COVID‐19‐related discrimination, PTSD symptoms, and psychological distress in healthcare workers

ABSTRACT To date, little effort has been made to examine if frontline workers who deal with COVID‐19 patients are more likely to experience discrimination than second‐line workers. Also, little information has appeared on how COVID‐19‐related discrimination affects PTSD symptoms in healthcare worker...

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Published inInternational journal of mental health nursing Vol. 32; no. 1; pp. 139 - 146
Main Authors Narita, Zui, Okubo, Ryo, Sasaki, Yohei, Takeda, Kazuyoshi, Takao, Masaki, Komaki, Hirofumi, Oi, Hideki, Mizoue, Tetsuya, Miyama, Takeshi, Kim, Yoshiharu
Format Journal Article
LanguageEnglish
Published Australia Wiley Subscription Services, Inc 01.02.2023
John Wiley and Sons Inc
Subjects
Adjustment
Alcohol use
Anxiety - psychology
COVID-19
Depression - psychology
Discrimination
Health care
Health Personnel - psychology
Humans
Living alone
Medical personnel
Nurses
Original
Post traumatic stress disorder
Psychiatric-mental health nursing
Psychological Distress
PTSD
SARS-CoV-2
Stress Disorders, Post-Traumatic - epidemiology
Workers
COVID-19
PTSD
discrimination
nurses
psychological distress
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Abstract ABSTRACT To date, little effort has been made to examine if frontline workers who deal with COVID‐19 patients are more likely to experience discrimination than second‐line workers. Also, little information has appeared on how COVID‐19‐related discrimination affects PTSD symptoms in healthcare workers. We aimed to examine the association between COVID‐19‐related discrimination and frontline worker status. We further aimed to examine how COVID‐19‐related discrimination was associated with PTSD symptoms and psychological distress. We studied 647 healthcare workers. For the association between COVID‐19‐related discrimination and frontline worker status, we conducted multivariable logistic regression adjusting for age, sex and living alone. For the association of COVID‐19‐related discrimination with PTSD symptoms and psychological distress, we performed multivariable regression using hierarchical adjustments for age, sex, living alone, alcohol consumption, exercise and frontline worker status. Bias‐corrected and accelerated bootstrap confidence intervals (CIs) were used. A total of 136 individuals worked on the frontline and the largest group were nurses (n = 81, 59.6%). Frontline workers had increased odds of COVID‐19‐related discrimination compared with second‐line workers (odds ratio = 2.60, 95% CI = 1.37–4.96). COVID‐19‐related discrimination was associated with PTSD symptoms and psychological distress even at the highest level of adjustment (β = 0.67, 95% CI = 0.10–1.23; β = 2.43, 95% CI = 0.91–3.95, respectively). Frontline workers are more likely to experience COVID‐19‐related discrimination than second‐line workers. Such discrimination may result in PTSD symptoms and psychological distress. Interventions to prevent COVID‐19‐related discrimination against healthcare workers, for example anti‐discrimination campaigns, are important.
AbstractList To date, little effort has been made to examine if frontline workers who deal with COVID-19 patients are more likely to experience discrimination than second-line workers. Also, little information has appeared on how COVID-19-related discrimination affects PTSD symptoms in healthcare workers. We aimed to examine the association between COVID-19-related discrimination and frontline worker status. We further aimed to examine how COVID-19-related discrimination was associated with PTSD symptoms and psychological distress. We studied 647 healthcare workers. For the association between COVID-19-related discrimination and frontline worker status, we conducted multivariable logistic regression adjusting for age, sex and living alone. For the association of COVID-19-related discrimination with PTSD symptoms and psychological distress, we performed multivariable regression using hierarchical adjustments for age, sex, living alone, alcohol consumption, exercise and frontline worker status. Bias-corrected and accelerated bootstrap confidence intervals (CIs) were used. A total of 136 individuals worked on the frontline and the largest group were nurses (n = 81, 59.6%). Frontline workers had increased odds of COVID-19-related discrimination compared with second-line workers (odds ratio = 2.60, 95% CI = 1.37-4.96). COVID-19-related discrimination was associated with PTSD symptoms and psychological distress even at the highest level of adjustment (β = 0.67, 95% CI = 0.10-1.23; β = 2.43, 95% CI = 0.91-3.95, respectively). Frontline workers are more likely to experience COVID-19-related discrimination than second-line workers. Such discrimination may result in PTSD symptoms and psychological distress. Interventions to prevent COVID-19-related discrimination against healthcare workers, for example anti-discrimination campaigns, are important.
