Geographical distribution and prevalence of mental disorders among healthcare workers in China: A cross-sectional country-wide survey: A cross-sectional study to assess mental disorders of healthcare workers in China
Reliable and detailed nationwide data on the prevalence and distribution of mental disorders among healthcare workers in China during the coronavirus disease 2019 (COVID-19) outbreak are scarce. We did a cross-sectional online survey from March 2 to 2 April 2020 and a total of 19,379 healthcare work...
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| Veröffentlicht in: | The International journal of health planning and management 2021-09, Vol.36 (5), p.1561-1574 |
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| container_title | The International journal of health planning and management |
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| creator | Yang, Xiaoguang Chen, Danni Chen, Yuntao Wang, Nan Lyv, Chao Li, Yao Jie, Junqin Zhou, Taiqi Li, Yongbin Zhou, Ping |
| description | Reliable and detailed nationwide data on the prevalence and distribution of mental disorders among healthcare workers in China during the coronavirus disease 2019 (COVID-19) outbreak are scarce.
We did a cross-sectional online survey from March 2 to 2 April 2020 and a total of 19,379 healthcare workers from 25 provinces participated. Depression, anxiety and post-traumatic stress disorder (PTSD) were assessed by the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7) and PTSD Checklist for DSM-5 (PCL-5), respectively.
The age-standardized prevalence of depression, anxiety and PTSD was 15.5%, 12.7% and 5.2%, respectively. Frontline workers had higher prevalence estimates than non-frontline workers (depression: 18.2% vs. 13.9%; anxiety: 14.7% vs. 11.6%; PTSD: 6.1% vs. 4.6%). Subgroups who were nurses, were married or had dependent children reported higher prevalence of depression, anxiety and PTSD. Despite of the large variations, the prevalence of mental disorders was lowest in East China, followed by Middle China, and highest in West China.
Healthcare workers faced enormous stress not only from the direct risk presented by the COVID-19 outbreak, but also from the profound changes in their professional practice. Prevalence of adverse psychological outcomes has a significant association with geographically distribution of health resources and regional economic level. Sufficient medical resource may be a protective factor to mental health condition of healthcare personnel when such a public health emergency happened. |
| doi_str_mv | 10.1002/hpm.3186 |
| format | Article |
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We did a cross-sectional online survey from March 2 to 2 April 2020 and a total of 19,379 healthcare workers from 25 provinces participated. Depression, anxiety and post-traumatic stress disorder (PTSD) were assessed by the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7) and PTSD Checklist for DSM-5 (PCL-5), respectively.
The age-standardized prevalence of depression, anxiety and PTSD was 15.5%, 12.7% and 5.2%, respectively. Frontline workers had higher prevalence estimates than non-frontline workers (depression: 18.2% vs. 13.9%; anxiety: 14.7% vs. 11.6%; PTSD: 6.1% vs. 4.6%). Subgroups who were nurses, were married or had dependent children reported higher prevalence of depression, anxiety and PTSD. Despite of the large variations, the prevalence of mental disorders was lowest in East China, followed by Middle China, and highest in West China.
Healthcare workers faced enormous stress not only from the direct risk presented by the COVID-19 outbreak, but also from the profound changes in their professional practice. Prevalence of adverse psychological outcomes has a significant association with geographically distribution of health resources and regional economic level. Sufficient medical resource may be a protective factor to mental health condition of healthcare personnel when such a public health emergency happened.</description><identifier>ISSN: 0749-6753</identifier><identifier>EISSN: 1099-1751</identifier><identifier>DOI: 10.1002/hpm.3186</identifier><identifier>PMID: 33966289</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Anxiety ; Anxiety disorders ; Coronaviruses ; COVID-19 ; Distribution ; Generalized anxiety disorder ; Geographical distribution ; Health administration ; Health care ; Health services ; Medical personnel ; Mental depression ; Mental disorders ; Mental health ; Nurses ; Outbreaks ; Polls & surveys ; Post traumatic stress disorder ; Prevalence ; Provinces ; Psychological stress ; Public health ; Regional development ; Subgroups ; Viral diseases ; Workers</subject><ispartof>The International journal of health planning and management, 2021-09, Vol.36 (5), p.1561-1574</ispartof><rights>2021 John Wiley & Sons Ltd.</rights><rights>2021 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c272t-74ee31e11fe8ec3a3f2648dc38803f894cdf9c9b51a4ddb7c602d46ec8d468ac3</cites><orcidid>0000-0001-8712-3588</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27847,27905,27906,30980</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33966289$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Xiaoguang</creatorcontrib><creatorcontrib>Chen, Danni</creatorcontrib><creatorcontrib>Chen, Yuntao</creatorcontrib><creatorcontrib>Wang, Nan</creatorcontrib><creatorcontrib>Lyv, Chao</creatorcontrib><creatorcontrib>Li, Yao</creatorcontrib><creatorcontrib>Jie, Junqin</creatorcontrib><creatorcontrib>Zhou, Taiqi</creatorcontrib><creatorcontrib>Li, Yongbin</creatorcontrib><creatorcontrib>Zhou, Ping</creatorcontrib><title>Geographical distribution and prevalence of mental disorders among healthcare workers in China: A cross-sectional country-wide survey: A cross-sectional study to assess mental disorders of healthcare workers in China</title><title>The International journal of health planning and management</title><addtitle>Int J Health Plann Manage</addtitle><description>Reliable and detailed nationwide data on the prevalence and distribution of mental disorders among healthcare workers in China during the coronavirus disease 2019 (COVID-19) outbreak are scarce.
