Abinet Teshome1, Mustefa Glagn2, Mulugeta Shegaze2, Beemnet Tekabe2, Asmare Getie3, Genet Assefa3, Dinkalem Getahun3, Tesfaye Kanko1, Tamiru Getachew4, Nuhamin Yenesew5, Zebene Temtmie5, Kabtamu Tolosie6. 1. Department of Biomedical Science, School of Medicine, Arba Minch University, Arba Minch, Ethiopia. 2. School of Public Health, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia. 3. School of Nursing, Arba Minch University, Arba Minch, Ethiopia. 4. Department of Anatomy, Arba Minch University, Arba Minch, Ethiopia. 5. Department of Psychology, Arba Minch University, Arba Minch, Ethiopia. 6. Department of Statistics, Arba Minch University, Arba Minch, Ethiopia.
Abstract
BACKGROUND: Healthcare workers (HCWs) are among the many groups of people who are in the frontline caring for people and facing heavy workloads, life-or-death decisions, risk of infection, and have been facing various psychosocial problems. So, monitoring mental health issues to understand the mediating factors and inform evidence-based interventions in a timely fashion is vital. PURPOSE: This study aimed to assess generalized anxiety disorder and its associated factors among HCWs fighting COVID-19 in Southern Ethiopia. PATIENTS AND METHODS: An institution-based cross-sectional study was conducted among 798 HCWs from 20 May to 20 June 2020. A pre-tested and structured interviewer-administered KOBO collect survey tool was used to collect data. The study participants were selected using a simple random sampling technique by allocating a proportion to each health institute. The association between the level of generalized anxiety disorder and its independent variables was examined by ordinal logistic regression. Assumptions for the proportional odds model were checked using parallel line tests. An adjusted proportional odds ratio with a 95% CI was used to calculate the strength of the statistical association between the independent and dependent variables. RESULTS: The prevalence of mild and moderate anxiety disorder among HCWs was 29.3% and 6.3%, respectively. Contact with confirmed or suspected cases (aPOR =1.97; 95% CI: 1.239, 3.132), no COVID-19 updates (aPOR=4.816, 95% CI=2.957, 7.842), no confidence on coping with stresses (aPOR=2.74, 95% CI=1.633, 4.606), and COVID-19-related worry (aPOR=1.85, 95% CI=1.120, 3.056) were positively associated with higher-order anxiety disorder. However, not feeling overwhelmed by the demands of everyday life (aPOR=0.52, 95% CI=0.370, 0.733) and feeling cannot make it (aPOR=0.44, 95% CI=0.308, 0.626) were negatively associated with a higher order of anxiety. CONCLUSION: The study revealed that the prevalence of anxiety disorder among HCWs was high in the study area. The findings of the current study suggest immediate psychological intervention for health care workers in the study area is vital. Therefore, proactive measures should be taken by the stakeholders at different hierarchies to promote the psychological wellbeing of HCWs in order to control the impact of the pandemic on the HCWs, and containing the pandemic.
