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2020 ; 148
(ä): e98
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The prevalence and influencing factors in anxiety in medical workers fighting
COVID-19 in China: a cross-sectional survey
#MMPMID32430088
Liu CY
; Yang YZ
; Zhang XM
; Xu X
; Dou QL
; Zhang WW
; Cheng ASK
Epidemiol Infect
2020[May]; 148
(ä): e98
PMID32430088
show ga
The coronavirus disease 2019 (COVID-19) outbreak caused by the severe acute
respiratory syndrome coronavirus 2 (SARS-Cov-2 virus) has been sustained in China
since December 2019, and has become a pandemic. The mental health of frontline
medical staff is a concern. In this study, we aimed to identify the factors
influencing medical worker anxiety in China during the COVID-19 outbreak. We
conducted a cross-sectional study to estimate the prevalence of anxiety among
medical staff in China from 10 February 2020 to 20 February 2020 using the Zung
Self-rating Anxiety Scale (SAS) to assess anxiety, with the criteria of normal
(?49), mild (50-59), moderate (60-70) and severe anxiety (?70). We used
multivariable linear regression to determine the factors (e.g. having direct
contact when treating infected patients, being a medical staff worker from Hubei
province, being a suspect case) for anxiety. We also used adjusted models to
confirm independent factors for anxiety after adjusting for gender, age,
education and marital status. Of 512 medical staff in China, 164 (32.03%) had had
direct contact treating infected patients. The prevalence of anxiety was 12.5%,
with 53 workers suffering from mild (10.35%), seven workers suffering from
moderate (1.36%) and four workers suffering from severe anxiety (0.78%). After
adjusting for sociodemographic characteristics (gender, age, education and
marital status), medical staff who had had direct contact treating infected
patients experienced higher anxiety scores than those who had not had direct
contact (? value = 2.33, confidence interval (CI) 0.65-4.00; P = 0.0068). A
similar trend was observed in medical staff from Hubei province, compared with
those from other parts of China (? value = 3.67, CI 1.44-5.89; P = 0.0013). The
most important variable was suspect cases with high anxiety scores, compared to
non-suspect cases (? value = 4.44, CI 1.55-7.33; P = 0.0028). In this survey of
hospital medical workers during the COVID-19 outbreak in China, we found that
study participants experienced anxiety symptoms, especially those who had direct
clinical contact with infected patients; as did those in the worst affected
areas, including Hubei province; and those who were suspect cases. Governments
and healthcare authorities should proactively implement appropriate psychological
intervention programmes, to prevent, alleviate or treat increased anxiety.