Cross-sectional study to assess depression among healthcare workers in Lusaka, Zambia during the COVID-19 pandemic.
Cross-sectional study to assess depression among healthcare workers in Lusaka, Zambia during the COVID-19 pandemic.
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DOI：
10.1136/bmjopen-2022-069257
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发表时间：
2023-04-05
期刊：
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
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作者：
我们试图在赞比亚卢萨卡省COVID-19的背景下评估卫生保健工作者（HCWs）的抑郁症。这项横断面研究嵌套在一项更大的研究中，即赞比亚以人为中心的艾滋病毒治疗公共卫生（PCPH），这是一项评估艾滋病毒护理和结果的聚类随机试验。该研究于2020年8月11日至10月15日在赞比亚卢萨卡第一波COVID-19大流行期间在24家政府运营的卫生机构进行。我们采用方便抽样的方法招募了之前参加过PCPH研究的HCW参与者，这些参与者在该机构有6个月以上的工作经验，并且自愿参加。我们实施了经过验证的9题患者健康问卷（PHQ-9）来评估HCW抑郁症。我们使用混合效应、校正泊松回归来估计卫生保健机构可能需要干预（PHQ-9评分≥5）的卫生保健工作者出现抑郁的边际概率。我们收集了713名专业和非专业医护人员的PHQ-9调查反馈。总体而言，334名（46.8%,95% CI 43.1%, 50.6%） HCWs记录的PHQ-9评分≥5，表明需要进一步评估和潜在的抑郁症干预。我们发现了不同设施之间的显著异质性，并观察到在提供COVID-19检测和治疗服务的设施中，有抑郁症状的医护人员比例更高。抑郁症可能是赞比亚大部分卫生保健工作者关心的问题。需要进一步开展工作，了解公共部门卫生保健员中抑郁症的严重程度和病因，以设计有效的预防和治疗干预措施，以满足对精神卫生支持的需求，并尽量减少不良健康结果。
We sought to assess depression among healthcare workers (HCWs) in the context of COVID-19 in Lusaka Province, Zambia. This cross-sectional study is nested within a larger study, the Person-Centred Public Health for HIV Treatment in Zambia (PCPH), a cluster-randomised trial to assess HIV care and outcomes. The research was conducted in 24 government-run health facilities from 11 August to 15 October 2020 during the first wave of the COVID-19 pandemic in Lusaka, Zambia. We used convenience sampling to recruit HCW participants who were previously enrolled in the PCPH study, had more than 6 months’ experience working at the facility and were voluntarily willing to participate. We implemented the well-validated 9-question Patient Health Questionnaire (PHQ-9) to assess HCW depression. We used mixed-effects, adjusted Poisson regression to estimate the marginal probability of HCWs experiencing depression that may warrant intervention (PHQ-9 score ≥5) by healthcare facility. We collected PHQ-9 survey responses from 713 professional and lay HCWs. Overall, 334 (46.8%, 95% CI 43.1%, 50.6%) HCWs recorded a PHQ-9 score ≥5, indicating the need for further assessment and potential intervention for depression. We identified significant heterogeneity across facilities and observed a greater proportion of HCWs with symptoms of depression in facilities providing COVID-19 testing and treatment services. Depression may be a concern for a large proportion of HCWs in Zambia. Further work to understand the magnitude and aetiologies of depression among HCWs in the public sector is needed to design effective prevention and treatment interventions to meet the needs for mental health support and to minimise poor health outcomes.
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影响因子：
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影响因子：
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