scholarly journals Examining Associations between Community Health Worker-Rated Health and Mental Health among Latino Adults with Chronic Disease

2020 ◽  
Vol 18 (1) ◽  
pp. 100
Author(s):  
Kiera Coulter ◽  
Maia Ingram ◽  
Abby M. Lohr ◽  
Melanie L. Bell ◽  
Scott Carvajal
Keyword(s):  
Mental Health ◽  
Chronic Disease ◽  
Health Status ◽  
Health Outcomes ◽  
Community Health ◽  
Mental Health Treatment ◽  
Health Workers ◽  
Mental Health Outcomes ◽  
Care Needs ◽  
Latino Adults

Latinos with chronic disease often experience comorbid depression, but confront barriers to mental health treatment. Community health workers (CHWs) develop trusting relationships with the communities they serve, and may be uniquely positioned to identify Latinos with mental health care needs. Research has not examined whether their rating of clients’ health is indicative of their mental health. This mixed-methods study examines CHWs’ appraisals of Latino adults’ health and their relation to mental health outcomes, and explores factors informing CHWs’ rating of health status. The current study utilized baseline data from the Linking Individual Needs to Community and Clinical Services (LINKS) study. We assessed associations between CHW-rated health (CHWRH), or rating of health status as poor–excellent, and mental health outcomes with multilevel linear regression modelling. We qualitatively analyzed CHWs’ written perceptions of participants’ health status to understand what influenced their health rating. The quantitative results showed that CWHRH was significantly related to depressive symptoms and emotional problems severity. The qualitative results showed that CHWs took a holistic and ecological approach in rating health. The findings suggest that CHWRH could be indicative of mental health among Latino adults. Further studies investigating CHWRH as an independent indicator of mental health are warranted.

scholarly journals Working conditions and health status of 6,317 front line public health workers across five provinces in China during the COVID-19 epidemic: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jinghua Li ◽  
Jingdong Xu ◽  
Huan Zhou ◽  
Hua You ◽  
Xiaohui Wang ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Status ◽  
Health Outcomes ◽  
Working Conditions ◽  
Health Workers ◽  
Front Line ◽  
Cross Sectional ◽  
Self Rated Health ◽  
Public Health Workers

ABSTRACT Background Public health workers at the Chinese Centre for Disease Control and Prevention (China CDC) and primary health care institutes (PHIs) were among the main workers who implemented prevention, control, and containment measures. However, their efforts and health status have not been well documented. We aimed to investigate the working conditions and health status of front line public health workers in China during the COVID-19 epidemic. Methods Between 18 February and 1 March 2020, we conducted an online cross-sectional survey of 2,313 CDC workers and 4,004 PHI workers in five provinces across China experiencing different scales of COVID-19 epidemic. We surveyed all participants about their work conditions, roles, burdens, perceptions, mental health, and self-rated health using a self-constructed questionnaire and standardised measurements (i.e., Patient Health Questionnaire and General Anxiety Disorder scale). To examine the independent associations between working conditions and health outcomes, we used multivariate regression models controlling for potential confounders. Results The prevalence of depression, anxiety, and poor self-rated health was 21.3, 19.0, and 9.8%, respectively, among public health workers (27.1, 20.6, and 15.0% among CDC workers and 17.5, 17.9, and 6.8% among PHI workers). The majority (71.6%) made immense efforts in both field and non-field work. Nearly 20.0% have worked all night for more than 3 days, and 45.3% had worked throughout the Chinese New Year holiday. Three risk factors and two protective factors were found to be independently associated with all three health outcomes in our final multivariate models: working all night for >3 days (multivariate odds ratio [ORm]=1.67~1.75, p<0.001), concerns about infection at work (ORm=1.46~1.89, p<0.001), perceived troubles at work (ORm=1.10~1.28, p<0.001), initiating COVID-19 prevention work after January 23 (ORm=0.78~0.82, p=0.002~0.008), and ability to persist for > 1 month at the current work intensity (ORm=0.44~0.55, p<0.001). Conclusions Chinese public health workers made immense efforts and personal sacrifices to control the COVID-19 epidemic and faced the risk of mental health problems. Efforts are needed to improve the working conditions and health status of public health workers and thus maintain their morale and effectiveness during the fight against COVID-19.

