| Literature DB >> 33916544 |
Pablo A Lizana1, Gustavo Vega-Fernadez1, Alejandro Gomez-Bruton2, Bárbara Leyton3, Lydia Lera3,4.
Abstract
BACKGROUND: Prior to the COVID-19 pandemic, teachers were already reporting a low quality of life (QoL) perception, with a significant impact on mental and physical health due to various stress factors associated with work overload. The objective of this study was to evaluate the QoL impact on Chilean teachers before and during the COVID-19 pandemic. The analysis was performed following a longitudinal design on a sample of 63 Chilean teachers in pre-pandemic and COVID-19 pandemic timeframes. QoL perception, along with teachers' sociodemographic data, was evaluated via the Short-Form 36 Health Survey (SF-36) questionnaire. Sociodemographic variables presented no significant variations in pre-pandemic and pandemic comparisons. QoL, however, showed a significant decrease during the pandemic compared to the pre-pandemic measurement (p < 0.01). In each gender, there were significant differences between pre-pandemic and pandemic timeframes, with a greater impact among women in the mental and physical component summary variables and seven of the eight QoL scales (p < 0.01). Between age categories, people under 45 presented significant differences (p < 0.05) between pre-pandemic and pandemic timeframes in all summary dimensions and measurements. In conclusion, Chilean teachers' QoL perception has been affected by the COVID-19 pandemic. These findings could be related to work overload due to teleworking or feelings of uncertainty, loneliness, and fear that the pandemic and its associated confinements will worsen.Entities:
Keywords: COVID-19; mental health; pandemic; quality of life; school teachers
Year: 2021 PMID: 33916544 PMCID: PMC8038473 DOI: 10.3390/ijerph18073764
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Factor analysis SF-36 for Chilean teachers. Rotated factor loadings and variance explained.
| Factor 1a | Factor 2a | |
|---|---|---|
| Physical function | 0.1078 |
|
| Role limitations due to physical problems | 0.4573 |
|
| Bodily pain | 0.1993 |
|
| General health perceptions |
|
|
| Vitality |
| 0.2193 |
| Social functioning |
| 0.3027 |
| Role limitations due to emotional problems |
| 0.2127 |
| Mental health |
| 0.1026 |
| Variance explained | ||
| Total (%) | 76.9 | 32.23 |
| Reliable b (%) | 90.19 | 37.92 |
Results of a factor analysis (two factors retained) using the principal factor method with a varimax rotation. MCS and PCS: Mental and Physical health summaries. Bold values indicate variables included in the factors: MCS: loading > 0.52; PCS: loading > 0.34. b Reliable variance = total variance explained divided by the internal reliability (Cronbach’s a) of the scale.
Kaiser-Meyer-Olkin (KMO) measure of sampling adequacy.
| KMO | |
|---|---|
| Physical function | 0.7993 |
| Role limitations due to physical problems | 0.8600 |
| Bodily pain | 0.7399 |
| General health perceptions | 0.8944 |
| Vitality | 0.8472 |
| Social functioning | 0.9056 |
| Role limitations due to emotional problems | 0.8751 |
| Mental health | 0.7966 |
| Overall | 0.8487 |
Kaiser-Meyer-Olkin (KMO) takes values between 0 and 1, with small values meaning that overall the variables have too little in common to warrant a factor analysis (0.00 to 0.49 unacceptable; 0.50 to 0.59 miserable; 0.60 to 0.69 mediocre; 0.70 to 0.79 middling; 0.80 to 0.89 meritorious; 0.90 to 1.00 marvelous).
The internal consistency for each of the eight SF-36 scales (Cronbach’s alpha).
| Item-Test Correlation | Item-Rest Correlation | Average Interitem Correlation | Alpha | |
|---|---|---|---|---|
| Physical function | 0.4532 | 0.2948 | 0.4859 | 0.8687 |
| Role limitations due to physical problems | 0.7371 | 0.6373 | 0.4100 | 0.8295 |
| Bodily pain | 0.5622 | 0.4212 | 0.4567 | 0.8548 |
| General health perceptions | 0.7559 | 0.6616 | 0.4050 | 0.8265 |
| Vitality | 0.7859 | 0.7009 | 0.3970 | 0.8217 |
| Social functioning | 0.7659 | 0.6747 | 0.4023 | 0.8249 |
| Role limitations due to emotional problems | 0.7668 | 0.6758 | 0.4021 | 0.8248 |
| Mental health | 0.7850 | 0.6997 | 0.3972 | 0.8218 |
| Test scale | 0.8526 |
Correlation between the summary measures of the SF-36 and each of the eight dimensions.
