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Covid-19 Pandemic Factors and Depressive Symptoms Among Primary Care Workers in São Paulo, Brazil, October and November 2020

Bibliographic Data

ID11030120
AuthorsAndréa Tenório Correia Da Silva (0000-0002-3403-5792, Andréa Tenório Correia da Silva is with the Primary Care Research Center, Faculty of Medicine Santa Marcelina, São Paulo, Brazil. Franco Mascayano, Gonzalo Martínez-Alés, Maria Francesca Moro, and Ezra Susser are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Linda Valeri is with the Department of Biostatistics, Mailman School of Public Health, Columbia University. Martim Elviro de Medeiros Jr is with the Primary Care Research Center, Faculty of...), Franco Mascayano (0000-0002-3118-504X, Andréa Tenório Correia da Silva is with the Primary Care Research Center, Faculty of Medicine Santa Marcelina, São Paulo, Brazil. Franco Mascayano, Gonzalo Martínez-Alés, Maria Francesca Moro, and Ezra Susser are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Linda Valeri is with the Department of Biostatistics, Mailman School of Public Health, Columbia University. Martim Elviro de Medeiros Jr is with the Primary Care Research Center, Faculty of...), Linda Valeri (0000-0003-0664-1194, Andréa Tenório Correia da Silva is with the Primary Care Research Center, Faculty of Medicine Santa Marcelina, São Paulo, Brazil. Franco Mascayano, Gonzalo Martínez-Alés, Maria Francesca Moro, and Ezra Susser are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Linda Valeri is with the Department of Biostatistics, Mailman School of Public Health, Columbia University. Martim Elviro de Medeiros Jr is with the Primary Care Research Center, Faculty of...), Martim Elviro de Medeiros Jr (Andréa Tenório Correia da Silva is with the Primary Care Research Center, Faculty of Medicine Santa Marcelina, São Paulo, Brazil. Franco Mascayano, Gonzalo Martínez-Alés, Maria Francesca Moro, and Ezra Susser are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Linda Valeri is with the Department of Biostatistics, Mailman School of Public Health, Columbia University. Martim Elviro de Medeiros Jr is with the Primary Care Research Center, Faculty of...), Martim Elviro de Medeiros (0000-0002-7390-8306, Universidade Federal do Rio de Janeiro), Morris Pimenta e Souza (Andréa Tenório Correia da Silva is with the Primary Care Research Center, Faculty of Medicine Santa Marcelina, São Paulo, Brazil. Franco Mascayano, Gonzalo Martínez-Alés, Maria Francesca Moro, and Ezra Susser are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Linda Valeri is with the Department of Biostatistics, Mailman School of Public Health, Columbia University. Martim Elviro de Medeiros Jr is with the Primary Care Research Center, Faculty of...), Dinarte Ballester (0000-0002-7660-0112, Andréa Tenório Correia da Silva is with the Primary Care Research Center, Faculty of Medicine Santa Marcelina, São Paulo, Brazil. Franco Mascayano, Gonzalo Martínez-Alés, Maria Francesca Moro, and Ezra Susser are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Linda Valeri is with the Department of Biostatistics, Mailman School of Public Health, Columbia University. Martim Elviro de Medeiros Jr is with the Primary Care Research Center, Faculty of...), Maria Tavares Cavalcanti (0000-0003-1872-4210, Andréa Tenório Correia da Silva is with the Primary Care Research Center, Faculty of Medicine Santa Marcelina, São Paulo, Brazil. Franco Mascayano, Gonzalo Martínez-Alés, Maria Francesca Moro, and Ezra Susser are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Linda Valeri is with the Department of Biostatistics, Mailman School of Public Health, Columbia University. Martim Elviro de Medeiros Jr is with the Primary Care Research Center, Faculty of...), Gonzalo Martínez-Alés (Andréa Tenório Correia da Silva is with the Primary Care Research Center, Faculty of Medicine Santa Marcelina, São Paulo, Brazil. Franco Mascayano, Gonzalo Martínez-Alés, Maria Francesca Moro, and Ezra Susser are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Linda Valeri is with the Department of Biostatistics, Mailman School of Public Health, Columbia University. Martim Elviro de Medeiros Jr is with the Primary Care Research Center, Faculty of...), Gonzalo Martínez‐Alés (0000-0002-1902-4067, Universidade Federal do Rio de Janeiro), Maria Francesca Moro (0000-0003-4527-346X, Andréa Tenório Correia da Silva is with the Primary Care Research Center, Faculty of Medicine Santa Marcelina, São Paulo, Brazil. Franco Mascayano, Gonzalo Martínez-Alés, Maria Francesca Moro, and Ezra Susser are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Linda Valeri is with the Department of Biostatistics, Mailman School of Public Health, Columbia University. Martim Elviro de Medeiros Jr is with the Primary Care Research Center, Faculty of...), Els Van Der Ven (0000-0001-5103-7186, Andréa Tenório Correia da Silva is with the Primary Care Research Center, Faculty of Medicine Santa Marcelina, São Paulo, Brazil. Franco Mascayano, Gonzalo Martínez-Alés, Maria Francesca Moro, and Ezra Susser are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Linda Valeri is with the Department of Biostatistics, Mailman School of Public Health, Columbia University. Martim Elviro de Medeiros Jr is with the Primary Care Research Center, Faculty of...), R Alvarado (0000-0002-8091-0324, Columbia University), Ezra Susser (0000-0001-7665-4826, Andréa Tenório Correia da Silva is with the Primary Care Research Center, Faculty of Medicine Santa Marcelina, São Paulo, Brazil. Franco Mascayano, Gonzalo Martínez-Alés, Maria Francesca Moro, and Ezra Susser are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Linda Valeri is with the Department of Biostatistics, Mailman School of Public Health, Columbia University. Martim Elviro de Medeiros Jr is with the Primary Care Research Center, Faculty of...)
Year2022
Volume112
Issue5
Pages786-794
Publication date2022-05-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2022.306723
PMID35417215
OpenAlexW4223901499
LanguageEN
Citations received4
References cited20