scholarly journals Association between perceived discriminations and mental health outcomes among health workers during the initial COVID-19 outbreak

2021 ◽  
Author(s):  
Roberto Mediavilla ◽  
Eduardo Fernández-Jiménez ◽  
Jorge Andreo ◽  
Inés Morán-Sánchez ◽  
Ainoa Muñoz-San José ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Health Workers ◽  
Mental Health Outcomes

scholarly journals Factors associated with mental health outcomes across healthcare settings in Oman during COVID-19: frontline versus non-frontline healthcare workers

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e042030 ◽  
Author(s):  
Muna Alshekaili ◽  
Walid Hassan ◽  
Nazik Al Said ◽  
Fatima Al Sulaimani ◽  
Sathish Kumar Jayapal ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Health Outcomes ◽  
Healthcare Workers ◽  
Online Survey ◽  
Demographic Data ◽  
Mental Health Status ◽  
Mental Health Outcomes ◽  
Healthcare Settings ◽  
Frontline Healthcare Workers

ObjectiveThis study aims to assess and compare demographic and psychological factors and sleep status of frontline healthcare workers (HCWs) in relation to non-frontline HCWs.Design, settings, participants and outcomesThis cross-sectional study was conducted from 8 April 2020 to 17 April 2020 using an online survey across varied healthcare settings in Oman accruing 1139 HCWs.The primary and secondary outcomes were mental health status and sociodemographic data, respectively. Mental health status was assessed using the Depression, Anxiety, and Stress Scale (DASS-21), and insomnia was evaluated by the Insomnia Severity Index. Samples were categorised into the frontline and non-frontline groups. χ2 and t-tests were used to compare groups by demographic data. The Mantel-Haenszel OR was used to compare groups by mental health outcomes adjusted by all sociodemographic factors.ResultsThis study included 1139 HCWs working in Oman. While working during the pandemic period, a total of 368 (32.3%), 388 (34.1%), 271 (23.8%) and 211 (18.5%) respondents were reported to have depression, anxiety, stress and insomnia, respectively. HCWs in the frontline group were 1.5 times more likely to report anxiety (OR=1.557, p=0.004), stress (OR=1.506, p=0.016) and insomnia (OR=1.586, p=0.013) as compared with those in the non-frontline group. No significant differences in depression status were found between the frontline and non-frontline groups (p=0.201).ConclusionsTo our knowledge, this is the first study to explore the differential impacts of the COVID-19 pandemic on different grades of HCWs. This study suggests that frontline HCWs are disproportionally affected compared to non-frontline HCWs, with managing sleep–wake cycles and anxiety symptoms being highly endorsed among frontline HCWs. As psychosocial interventions are likely to be constrained owing to the pandemic, mental healthcare must first be directed to frontline HCWs.

scholarly journals Mental health outcomes among front and second line health workers associated with the COVID-19 pandemic in Italy

2020 ◽  
Author(s):  
Rodolfo Rossi ◽  
Valentina Socci ◽  
Francesca Pacitti ◽  
Giorgio Di Lorenzo ◽  
Antinisca Di Marco ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Perceived Stress ◽  
Health Workers ◽  
Severe Depression ◽  
Female Gender ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Post Traumatic Stress ◽  
Associated Risk Factors