| MCS | PCS | |
|---|---|---|
| Physical function | 0.0007 |
|
| Role limitations due to physical problems | 0.4372 |
|
| Bodily pain | 0.1471 |
|
| General health perceptions | 0.5199 |
|
| Vitality |
| 0.2134 |
| Social functioning |
| 0.2555 |
| Role limitations due to emotional problems |
| 0.1133 |
| Mental health |
| 0.0512 |
MCS and PCS: Mental and Physical health summaries. Bold values indicate the highest correlations for each factor.
Sociodemographic characteristics of Chilean teachers analyzed by gender before and during the COVID-19 pandemic (n = 63).
| Pre-Pandemic | Pandemic | |||||
|---|---|---|---|---|---|---|
| Male | Female | Male | Female | |||
| Age (years) d | 41.2 ± 13.3 | 37.3 ± 10.7 | 0.360 a | 42.6 ± 13.4 | 38.9 ± 10.9 | 0.398 a |
| ≤44 e | 10 (55.6) | 33 (73.33) | 0.232 b | 10 (58.82) | 31 (67.39) | 0.562 b |
| ≥45 e | 8 (44.4) | 12 (26.67) | 7 (41.18) | 151 (32.61) | ||
| Marital status e | ||||||
| Single | 16 (88.89) | 41 (91.11) | 0.07 b | 16 (88.89) | 41 (91.11) | 0.07 b |
| Married/partnered | 2 (11.11) | 4 (8.89) | 2 (11.11) | 4 (8.89) | ||
| Experience work (years) d | 15.944 ± 13.50 | 13.355 ± 10.81 | 0.731 a | |||
| Type of contract e | ||||||
| Fixed-term | 18 (100) | 45 (100) | - | 18 (100) | 45 (100) | - |
| Type of school e | ||||||
| Public (state) | 2 (11.11) | 8 (17.78) | 0.473 c | 3 (16.67) | 10 (22.22) | 0.546 c |
| Private (subsidized) | 12 (66.67) | 22 (48.89) | 11 (61.11) | 20 (44.44) | ||
| Private (non-subsidized) | 4 (22.22) | 15 (33.33) | 4 (22.22) | 15 (33.33) | ||
| Domestic work e,f | ||||||
| <15 h | 18 (28.57) | 45 (71.43) | - | 13 (72.22) | 36 (80.00) | 0.502 b |
| >15 h | - | - | 5 (27.78) | 9 (20.00) | ||
<15 h and >15 h, domestic work in hours; p < 0.05. a Wilcoxon test, b Fisher’s exact test, c chi-squared test. d Data are expressed as mean and standard deviation. e Data are expressed as frequency (percentage). f Performing household chores, either your own or someone else’s, without payment (e.g., cooking, cleaning, shopping, laundry, ironing, child care, etc.).
Comparison of Short-Form 36 Health Survey (SF-36) measurements of 8 scales and quality of life (QoL) summary measurements evaluated in pre-pandemic and pandemic timeframes in the total sample and each gender.
