampling via online platforms—WhatsApp, Facebook, emails, etc.—during COVID-19 lockdown in the country. Through the snowball technique, participants from across South Africa completed the online survey that assessed socio-demographic information, risk perception, history of mental health, COVID-19-related stress, and fears during the lockdown (first wave).Results: The majority of the participants who completed the survey were young, Black African, and female. Participants reported feelings of stress and anxiety (61.2%); stress about finances (39.5%); and feelings of sadness, anger, and/or frustration (31.6%) during the lockdown. Females compared to males were more likely to perceive COVID-19 as a risk to their household, X(20)2 = 45,844, p < 0.001 and community, X(20)2 = 40,047, p = 0.005. COVID-19 differentially impacted the mental health of participants with and without mental health diagnosis, X(4)2 = 16.596, p = 0.002. Participants with a prior mental health diagnosis reported significant extra stress during lockdown (p < 0.05).Conclusion: The findings may be of significance to assist in the development of targeted psychosocial interventions to help people during and after the pandemic.

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Mental Health Impact of the First Wave of COVID-19 Pandemic on Spanish Healthcare Workers: a Large Cross-sectional Survey

10.1101/2020.10.27.20220731 ◽

2020 ◽

Author(s):

Jordi Alonso ◽

Gemma Vilagut ◽

Philippe Mortier ◽

Montse Ferrer ◽

Itxaso Alayo ◽

...

Keyword(s):

Mental Health ◽

Mental Disorders ◽

Mental Disorder ◽

Healthcare Workers ◽

Female Gender ◽

Individual Characteristics ◽

Panic Attacks ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Wide Range

ABSTRACTIntroductionHealthcare workers are vulnerable to adverse mental health impacts of COVID-19. We assessed prevalence of mental disorders and associated factors during the first wave of the pandemic among healthcare professionals in Spain.MethodsAll workers in 18 healthcare institutions (6 AACC) in Spain were invited to a series of online surveys assessing a wide range of individual characteristics, COVID-19 infection status and exposure, and mental health status. Here we report: current mental disorders (Major Depressive Disorder-MDD- [PHQ-8≥10], Generalized Anxiety Disorder-GAD- [GAD-7≥10], Panic attacks, Posttraumatic Stress Disorder –PTSD- [PCL-5≥7]; and Substance Use Disorder –SUD-[CAGE-AID≥2]. Severe disability assessed by the Sheehan Disability Scale was used to identify “disabling” current mental disorders.Results9,138 healthcare workers participated. Prevalence of screen-positive disorder: 28.1% MDD; 22.5% GAD, 24.0% Panic; 22.2% PTSD; and 6.2% SUD. Overall 45.7% presented any current and 14.5% any disabling current mental disorder. Healthcare workers with prior lifetime mental disorders had almost twice the prevalence of current disorders than those without. Adjusting for all other variables, odds of any disabling mental disorder were: prior lifetime disorders (TUS: OR=5.74; 95%CI 2.53-13.03; Mood: OR=3.23; 95%CI:2.27-4.60; Anxiety: OR=3.03; 95%CI:2.53-3.62); age category 18-29 years (OR=1.36; 95%CI:1.02-1.82), caring “all of the time” for COVID-19 patients (OR=5.19; 95%CI: 3.61-7.46), female gender (OR=1.58; 95%CI: 1.27-1.96) and having being in quarantine or isolated (OR= 1.60; 95CI:1.31-1.95).ConclusionsCurrent mental disorders were very frequent among Spanish healthcare workers during the first wave of COVID-19. As the pandemic enters its second wave, careful monitoring and support is needed for healthcare workers, especially those with previous mental disorders and those caring COVID-19 very often.

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Hand Hygiene Knowledge and Perception among the Healthcare Workers during the COVID-19 Pandemic in Qassim, Saudi Arabia: A Cross-Sectional Survey

Healthcare ◽

10.3390/healthcare9121627 ◽

2021 ◽

Vol 9 (12) ◽

pp. 1627

Author(s):

Adil Abalkhail ◽

Ilias Mahmud ◽

Fahad A. Alhumaydhi ◽

Thamer Alslamah ◽

Ameen S. S. Alwashmi ◽

...

Keyword(s):

Saudi Arabia ◽

Hand Hygiene ◽

Healthcare Workers ◽

Primary Source ◽

Cross Sectional Study ◽

World Health ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Government ◽

Health Organization

Hand hygiene is among the most important factors of infection control in healthcare settings. Healthcare workers are the primary source of hospital-acquired infection. We assessed the current state of hand hygiene knowledge, perception, and practice among the healthcare workers in Qassim, Saudi Arabia. In this cross-sectional study, we used the hand hygiene knowledge and perception questionnaire developed by the World Health Organization. Knowledge and perceptions were classified into good (80–100%), moderate (60–79%), and poor (<60% score). The majority of the healthcare workers had moderate knowledge (57.8%) and perception (73.4%) of hand hygiene. Males were less likely to have moderate/good knowledge compared to females (OR: 0.52, p < 0.05). Private healthcare workers were less likely (OR: 0.33, p < 0.01) to have moderate/good perceptions compared to the government healthcare workers. Healthcare workers who received training on hand hygiene were more likely to have good/moderate perception (OR: 3.2, p < 0.05) and to routinely use alcohol-based hand rubs (OR: 3.8, p < 0.05) than the ones without such training. Physicians are more likely (OR: 4.9, p < 0.05) to routinely use alcohol-based hand rubs than technicians. Our research highlighted gaps in hand hygiene knowledge, perception and practice among healthcare workers in Qassim, Saudi Arabia and the importance of training in this regard.

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Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 epidemic in China: a web-based cross-sectional survey

10.21203/rs.3.rs-17172/v1 ◽

2020 ◽

Cited By ~ 7

Author(s):

Yeen Huang ◽

Ning Zhao

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Sleep Quality ◽

Healthcare Workers ◽

Influence Factors ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Web Based

Abstract Background China has been severely affected by COVID-19 (Corona Virus Disease 2019) since December, 2019. This study aimed to assess the population mental health burden during the epidemic, and to explore the potential influence factors. Methods Using a web-based cross-sectional survey, we collected data from 7,236 self-selected volunteers assessed with demographic information, COVID-19 related knowledge, Generalized Anxiety Disorder-7 (GAD-7), Center for Epidemiology Scale for Depression (CES-D), and Pittsburgh Sleep Quality Index (PSQI). Logistic regressions were used to identify influence factors associated with mental health problem. Results Of the total sample analyzed, the overall prevalence of GAD, depressive symptoms, and sleep quality were 35.1%, 20.1%, and 18.2%, respectively. Young people reported a higher prevalence of GAD and depressive symptoms than older people ( P <0.001). Compared with other occupational group, healthcare workers have the highest rate of poor sleep quality ( P <0.001). Multivariate logistic regression showed that age (< 35 years) and times to focus on the COVID-19 (≥ 3 hours per day) were associated with GAD, and healthcare workers were associated with poor sleep quality. Conclusions Our study identified a major mental health burden of the public during COVID-19 epidemic in China. Young people, people who spent too much time on the epidemic, and healthcare workers were at high risk for mental illness. Continuous surveillance and monitoring of the psychological consequences for outbreaks should become routine as part of preparedness efforts worldwide.

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