AbstractIn this study, we report on mental health outcomes among health workers (HWs) involved with the COVID-19 pandemic in Italy.Data on mental health on 1379 HWs were collected between March 27th and March 31th 2020 using an on-line questionnaire spread throughout social networks, using a snowball technique along with sponsored social network advertisement. Key mental health outcomes were Post-Traumatic Stress Disorder symptoms (PTSD), severe depression, anxiety, insomnia and perceived stress.PTSD symptoms, severe depression, anxiety and insomnia, and high perceived stress were endorsed respectively by 681 (49.38%), 341 (24.73%), 273 (19.80%), 114 (8.27%) and 302 (21.90%) respondents. Regression analysis show that younger age, female gender, being a front-line HWs, having a colleague deceased, hospitalised or in quarantine were associated with poor mental health outcomes.This is the first report on mental health outcomes and associated risk factors among HWs associated with the COVID-19 pandemic in Italy, confirming a substantial proportion of health workers involved with the COVID-19 pandemic having mental health issues, in particular young women, first-line HWs.

scholarly journals Predictors of Mental Health Outcomes in Road Traffic Accident Survivors

2020 ◽  
Vol 9 (2) ◽  
pp. 309
Author(s):  
Jelena Kovacevic ◽  
Maja Miskulin ◽  
Dunja Degmecic ◽  
Aleksandar Vcev ◽  
Dinko Leovic ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Health Outcomes ◽  
Psychiatric Illness ◽  
Road Traffic ◽  
Economic Status ◽  
Medication Use ◽  
Mental Health Outcomes ◽  
Psychiatric Medication ◽  
Related Factors

Mental health outcomes of road traffic accidents (RTAs) are always investigated in assessments of those involved. The aim of this study was to investigate the psychological consequences and associated factors in all RTA survivors, irrelevant of their injury status. A cohort of 155 people was assessed one month after experiencing a RTA using self-reported measures for posttraumatic stress disorder (PTSD), depression, and anxiety. Associations between mental health outcomes and sociodemographic factors, pre-RTA health status, injury-related factors, and RTA details were analyzed. RTA survivors reported substantial rates of PTSD (32.3%) and depression (17.4%) symptoms, and low rates of anxiety (5.8%). Symptoms of depression were associated with below-average self-perceived economic status, irreligiousness, medication use, psychiatric medication use, and injury-related factors. PTSD symptoms were associated with female gender, below-average self-perceived economic status, previous psychiatric illness, medication use, psychiatric medication use, not being at fault in the relevant RTA, claiming compensation, and injury-related factors. Anxiety symptoms were associated with previous chronic or psychiatric illness, previous permanent pain, psychiatric medication use, and self-perceived threat to life, but not with sustaining injury. Along with the evaluation and treatment of RTA injuries, health care providers should evaluate the pre-RTA health status of all RTA victims. Psychological support to those at risk may prevent psychological disorders after RTAs.

PTSD’s blame criterion and mental health outcomes in a community mental health treatment-seeking sample.

2020 ◽  
Vol 12 (1) ◽  
pp. 29-37 ◽  
Author(s):  
Shannon R. Forkus ◽  
Nicole H. Weiss ◽  
Ateka A. Contractor ◽  
Juliana G. Breines ◽  
Paula Dranger
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Outcomes ◽  
Mental Health Treatment ◽  
Mental Health Outcomes ◽  
Treatment Seeking ◽  
Health Treatment

scholarly journals Does service timing matter for psychological outcomes in cardiac rehabilitation? Insights from the National Audit of Cardiac Rehabilitation

2017 ◽  
Vol 25 (1) ◽  
pp. 19-28 ◽  
Author(s):  
Jennifer Sumner ◽  
Jan R Böhnke ◽  
Patrick Doherty
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Health Outcomes ◽  
Cardiac Rehabilitation ◽  
Depression Scale ◽  
Wait Time ◽  
Mental Health Status ◽  
Mental Health Outcomes ◽  
Anxiety And Depression ◽  
National Audit