We did a cross-sectional online survey from March 2 to 2 April 2020 and a total of 19,379 healthcare workers from 25 provinces participated. Depression, anxiety and post-traumatic stress disorder (PTSD) were assessed by the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7) and PTSD Checklist for DSM-5 (PCL-5), respectively.
The age-standardized prevalence of depression, anxiety and PTSD was 15.5%, 12.7% and 5.2%, respectively. Frontline workers had higher prevalence estimates than non-frontline workers (depression: 18.2% vs. 13.9%; anxiety: 14.7% vs. 11.6%; PTSD: 6.1% vs. 4.6%). Subgroups who were nurses, were married or had dependent children reported higher prevalence of depression, anxiety and PTSD. Despite of the large variations, the prevalence of mental disorders was lowest in East China, followed by Middle China, and highest in West China.
Healthcare workers faced enormous stress not only from the direct risk presented by the COVID-19 outbreak, but also from the profound changes in their professional practice. Prevalence of adverse psychological outcomes has a significant association with geographically distribution of health resources and regional economic level. Sufficient medical resource may be a protective factor to mental health condition of healthcare personnel when such a public health emergency happened.</description><subject>Anxiety</subject><subject>Anxiety disorders</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Distribution</subject><subject>Generalized anxiety disorder</subject><subject>Geographical distribution</subject><subject>Health administration</subject><subject>Health care</subject><subject>Health services</subject><subject>Medical personnel</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Nurses</subject><subject>Outbreaks</subject><subject>Polls & surveys</subject><subject>Post traumatic stress disorder</subject><subject>Prevalence</subject><subject>Provinces</subject><subject>Psychological stress</subject><subject>Public health</subject><subject>Regional development</subject><subject>Subgroups</subject><subject>Viral diseases</subject><subject>Workers</subject><issn>0749-6753</issn><issn>1099-1751</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><recordid>eNp9kctO3TAQhq2KqpxCpT5BZYlNN6G-5CQ2O3RUaCWkbso68rEnxDSxg8cBnTft4zQB2kqA2Mws5pt_Lj8hHzk75oyJL904HEuuqjdkxZnWBa_XfI-sWF3qoqrXcp-8R7xmbK5x_Y7sS6mrSii9Ir_PIV4lM3bemp46jzn57ZR9DNQER8cEt6aHYIHGlg4Q8gMVk4OE1AwxXNEOTJ87axLQu5h-LQUf6KbzwZzQU2pTRCwQ7KI6t9s4hZx2xZ13QHFKt7B7CcM8uR3NkRpEQHw-fF7olcmH5G1reoQPj_mAXJ59_bn5Vlz8OP--Ob0orKhFLuoSQHLgvAUFVhrZiqpUzkqlmGyVLq1rtdXbNTelc9vaVky4sgKr5qiMlQfk84PumOLNBJibwaOFvjcB4oSNWItSqVIIPaNHT9DrOKX51oWqBauFqsR_wfuHJGibMfnBpF3DWbO43cxuN4vbM_rpUXDaDuD-gX_tlX8AigarZg</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Yang, Xiaoguang</creator><creator>Chen, Danni</creator><creator>Chen, Yuntao</creator><creator>Wang, Nan</creator><creator>Lyv, Chao</creator><creator>Li, Yao</creator><creator>Jie, Junqin</creator><creator>Zhou, Taiqi</creator><creator>Li, Yongbin</creator><creator>Zhou, Ping</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TQ</scope><scope>DHY</scope><scope>DON</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8712-3588</orcidid></search><sort><creationdate>20210901</creationdate><title>Geographical distribution and prevalence of mental disorders among healthcare workers in China: A cross-sectional country-wide survey: A cross-sectional study to assess mental disorders of healthcare workers in China</title><author>Yang, Xiaoguang ; Chen, Danni ; Chen, Yuntao ; Wang, Nan ; Lyv, Chao ; Li, Yao ; Jie, Junqin ; Zhou, Taiqi ; Li, Yongbin ; Zhou, Ping</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c272t-74ee31e11fe8ec3a3f2648dc38803f894cdf9c9b51a4ddb7c602d46ec8d468ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Anxiety</topic><topic>Anxiety disorders</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Distribution</topic><topic>Generalized anxiety disorder</topic><topic>Geographical distribution</topic><topic>Health administration</topic><topic>Health care</topic><topic>Health services</topic><topic>Medical personnel</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Nurses</topic><topic>Outbreaks</topic><topic>Polls & surveys</topic><topic>Post traumatic stress disorder</topic><topic>Prevalence</topic><topic>Provinces</topic><topic>Psychological stress</topic><topic>Public health</topic><topic>Regional development</topic><topic>Subgroups</topic><topic>Viral diseases</topic><topic>Workers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Xiaoguang</creatorcontrib><creatorcontrib>Chen, Danni</creatorcontrib><creatorcontrib>Chen, Yuntao</creatorcontrib><creatorcontrib>Wang, Nan</creatorcontrib><creatorcontrib>Lyv, Chao</creatorcontrib><creatorcontrib>Li, Yao</creatorcontrib><creatorcontrib>Jie, Junqin</creatorcontrib><creatorcontrib>Zhou, Taiqi</creatorcontrib><creatorcontrib>Li, Yongbin</creatorcontrib><creatorcontrib>Zhou, Ping</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PAIS Index</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>The International journal of health planning and management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Xiaoguang</au><au>Chen, Danni</au><au>Chen, Yuntao</au><au>Wang, Nan</au><au>Lyv, Chao</au><au>Li, Yao</au><au>Jie, Junqin</au><au>Zhou, Taiqi</au><au>Li, Yongbin</au><au>Zhou, Ping</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Geographical distribution and prevalence of mental disorders among healthcare workers in China: A cross-sectional country-wide survey: A cross-sectional study to assess mental disorders of healthcare workers in China</atitle><jtitle>The International journal of health planning and management</jtitle><addtitle>Int J Health Plann Manage</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>36</volume><issue>5</issue><spage>1561</spage><epage>1574</epage><pages>1561-1574</pages><issn>0749-6753</issn><eissn>1099-1751</eissn><abstract>Reliable and detailed nationwide data on the prevalence and distribution of mental disorders among healthcare workers in China during the coronavirus disease 2019 (COVID-19) outbreak are scarce.
We did a cross-sectional online survey from March 2 to 2 April 2020 and a total of 19,379 healthcare workers from 25 provinces participated. Depression, anxiety and post-traumatic stress disorder (PTSD) were assessed by the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7) and PTSD Checklist for DSM-5 (PCL-5), respectively.
The age-standardized prevalence of depression, anxiety and PTSD was 15.5%, 12.7% and 5.2%, respectively. Frontline workers had higher prevalence estimates than non-frontline workers (depression: 18.2% vs. 13.9%; anxiety: 14.7% vs. 11.6%; PTSD: 6.1% vs. 4.6%). Subgroups who were nurses, were married or had dependent children reported higher prevalence of depression, anxiety and PTSD. Despite of the large variations, the prevalence of mental disorders was lowest in East China, followed by Middle China, and highest in West China.
Healthcare workers faced enormous stress not only from the direct risk presented by the COVID-19 outbreak, but also from the profound changes in their professional practice. Prevalence of adverse psychological outcomes has a significant association with geographically distribution of health resources and regional economic level. Sufficient medical resource may be a protective factor to mental health condition of healthcare personnel when such a public health emergency happened.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33966289</pmid><doi>10.1002/hpm.3186</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0001-8712-3588</orcidid></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete; PAIS Index; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Anxiety Anxiety disorders Coronaviruses COVID-19 Distribution Generalized anxiety disorder Geographical distribution Health administration Health care Health services Medical personnel Mental depression Mental disorders Mental health Nurses Outbreaks Polls & surveys Post traumatic stress disorder Prevalence Provinces Psychological stress Public health Regional development Subgroups Viral diseases Workers |
| title | Geographical distribution and prevalence of mental disorders among healthcare workers in China: A cross-sectional country-wide survey: A cross-sectional study to assess mental disorders of healthcare workers in China |
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