Work-Related and Personal Factors Associated with Mental Well-Being During the COVID-19 Response: Survey of Health Care and Other Workers

Details

• Personal Author:
  Dale, Ann M. ; Duncan JG ; Evanoff BA ; Gray DL ; Hayibor L ; Kannampallil T ; Page, Elena H. ; Strickland JR
• Description:
  Background: The response to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has created an unprecedented disruption in work conditions. This study describes the mental health and well-being of workers both with and without clinical exposure to patients with coronavirus disease (COVID-19). Objective: The aim of this study is to measure the prevalence of stress, anxiety, depression, work exhaustion, burnout, and decreased well-being among faculty and staff at a university and academic medical center during the SARS-CoV-2 pandemic and describe work-related and personal factors associated with their mental health and well-being. Methods: All faculty, staff, and postdoctoral fellows of a university, including its medical school, were invited in April 2020 to complete an online questionnaire measuring stress, anxiety, depression, work exhaustion, burnout, and decreased well-being. We examined associations between these outcomes and factors including work in high-risk clinical settings and family/home stressors. Results: There were 5550 respondents (overall response rate of 34.3%). Overall, 34% of faculty and 14% of staff (n=915) were providing clinical care, while 61% of faculty and 77% of staff were working from home. Among all workers, anxiety (prevalence ratio 1.37, 95% CI 1.09-1.73), depression (prevalence ratio 1.28, 95% CI 1.03-1.59), and high work exhaustion (prevalence ratio 1.24, 95% CI 1.13-1.36) were independently associated with community or clinical exposure to COVID-19. Poor family-supportive behaviors by supervisors were also associated with these outcomes (prevalence ratio 1.40, 95% CI 1.21-1.62; prevalence ratio 1.69, 95% CI 1.48-1.92; and prevalence ratio 1.54, 95% CI 1.44-1.64, respectively). Age <40 years and a greater number of family/home stressors were also associated with these poorer outcomes. Among the subset of clinicians, caring for patients with COVID-19 and working in high-risk clinical settings were additional risk factors. Conclusions: Our findings suggest that the pandemic has had negative effects on the mental health and well-being of both clinical and nonclinical employees. Mitigating exposure to COVID-19 and increasing supervisor support are modifiable risk factors that may protect mental health and well-being for all workers. [Description provided by NIOSH]
• Subjects:
  Behavior Communicable Diseases Environmental Exposure Health Personnel Mental Health Nervous System Occupational Health Risk Assessment Risk Factors Safety Surveys And Questionnaires Workplace

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• Keywords:
  Author Keywords: COVID-19 Coronavirus Exposure Levels Health Care Personnel Health Care Workers Mental Health Occupational Health Pandemic Questionnaires Remote Work Risk Factors SARS Severe Acute Respiratory Syndrome Statistical Analysis Stress Total Worker Health TWH Work Environment Workers Worker Well-being

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• ISSN:
  1438-8871
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Iowa ; Missouri ; OSHA Region 7
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  22
• Issue:
  8
• NIOSHTIC Number:
  nn:20061074
• Citation:
  J Med Internet Res 2020 Aug; 22(8):e21366
• Contact Point Address:
  Bradley A Evanoff, Washington University School of Medicine, 4523 Clayton Avenue, Box 8005, St. Louis, MO, 63110
• Email:
  bevanoff@wustl.edu
• Federal Fiscal Year:
  2020
• NORA Priority Area:
  Construction ; Services
• Performing Organization:
  University of Iowa
• Peer Reviewed:
  True
• Start Date:
  20060901
• Source Full Name:
  Journal of Medical Internet Research
• End Date:
  20260831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:1c7e185b1a0342d3d998bd09b995dcd5739b39c4afc528fbbb7627e75d13bbd5ace0e6052548907e0d84636c53cac5aa0836d82dd248f34a6a5b75ba0d215c29
• Download URL:
  https://stacks.cdc.gov/view/cdc/224749/cdc_224749_DS1.pdf
• File Type:
  [PDF - 158.95 KB ]