| Total Sample ( | Male ( | Female ( | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Pre-Pandemic | Pandemic | Pre-Pandemic | Pandemic | Pre-Pandemic | Pandemic | ||||
| QoL | Mean ± SD | Mean ± SD |
| Mean ± SD | Mean ± SD |
| Mean ± SD | Mean ± SD |
|
| Physical function | 51.223 ± 6.72 | 47.930 ± 8.17 | 0.002 b | 48.762 ± 9.29 | 46.942 ± 8.78 | 0.457 b | 52.208 ± 5.18 | 48.325 ± 7.99 | <0.001 b |
| Role limitations due to physical problems | 47.494 ± 6.71 | 44.009 ± 7.67 | 0.007 a | 49.090 ± 6.47 | 44.056 ± 7.75 | 0.005 b | 50.672 ± 4.79 | 45.206 ± 7.02 | <0.001 b |
| Bodily pain | 44.682 ± 8.56 | 38.543 ± 9.96 | <0.001 a | 46.254 ± 9.97 | 42.061 ± 10.34 | 0.224 a | 44.053 ± 7.96 | 37.135 ± 9.56 | <0.001 a |
| General health perceptions | 47.997 ± 9.51 | 43.236 ± 10.37 | <0.001 b | 49.178 ± 8.79 | 41.603 ± 10.70 | 0.026 a | 47.525 ± 9.83 | 43.889 ± 10.29 | 0.004 b |
| Vitality | 46.795 ± 7.73 | 40.187 ± 8.21 | <0.001 a | 46.533 ± 7.55 | 43.704 ± 7.89 | 0.114 a | 45.967 ± 9.69 | 38.779 ± 7.98 | <0.001 a |
| Social functioning | 41.99 ± 11.43 | 35.251 ± 12.82 | 0.003 a | 43.675 ± 10.36 | 32.812 ± 14.61 | 0.015 a | 41.316 ± 11.83 | 36.226 ± 12.08 | 0.047 a |
| Role limitations due to emotional problems | 47.494 ± 6.72 | 44.009 ± 7.67 | 0.008 a | 47.253 ± 7.69 | 44.449 ± 8.66 | 0.311 a | 47.589 ± 6.38 | 43.832 ± 7.33 | 0.011 a |
| Mental health | 45.769 ± 8.86 | 36.868 ± 10.78 | <0.001 a | 46.386 ± 9.66 | 38.520 ± 11.47 | 0.033 a | 44.350 ± 11.48 | 36.207 ± 10.55 | <0.001 a |
| Physical component summary | 47.33 ± 6.23 | 43.414 ± 6.94 | 0.001 b | 46.573 ± 7.17 | 43.086 ± 7.74 | 0.170 a | 47.633 ± 5.87 | 43.545 ± 6.67 | 0.002 a |
| Mental component summary | 42.074 ± 9.68 | 34.959 ± 10.30 | <0.001 a | 43.194 ± 9.96 | 36.137 ± 11.04 | 0.052 a | 41.626 ± 9.65 | 34.489 ± 10.07 | <0.001 a |
p < 0.05 a t-test, b Wilcoxon’s text.
Comparison of 8 SF-36 QoL scales and two summary measurements between pre-pandemic and pandemic timeframes for each age group ≤44 and ≥45 years (n = 63).
| ≤44 ( | ≥45 ( | |||||
|---|---|---|---|---|---|---|
| Pre-Pandemic | Pandemic | Pre-Pandemic | Pandemic | |||
| QoL | Mean ± SD | Mean ± SD |
| Mean ± SD | Mean ± SD |
|
| Physical function | 52.828 ± 4.45 | 48.993 ± 7.49 | 0.007 b | 48.232 ± 9.01 | 46.949 ± 9.17 | 0.134 b |
| Role limitations due to physical problems | 50.150 ± 5.47 | 44.918 ± 7.09 | <0.001 b | 50.351 ± 5.16 | 44.803 ± 7.54 | 0.007 a |
| Bodily pain | 44.298 ± 8.85 | 38.431 ± 10.74 | 0.009 a | 45.397 ± 8.06 | 38.750 ± 8.57 | 0.011 a |
| General health perceptions | 47.995 ± 9.82 | 42.795 ± 11.05 | 0.002 b | 48.001 ± 9.13 | 44.057 ± 9.19 | 0.161 a |
| Vitality | 45.579 ± 7.78 | 39.078 ± 8.09 | <0.001 a | 49.059 ± 7.26 | 42.252 ± 8.19 | 0.006 a |
| Social functioning | 41.525 ± 10.81 | 35.394 ± 13.01 | 0.022 b | 42.856 ± 12.63 | 34.985 ± 12.78 | 0.046 a |
| Role limitations due to emotional problems | 46.186 ± 6.97 | 44.094 ± 7.37 | 0.190 a | 49.929 ± 5.57 | 43.850 ± 8.36 | 0.007 a |
| Mental health | 44.738 ± 8.83 | 35.868 ± 10.50 | <0.001 a | 47.690 ± 8.79 | 38.731 ± 11.29 | 0.005 a |
| Physical component summary | 48.311 ± 5.86 | 43.905 ± 7.26 | 0.003 a | 45.502 ± 6.61 | 42.499 ± 6.34 | 0.030 b |
| Mental component summary | 40.227 ± 9.78 | 34.056 ± 10.11 | 0.006 a | 45.432 ± 8.77 | 36.641 ± 10.67 | 0.005 a |
≤44 and ≥45, age categories (years) p < 0.05, a t-test, b Wilcoxon test.