Psychological Stress Risk Factors, Concerns and Mental Health Support Among Health Care Workers in Vietnam During the Coronavirus Disease 2019 (Covid-19) Outbreak

Bibliographic Data

ID22088934
AuthorsPhuong Nguyen (0000-0001-9341-0719, Mahidol University), Phuong Thi Lan Nguyen, Tien Bao Le Nguyen (Viet Duc Hospital), Anh Gia Pham (0000-0003-2580-0955, Viet Duc Hospital), Khanh Ngoc Cong Duong (0000-0002-7152-9476, Vietnam National University Ho Chi Minh City), Mac Ardy Junio Gloria (0000-0001-5157-6569, Mahidol University), Thanh Van Vo (0000-0002-1303-8249, Hanoi Medical University), Bay Van Vo (Posts and Telecommunications Institute of Technology - Ho Chi Minh City), Toi Lam Phung (0000-0002-8326-388X, Mahidol University, corresponding author)
Year2021
Volume9
Pages628341-628341
Publication date2021-03-19
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2021.628341
PMID33816419
OpenAlexW3136814002
LanguageEN
Citations received6
References cited38

Introduction: Coronavirus disease 2019 (COVID-19) has significantly affected health care workers (HCWs), including their mental health. However, there has been limited evidence on this topic in the Vietnamese context. Therefore, this study aimed to explore COVID-19-related, psychological stress risk factors among HCWs, their concerns and demands for mental health support during the pandemic period. Methods: We employed a cross-sectional study design with convenience sampling. An online, self-administered questionnaire was used and distributed through social media among medical and non-medical HCWs from April 22 to May 12, 2020. HCWs were categorized either as frontline or non-frontline. We measured the prevalence of psychological stress using the Impact of Event Scale-Revised (IES-R) instrument. Multivariate binary logistic regression analysis was performed to identify risk factors associated with psychological stress among HCWs. Results: Among the 774 enrolled participants, 761 (98.3%) eligible subjects were included in the analysis. Most respondents were females (58.2%), between 31 and 40 years of age (37.1%), lived in areas where confirmed COVID-19 cases had been reported (61.9%), medical HCWs (59.9%) and practiced being at the frontline (46.3%). The prevalence of stress was 34.3%. We identified significant risk factors such as being frontline HCWs (odds ratio [OR] = 1.77 [95% confidence interval [CI]: 1.17–2.67]), perceiving worse well-being as compared to those before the COVID-19 outbreak [OR = 4.06 (95% CI: 2.15–7.67)], and experiencing chronic diseases [OR = 1.67 (95% CI: (1.01–2.77)]. Majority (73.9%) were concerned about testing positive for COVID-19 and exposing the infection to their families. Web-based psychological interventions that could provide knowledge on managing mental distress and consulting services were highly demanded among HCWs. Conclusion: The prevalence of psychological stress among HCWs in Vietnam during the COVID-19 pandemic was high. There were also significant risk factors associated with it. Psychological interventions involving web-based consulting services are highly recommended to provide mental health support among HCWs

Confidence interval · Cross-sectional study · Disease · Environmental health · Family medicine · Health care · Logistic regression · Mental health · Odds ratio · Outbreak · Pandemic · Psychiatry · COVID-19 and Mental Health · COVID-19 Pandemic Impacts · Healthcare professionals’ stress and burnout · Medicine · Internal Medicine

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