Background The presence of mental health conditions in cardiac rehabilitation (CR) patients such as anxiety and depression can lead to reduced programme adherence, increased mortality and increased re-occurrence of cardiovascular events undermining the aims and benefit of CR. Earlier research has identified a relationship between delayed commencement of CR and poorer physical activity outcomes. This study wished to explore whether a similar relationship between CR wait time and mental health outcomes can be found and to what degree participation in CR varies by mental health status. Methods Data from the UK National Audit of Cardiac Rehabilitation, a dataset that captures information on routine CR practice and patient outcomes, was extracted between 2012 and 2016. Logistic and multinomial regression models were used to explore the relationship between timing of CR and mental health outcomes measured on the hospital anxiety and depression scale. Results The results of this study showed participation in CR varied by mental health status, particularly in relation to completion of CR, with a higher proportion of non-completers with symptoms of anxiety (5% higher) and symptoms of depression (8% higher). Regression analyses also revealed that delays to CR commencement significantly impact mental health outcomes post-CR. Conclusion In these analyses CR wait time has been shown to predict the outcome of anxiety and depression status to the extent that delays in starting CR are detrimental. Programmes falling outside the 4-week window for commencement of CR following referral must strive to reduce wait times to avoid negative impacts to patient outcome.

scholarly journals Self-perceived health status and mental health outcomes in young adults born with less than 1000 g

2012 ◽  
Vol 102 (3) ◽  
pp. 294-299 ◽  
Author(s):  
G Natalucci ◽  
J Becker ◽  
K Becher ◽  
GM Bickle ◽  
MA Landolt ◽  
...  
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Health Status ◽  
Health Outcomes ◽  
Perceived Health ◽  
Mental Health Outcomes ◽  
Perceived Health Status

scholarly journals Working condition and health status of 6,317 front line public health workers during the COVID-19 epidemic across 5 provinces in China: a cross-sectional study

2020 ◽  
Author(s):  
Jinghua Li ◽  
Jingdong Xu ◽  
Huan Zhou ◽  
Hua You ◽  
Xiaohui Wang ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Status ◽  
Health Outcomes ◽  
Working Conditions ◽  
Working Condition ◽  
Health Workers ◽  
Cross Sectional ◽  
Self Rated Health ◽  
Public Health Workers

Abstract Background: Public health workers at Chinese Center for Disease Control and Prevention (China CDC) and primary health care institutes (PHI) constitute one of the main workforces for implementing prevention and control measures to contain the COVID-19 epidemic, but their efforts and health status have not been well documented. We aimed to investigate the working conditions and health status of frontline public health workers in China during the epidemic. Methods: Between February 18 to March 1, 2020, we conducted a cross-sectional survey among 2,313 CDC workers and 4,004 PHI workers in five provinces across China experiencing different scales of COVID-19 epidemic. We interviewed all participants about their work conditions, roles, burdens, perceptions, mental health, and self-rated health using a self-constructed questionnaire and standardized measurements (i.e., Patient Health Questionnaire and General Anxiety Disorder scale). To examine the independent associations between working conditions and health outcomes, we used multivariate regression models controlling for potential confounders. Results: The prevalence of depression, anxiety, and poor self-rated health was 21.3%, 19.0%, and 9.8%, respectively, among public health workers (27.1%, 20.6% and 15.0% among CDC workers; and 17.5%, 17.9% and 6.8% among PHI workers). The majority (71.6%) participated in both field and non-field work and gave immense efforts. Nearly 20.0% have worked all night for more than 3 days and 45.3% had worked during the whole period of Chinese New Year. Three risk factors and two protective factors were found independently associated with all three health outcomes in our final multivariate models, including working all night for >3 days (ORm=1.67~1.75, p<0.001), concerns about being infected at work (ORm=1.46~1.89, p<0.001), perceived troubles at work (ORm=1.10~1.28, p<0.001), starting COVID-19 prevention work after January 23 (ORm=0.78~0.82, p=0.002~0.008), and capability to persist for more than 1 month at the current work intensity (ORm=0.44~0.55, p<0.001). Conclusions: Chinese public health workers gave immense efforts and personal sacrifices to curb the COVID-19 epidemic and were exposed to risk of mental health problems. Efforts should be taken to improve the working condition and health status of public health workers to maintain the morale and effectiveness of public health workers in the fight against the epidemic.

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