BACKGROUND: Healthcare workers (HCWs) are among the many groups of people who are in the frontline caring for people and facing heavy workloads, life-or-death decisions, risk of infection, and have been facing various psychosocial problems. So, monitoring mental health issues to understand the mediating factors and inform evidence-based interventions in a timely fashion is vital. PURPOSE: This study aimed to assess generalized anxiety disorder and its associated factors among HCWs fighting COVID-19 in Southern Ethiopia. PATIENTS AND METHODS: An institution-based cross-sectional study was conducted among 798 HCWs from 20 May to 20 June 2020. A pre-tested and structured interviewer-administered KOBO collect survey tool was used to collect data. The study participants were selected using a simple random sampling technique by allocating a proportion to each health institute. The association between the level of generalized anxiety disorder and its independent variables was examined by ordinal logistic regression. Assumptions for the proportional odds model were checked using parallel line tests. An adjusted proportional odds ratio with a 95% CI was used to calculate the strength of the statistical association between the independent and dependent variables. RESULTS: The prevalence of mild and moderate anxiety disorder among HCWs was 29.3% and 6.3%, respectively. Contact with confirmed or suspected cases (aPOR =1.97; 95% CI: 1.239, 3.132), no COVID-19 updates (aPOR=4.816, 95% CI=2.957, 7.842), no confidence on coping with stresses (aPOR=2.74, 95% CI=1.633, 4.606), and COVID-19-related worry (aPOR=1.85, 95% CI=1.120, 3.056) were positively associated with higher-order anxiety disorder. However, not feeling overwhelmed by the demands of everyday life (aPOR=0.52, 95% CI=0.370, 0.733) and feeling cannot make it (aPOR=0.44, 95% CI=0.308, 0.626) were negatively associated with a higher order of anxiety. CONCLUSION: The study revealed that the prevalence of anxiety disorder among HCWs was high in the study area. The findings of the current study suggest immediate psychological intervention for health care workers in the study area is vital. Therefore, proactive measures should be taken by the stakeholders at different hierarchies to promote the psychological wellbeing of HCWs in order to control the impact of the pandemic on the HCWs, and containing the pandemic.
Authors: David Koh; Meng Kin Lim; Sin Eng Chia; Soo Meng Ko; Feng Qian; Vivian Ng; Ban Hock Tan; Kok Seng Wong; Wuen Ming Chew; Hui Kheng Tang; Winston Ng; Zainal Muttakin; Shanta Emmanuel; Ngan Phoon Fong; Gerald Koh; Chong Teck Kwa; Keson Beng-Choon Tan; Calvin Fones Journal: Med Care Date: 2005-07 Impact factor: 2.983
Authors: Grainne M McAlonan; Antoinette M Lee; Vinci Cheung; Charlton Cheung; Kenneth W T Tsang; Pak C Sham; Siew E Chua; Josephine G W S Wong Journal: Can J Psychiatry Date: 2007-04 Impact factor: 4.356
Authors: Benjamin Y Q Tan; Nicholas W S Chew; Grace K H Lee; Mingxue Jing; Yihui Goh; Leonard L L Yeo; Ka Zhang; Howe-Keat Chin; Aftab Ahmad; Faheem Ahmed Khan; Ganesh Napolean Shanmugam; Bernard P L Chan; Sibi Sunny; Bharatendu Chandra; Jonathan J Y Ong; Prakash R Paliwal; Lily Y H Wong; Renarebecca Sagayanathan; Jin Tao Chen; Alison Ying Ying Ng; Hock Luen Teoh; Cyrus S Ho; Roger C Ho; Vijay K Sharma Journal: Ann Intern Med Date: 2020-04-06 Impact factor: 25.391
Authors: Li Li; Changli Wan; Ru Ding; Yi Liu; Jue Chen; Zonggui Wu; Chun Liang; Zhiqing He; Chengzhong Li Journal: Health Qual Life Outcomes Date: 2015-09-26 Impact factor: 3.186
Authors: Umar Muhammad Bello; Priya Kannan; Muhammad Chutiyami; Dauda Salihu; Allen M Y Cheong; Tiev Miller; Joe Wing Pun; Abdullahi Salisu Muhammad; Fatima Ado Mahmud; Hussaina Abubakar Jalo; Mohammed Usman Ali; Mustapha Adam Kolo; Surajo Kamilu Sulaiman; Aliyu Lawan; Isma'il Muhammad Bello; Amina Abdullahi Gambo; Stanley John Winser Journal: Front Public Health Date: 2022-05-17
Authors: Md Dilshad Manzar; Ahmad H Alghadir; Masood Khan; Mohammed Salahuddin; Abdulrhman Albougami; Jestoni D Maniago; Brian A Vasquez; Seithikurippu R Pandi-Perumal; Ahmed S Bahammam Journal: Front Psychiatry Date: 2021-07-01 Impact factor: 4.157