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Mascayano F, van der Ven E, Moro MF, Schilling S, Alarcón S, Al Barathie J, Alnasser L, Asaoka H, Ayinde O, Balalian AA, Basagoitia A, Brittain K, Dohrenwend B, Durand-Arias S, Eskin M, Fernández-Jiménez E, Freytes Frey MI, Giménez L, Gisle L, Hoek HW, Jaldo RE, Lindert J, Maldonado H, Martínez-Alés G, Martínez-Viciana C, Mediavilla R, McCormack C, Myer L, Narvaez J, Nishi D, Ouali U, Puac-Polanco V, Ramírez J, Restrepo-Henao A, Rivera-Segarra E, Rodríguez AM, Saab D, Seblova D, Tenorio Correia da Silva A, Valeri L, Alvarado R, Susser E. The impact of the COVID-19 pandemic on the mental health of healthcare workers: study protocol for the COVID-19 HEalth caRe wOrkErS (HEROES) study. Soc Psychiatry Psychiatr Epidemiol 2022; 57:633-645. [PMID: 35064280 PMCID: PMC8782684 DOI: 10.1007/s00127-021-02211-9] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2021] [Accepted: 12/05/2021] [Indexed: 11/25/2022]
Abstract
BACKGROUND Preliminary country-specific reports suggest that the COVID-19 pandemic has a negative impact on the mental health of the healthcare workforce. In this paper, we summarize the protocol of the COVID-19 HEalth caRe wOrkErS (HEROES) study, an ongoing, global initiative, aimed to describe and track longitudinal trajectories of mental health symptoms and disorders among health care workers at different phases of the pandemic across a wide range of countries in Latin America, Europe, Africa, Middle-East, and Asia. METHODS Participants from various settings, including primary care clinics, hospitals, nursing homes, and mental health facilities, are being enrolled. In 26 countries, we are using a similar study design with harmonized measures to capture data on COVID-19 related exposures and variables of interest during two years of follow-up. Exposures include potential stressors related to working in healthcare during the COVID-19 pandemic, as well as sociodemographic and clinical factors. Primary outcomes of interest include mental health variables such as psychological distress, depressive symptoms, and posttraumatic stress disorders. Other domains of interest include potentially mediating or moderating influences such as workplace conditions, trust in the government, and the country's income level. RESULTS As of August 2021, ~ 34,000 health workers have been recruited. A general characterization of the recruited samples by sociodemographic and workplace variables is presented. Most participating countries have identified several health facilities where they can identify denominators and attain acceptable response rates. Of the 26 countries, 22 are collecting data and 2 plan to start shortly. CONCLUSIONS This is one of the most extensive global studies on the mental health of healthcare workers during the COVID-19 pandemic, including a variety of countries with diverse economic realities and different levels of severity of pandemic and management. Moreover, unlike most previous studies, we included workers (clinical and non-clinical staff) in a wide range of settings.
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Affiliation(s)
- Franco Mascayano
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
- New York State Psychiatric Institute, New York, NY, USA.
| | - Els van der Ven
- Department of Clinical, Neuro- and Developmental Psychology, Vrije Universiteit, Amsterdam, The Netherlands
| | - Maria Francesca Moro
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
- Università degli Studi di Cagliari, Cagliari, Italy
| | - Sara Schilling
- School of Public Health, Faculty of Medicine, Universidad de Chile, Santiago, Chile
| | - Sebastián Alarcón
- School of Public Health, Faculty of Medicine, Universidad de Chile, Santiago, Chile
| | - Josleen Al Barathie
- Institute for Development Research Advocacy and Applied Care, Beirut, Lebanon
| | - Lubna Alnasser
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
- Population Health Department, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Hiroki Asaoka
- Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Olatunde Ayinde
- Department of Psychiatry, University College Hospital, Ibadan, Nigeria
| | - Arin A Balalian
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
| | | | - Kirsty Brittain
- Division of Epidemiology and Biostatistics, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa
| | - Bruce Dohrenwend
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
| | - Sol Durand-Arias
- Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Mehmet Eskin
- Department of Psychology, Koc University, Istanbul, Turkey
| | - Eduardo Fernández-Jiménez
- Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital, Madrid, Spain
| | | | - Luis Giménez
- Instituto de Psicología de la Salud, Facultad de Psicología, Universidad de la República, Montevideo, Uruguay
| | - Lydia Gisle
- Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium
| | - Hans W Hoek
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
- Department of Psychiatry, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands
| | | | - Jutta Lindert
- University of Applied Sciences Emden/Leer, Emden, Germany
| | | | - Gonzalo Martínez-Alés
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
- Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital, Madrid, Spain
- Centro de Investigación Biomédica en Red (CIBERSAM), Madrid, Spain
| | | | - Roberto Mediavilla
- Department of Psychiatry, Universidad Autónoma de Madrid (UAM), Madrid, Spain
- Centro de Investigación Biomédica en Red (CIBERSAM), Madrid, Spain
| | - Clare McCormack
- Center for Science and Society, Columbia University, New York, NY, USA
| | - Landon Myer
- Division of Epidemiology and Biostatistics, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa
| | | | - Daisuke Nishi
- Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Uta Ouali
- Psychiatry Department A, Razi Hospital, Tunis, Tunisia
| | - Victor Puac-Polanco
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
- Facultad de Ciencias Médicas, Universidad de San Carlos de Guatemala, Guatemala City, Guatemala
- Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
| | - Jorge Ramírez
- School of Public Health, Faculty of Medicine, Universidad de Chile, Santiago, Chile
| | - Alexandra Restrepo-Henao
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
- Epidemiology Group, Universidad de Antioquia, Medellín, Colombia
| | - Eliut Rivera-Segarra
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce, Puerto Rico
| | - Ana M Rodríguez
- Instituto Altos Estudios Dr Arnoldo Gabaldon, Caracas, Venezuela
| | - Dahlia Saab
- Institute for Development Research Advocacy and Applied Care, Beirut, Lebanon
| | - Dominika Seblova
- Taub Institute for Research on Alzheimer's Disease and the Aging Brain, The Gertrude H. Sergievsky Center, Vagelos College of Physicians and Surgeons, Columbia University, New York, Brazil
| | - Andrea Tenorio Correia da Silva
- Department of Family Medicine, Faculdade Santa Marcelina, São Paulo, Brazil
- Department of Public Health, Faculdade de Medicina de Jundiaí, São Paulo, Brazil
| | - Linda Valeri
- Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, USA
| | - Rubén Alvarado
- School of Public Health, Faculty of Medicine, Universidad de Chile, Santiago, Chile
| | - Ezra Susser
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
- New York State Psychiatric Institute, New York, NY, USA
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Galvao TF, Tiguman GMB, Pereira Nunes B, Correia da Silva AT, Tolentino Silva M. Continuity of Primary Care in the Brazilian Amazon: A Cross-Sectional Population-Based Study. Int J Prev Med 2021; 12:57. [PMID: 34447499 PMCID: PMC8356987 DOI: 10.4103/ijpvm.ijpvm_440_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Accepted: 09/26/2020] [Indexed: 11/04/2022] Open
Abstract
Background Few studies have evaluated the continuity of primary care in universal health care systems, especially in underserved areas. Methods This was a cross-sectional study with 4,001 adults (≥18 years old) living in the Manaus Metropolitan Region in 2015. Interviews were conducted in households selected with probabilistic sampling. City and neighborhood variables were collected from databanks. Prevalence ratios (PR) of the continuity of care (defined as using a primary care service and having been previously registered in the Family Health Strategy program) and 95% confidence intervals (CIs) were calculated with multilevel Poisson regression analysis. Results A total of 20.6% (95%CI 19.4-21.9%) of the participants reported continuity of primary care. Women (PR = 1.38; 95%CI 1.18-1.61), nonwhite individuals (PR = 1.13; 95%CI 1.05-1.21), and poorer people (PR = 1.55; 95%CI 1.19-2.02) had higher levels of continuity, whereas health insurance holders had lower levels of continuity (PR = 0.46; 95%CI 0.34-0.62). Individuals with continuity of care had more physician consultations (PR = 1.06; 95%CI 1.02-1.10), dentist consultations (PR = 1.16; 95%CI 1.05-1.28), fewer depressive (PR = 0.59; 95%CI 0.44-0.79) and anxiety symptoms (PR = 0.64; 95%CI 0.48-0.85), and a higher quality of life (β = 0.033; 95%CI 0.011-0.054) than those without continuity. Conclusions Continuity of care was attained by two-tenths of the population and the level of continuity was high among socioeconomically disadvantaged people. Good outcomes and health services usage increased with continuity of care.
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Affiliation(s)
- Tais Freire Galvao
- Faculty of Pharmaceutical Sciences, State University of Campinas, Campinas, Brazil
| | | | - Bruno Pereira Nunes
- Department of Nursing in Public Health, Federal University of Pelotas, Pelotas, Brazil
| | - Andrea Tenorio Correia da Silva
- Department of Preventive Medicine, Universidade de São Paulo, São Paulo, Brazil.,Coordinator, Primary Care Research Group, Faculdade de Medicina Santa Marcelina, São Paulo, Brazil
| | - Marcus Tolentino Silva
- Post-Graduation Program of Pharmaceutical Sciences, Universidade de Sorocaba, Sorocaba, Brazil
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