To date, little effort has been made to examine if frontline workers who deal with COVID‐19 patients are more likely to experience discrimination than second‐line workers. Also, little information has appeared on how COVID‐19‐related discrimination affects PTSD symptoms in healthcare workers. We aimed to examine the association between COVID‐19‐related discrimination and frontline worker status. We further aimed to examine how COVID‐19‐related discrimination was associated with PTSD symptoms and psychological distress. We studied 647 healthcare workers. For the association between COVID‐19‐related discrimination and frontline worker status, we conducted multivariable logistic regression adjusting for age, sex and living alone. For the association of COVID‐19‐related discrimination with PTSD symptoms and psychological distress, we performed multivariable regression using hierarchical adjustments for age, sex, living alone, alcohol consumption, exercise and frontline worker status. Bias‐corrected and accelerated bootstrap confidence intervals (CIs) were used. A total of 136 individuals worked on the frontline and the largest group were nurses ( n  = 81, 59.6%). Frontline workers had increased odds of COVID‐19‐related discrimination compared with second‐line workers (odds ratio = 2.60, 95% CI = 1.37–4.96). COVID‐19‐related discrimination was associated with PTSD symptoms and psychological distress even at the highest level of adjustment ( β  = 0.67, 95% CI = 0.10–1.23; β  = 2.43, 95% CI = 0.91–3.95, respectively). Frontline workers are more likely to experience COVID‐19‐related discrimination than second‐line workers. Such discrimination may result in PTSD symptoms and psychological distress. Interventions to prevent COVID‐19‐related discrimination against healthcare workers, for example anti‐discrimination campaigns, are important.
ABSTRACT To date, little effort has been made to examine if frontline workers who deal with COVID‐19 patients are more likely to experience discrimination than second‐line workers. Also, little information has appeared on how COVID‐19‐related discrimination affects PTSD symptoms in healthcare workers. We aimed to examine the association between COVID‐19‐related discrimination and frontline worker status. We further aimed to examine how COVID‐19‐related discrimination was associated with PTSD symptoms and psychological distress. We studied 647 healthcare workers. For the association between COVID‐19‐related discrimination and frontline worker status, we conducted multivariable logistic regression adjusting for age, sex and living alone. For the association of COVID‐19‐related discrimination with PTSD symptoms and psychological distress, we performed multivariable regression using hierarchical adjustments for age, sex, living alone, alcohol consumption, exercise and frontline worker status. Bias‐corrected and accelerated bootstrap confidence intervals (CIs) were used. A total of 136 individuals worked on the frontline and the largest group were nurses (n = 81, 59.6%). Frontline workers had increased odds of COVID‐19‐related discrimination compared with second‐line workers (odds ratio = 2.60, 95% CI = 1.37–4.96). COVID‐19‐related discrimination was associated with PTSD symptoms and psychological distress even at the highest level of adjustment (β = 0.67, 95% CI = 0.10–1.23; β = 2.43, 95% CI = 0.91–3.95, respectively). Frontline workers are more likely to experience COVID‐19‐related discrimination than second‐line workers. Such discrimination may result in PTSD symptoms and psychological distress. Interventions to prevent COVID‐19‐related discrimination against healthcare workers, for example anti‐discrimination campaigns, are important.