Objectives. To investigate associations between COVID-19-related factors and depressive symptoms among primary care workers (PCWs) in São Paulo, Brazil, and to compare the prevalence of probable depression among PCWs before and during the pandemic. Methods. In a random sample of primary care clinics, we examined 6 pandemic-related factors among 828 PCWs. We used multivariate Poisson regression with robust variance to estimate prevalence ratios for probable depression. We assessed the prevalence of probable depression in PCWs before and during the pandemic in 2 comparable studies. Results. Adjusted prevalence ratios were substantial for insufficient personal protective equipment; experiences of discrimination, violence, or harassment; and lack of family support. Comparisons between PCWs before and during the pandemic showed that the prevalence of probable depression among physicians, nurses, and nursing assistants was higher during the pandemic and that the prevalence among community health workers was higher before the pandemic. Conclusions. Our findings indicate domains that may be crucial to mitigating depression among PCWs but that, with the exception of personal protective equipment, have not previously been examined in this population. It is crucial that governments and communities address discriminatory behaviors against PCWs, promote their well-being at work, and foster family support. (Am J Public Health. 2022;112(5):786–794. https://doi.org/10.2105/AJPH.2022.306723 )

Coronavirus disease 2019 (COVID-19) · Depression (economics) · Environmental health · Family medicine · Pandemic · Personal protective equipment · Poisson regression · Population · Psychiatry · Public health · COVID-19 and Mental Health · Demography · Healthcare professionals’ stress and burnout · Internal Medicine · Medicine · Nursing · Workplace Health and Well-being · Gerontology

  • Hierarchy, class, race and PPE in an American hospital in the early days of Covid-19

    Open Access•Svea Closser, Erin Cooney et al.•Social Science & Medicine•2024

  • Violence in the Nursing Workplace in the Context of Primary Health Care

    Open Access•Kisa Valladão Carvalho, Priscila Norié Araujo-Betetti et al.•International Journal of…•2023

  • The Impact of the Covid-19 Pandemic on the Mental Health of Healthcare Workers in Italy

    Open Access•Maria Francesca Moro, Gemma Calamandrei et al.•Frontiers in Psychiatry•2022

  • Effets subjectifs du travail hospitalier en contexte de pandémie sur la trajectoire professionnelle et la santé

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  • Prevalence of depression, anxiety and post-traumatic stress disorder in health care workers during the Covid-19 pandemic

    Open Access•Yufei Li, Nathaniel Scherer et al.•PLoS ONE•2021

  • Spatiotemporal pattern of Covid-19 spread in Brazil

    Open Access•Márcia C Castro, Sun Kim et al.•Science•2021

  • Effects of sources of social support and resilience on the mental health of different age groups during the Covid-19 pandemic

    Open Access•Fugui Li, Sihui Luo et al.•BMC Psychiatry•2021

  • Burnout and Medical Errors Among American Surgeons

    Open Access•Tait D Shanafelt, Charles M Balch et al.•Annals of Surgery•2010

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Citations per year1
Citation span2022 - 2025 (4)
Highly citedNo

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