Prevalence of insomnia and anxiety among healthcare workers during the COVID-19 pandemic in Jilin Province

The outbreak of the 2019 novel coronavirus disease (COVID-19) has impacted the mental health of healthcare providers at the frontline. Therefore, we conducted this study to estimate the prevalence rate of anxiety and insomnia and identify associated risk factors among healthcare workers in Jilin, Ch...

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Bibliographic Details
Published in:Brazilian journal of medical and biological research 2021-01, Vol.54 (9), p.1-e10602
Main Authors: Dong, Han-Shuo, Gao, Jing-Jing, Dong, Yu-Xiang, Han, Chun-Xia, Sun, Li
Format: Article
Language:English
Subjects:
Anxiety
BIOLOGY
Coronaviruses
COVID-19
HCWs
Health care industry
Healthcare workers
Insomnia
Medical personnel
MEDICINE, RESEARCH & EXPERIMENTAL
Mental health
Multivariate analysis
Pandemics
Personal protective equipment
Risk factors
Sleep disorders
Workers
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Summary:The outbreak of the 2019 novel coronavirus disease (COVID-19) has impacted the mental health of healthcare providers at the frontline. Therefore, we conducted this study to estimate the prevalence rate of anxiety and insomnia and identify associated risk factors among healthcare workers in Jilin, China, during the period from January 25 to February 25, 2020. Zung's Self-Reported Anxiety Scale (SAS) and the Insomnia Severity Index (ISI) scale were used to diagnose anxiety and insomnia, respectively. Associated risk factors were identified through a multivariate logistic regression model. A total of 300 healthcare workers were invited and 236 completed the study. Of them, 234 (99.15%) were medical workers, 197 (83.47%) were working at frontline departments, and 159 (67.37%) were fighting against COVID-19. Fifty-seven respondents (24.15%) had anxiety (SAS index score [greater than or equal to] 45) and 94 (39.83%) had insomnia (ISI score [greater than or equal to] 8). Based on the multivariate analysis, contact with people from Hubei province during work (no vs not clear) [OR=0.25, 95%CI: 0.10-0.61] and personal protective equipment (PPE) (not in place vs in place) [OR=6.22, 95%CI: 2.23-17.40] were significantly correlated with anxiety. PPE (not in place vs in place) was the only significant risk factor of insomnia [OR=10.56, 95%CI: 4.00-27.87]. The prevalence of anxiety and insomnia was high in our study, reflecting the psychological impact of COVID-19 on healthcare workers. The unavailability of PPE in place was a significant risk factor of both anxiety and insomnia. Keywords: Anxiety; Insomnia; COVID-19; Healthcare workers; HCWs
ISSN:0100-879X
1414-431X
1414-431X
1678-4510
DOI:10.1590/1414-431X2020e10602