To date, little effort has been made to examine if frontline workers who deal with COVID-19 patients are more likely to experience discrimination than second-line workers. Also, little information has appeared on how COVID-19-related discrimination affects PTSD symptoms in healthcare workers. We aimed to examine the association between COVID-19-related discrimination and frontline worker status. We further aimed to examine how COVID-19-related discrimination was associated with PTSD symptoms and psychological distress. We studied 647 healthcare workers. For the association between COVID-19-related discrimination and frontline worker status, we conducted multivariable logistic regression adjusting for age, sex and living alone. For the association of COVID-19-related discrimination with PTSD symptoms and psychological distress, we performed multivariable regression using hierarchical adjustments for age, sex, living alone, alcohol consumption, exercise and frontline worker status. Bias-corrected and accelerated bootstrap confidence intervals (CIs) were used. A total of 136 individuals worked on the frontline and the largest group were nurses (n = 81, 59.6%). Frontline workers had increased odds of COVID-19-related discrimination compared with second-line workers (odds ratio = 2.60, 95% CI = 1.37-4.96). COVID-19-related discrimination was associated with PTSD symptoms and psychological distress even at the highest level of adjustment (β = 0.67, 95% CI = 0.10-1.23; β = 2.43, 95% CI = 0.91-3.95, respectively). Frontline workers are more likely to experience COVID-19-related discrimination than second-line workers. Such discrimination may result in PTSD symptoms and psychological distress. Interventions to prevent COVID-19-related discrimination against healthcare workers, for example anti-discrimination campaigns, are important.To date, little effort has been made to examine if frontline workers who deal with COVID-19 patients are more likely to experience discrimination than second-line workers. Also, little information has appeared on how COVID-19-related discrimination affects PTSD symptoms in healthcare workers. We aimed to examine the association between COVID-19-related discrimination and frontline worker status. We further aimed to examine how COVID-19-related discrimination was associated with PTSD symptoms and psychological distress. We studied 647 healthcare workers. For the association between COVID-19-related discrimination and frontline worker status, we conducted multivariable logistic regression adjusting for age, sex and living alone. For the association of COVID-19-related discrimination with PTSD symptoms and psychological distress, we performed multivariable regression using hierarchical adjustments for age, sex, living alone, alcohol consumption, exercise and frontline worker status. Bias-corrected and accelerated bootstrap confidence intervals (CIs) were used. A total of 136 individuals worked on the frontline and the largest group were nurses (n = 81, 59.6%). Frontline workers had increased odds of COVID-19-related discrimination compared with second-line workers (odds ratio = 2.60, 95% CI = 1.37-4.96). COVID-19-related discrimination was associated with PTSD symptoms and psychological distress even at the highest level of adjustment (β = 0.67, 95% CI = 0.10-1.23; β = 2.43, 95% CI = 0.91-3.95, respectively). Frontline workers are more likely to experience COVID-19-related discrimination than second-line workers. Such discrimination may result in PTSD symptoms and psychological distress. Interventions to prevent COVID-19-related discrimination against healthcare workers, for example anti-discrimination campaigns, are important.
Author Sasaki, Yohei
Takao, Masaki
Oi, Hideki
Kim, Yoshiharu
Komaki, Hirofumi
Miyama, Takeshi
Okubo, Ryo
Takeda, Kazuyoshi
Mizoue, Tetsuya
Narita, Zui
AuthorAffiliation 1 Department of Behavioral Medicine National Institute of Mental Health, National Center of Neurology and Psychiatry Tokyo Japan
3 National Center of Neurology and Psychiatry Hospital Tokyo Japan
4 Department of Epidemiology and Prevention, Center for Clinical Sciences National Center for Global Health and Medicine Tokyo Japan
2 Clinical Research & Education Promotion Division National Center of Neurology and Psychiatry Hospital Tokyo Japan
AuthorAffiliation_xml – name: 2 Clinical Research & Education Promotion Division National Center of Neurology and Psychiatry Hospital Tokyo Japan
– name: 4 Department of Epidemiology and Prevention, Center for Clinical Sciences National Center for Global Health and Medicine Tokyo Japan
– name: 1 Department of Behavioral Medicine National Institute of Mental Health, National Center of Neurology and Psychiatry Tokyo Japan
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Issue 1
Keywords COVID-19
PTSD
discrimination
nurses
psychological distress
Language English
License 2022 John Wiley & Sons Australia, Ltd.
This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.
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Snippet ABSTRACT To date, little effort has been made to examine if frontline workers who deal with COVID‐19 patients are more likely to experience discrimination than...
To date, little effort has been made to examine if frontline workers who deal with COVID‐19 patients are more likely to experience discrimination than...
To date, little effort has been made to examine if frontline workers who deal with COVID-19 patients are more likely to experience discrimination than...
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StartPage 139
SubjectTerms Adjustment
Alcohol use
Anxiety - psychology
COVID-19
Depression - psychology
Discrimination
Health care
Health Personnel - psychology
Humans
Living alone
Medical personnel
Nurses
Original
Post traumatic stress disorder
Psychiatric-mental health nursing
Psychological Distress
PTSD
SARS-CoV-2
Stress Disorders, Post-Traumatic - epidemiology
Workers
Title COVID‐19‐related discrimination, PTSD symptoms, and psychological distress in healthcare workers
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Finm.13069
https://www.ncbi.nlm.nih.gov/pubmed/36176263
https://www.proquest.com/docview/2764324739
https://www.proquest.com/docview/2720433252
https://pubmed.ncbi.nlm.nih.gov/PMC9538840
Volume 32
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