Racial & ethnic differences in mental health outcomes and risk factors among frontline healthcare workers during the COVID-19 pandemic - 05/12/23
, Nnamdi Igwe a, Candida Damian a, Adriana Feder b, Jordyn Feingold b, Jonathan Ripp a, c, Robert Pietrzak b, Lauren Peccoralo a, c, Alicia Hurtado a, b, Chi Chan b
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Abstract |
Objective |
To examine racial/ethnic differences in mental health outcomes and risk factors during the COVID-19 pandemic among frontline healthcare workers (FHCWs).
Methods |
A survey was conducted on FHCWs at a large metropolitan hospital during winter 2021. Depression, anxiety, and post-traumatic stress symptoms, demographic characteristics, and COVID-19-related occupational factors were assessed. Multivariable logistic regression examined factors associated with screening positive for psychiatric symptoms and their interactions with race/ethnicity.
Results |
Of 1437 FHCWs, 762 (53.0%) self-identified as white, 451 (31.4%) as Asian, 118 (8.2%) as Black, and 106 (7.4%) as Latinx. Black FHCWs had a higher prevalence of screening positive for depression (18.6%) than other groups (6.6%–11.7%, p < .05). Significant risk factors by race/ethnicity interactions indicated that having cared for patients who died from COVID-19 increased risk of psychiatric symptoms among white and Black individuals, having to make difficult decisions prioritizing patients increased risk most significantly among white and Asian individuals, and working more hours increased risk most significantly among Latinx individuals.
Conclusion |
Results suggest that occupational stressors may have differential impacts on mental health among racial/ethnic groups of FHCWs. Findings provide insight on subgroups with increased vulnerability to certain risk factors and inform interventions to improve mental health in diverse FHCWs.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Black frontline healthcare workers had a higher prevalence of depression |
• | Differential impact of work stressors on psychiatric risk arose by race/ethnicity |
• | Caring for patients who died from COVID-19 increased risk in white and Black people |
• | Making hard decisions prioritizing people increased risk in white and Asian people |
• | Working more hours during COVID-19 increased risk most strongly in Latinx people |
Keywords : COVID-19, Race and ethnicity, Healthcare workers, Depression, Anxiety, Post-traumatic stress
Plan
Vol 85
P. 1-7 - novembre 2023 Retour au numéro
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