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Occupational Conditions Associated With Negative Mental Health Outcomes in New York State Health Professionals During
Keely Cheslack-Postava1, Michaeline Bresnahan, Megan Ryan
1From the Department of Psychiatry, Columbia University, New York State Psychiatric Institute (Cheslack-Postava, Bresnahan, Ryan, Musa, Amsel, Andrews, Susser, Hoven); Department of Epidemiology, Columbia University Mailman School of Public Health (Bresnahan, Susser, Li, Hoven); Departments of Surgery and Population Health Science, New York University Langone Medical Center (DiMaggio); Department of Biostatistics, Columbia University Mailman School of Public Health (Andrews); Department of Anesthesiology, Columbia University Vagelos College of Physicians and Surgeons (Li, Lang); and Department of Social and Behavioral Sciences, School of Global Public Health, New York University (Abramson), New York, New York.
Objective:
The aim of this study was to assess occupational circumstances associated with adverse mental health among health care workers during the COVID-19 pandemic.
Methods:
A cross-sectional study examined responses to an on-line survey conducted among 2076 licensed health care workers during the first pandemic peak. Mental health (depression, anxiety, stress, and anger) was examined as a multivariate outcome for association with COVID-related occupational experiences.
Results:
Odds of negative mental health were increased among those who worked directly with patients while sick themselves (adjusted odds ratio, 2.29; 95% confidence interval, 1.71-3.08) and were independently associated with working more hours than usual in the past 2 weeks, having family/friends who died due to COVID-19, having COVID-19 symptoms, and facing insufficiencies in personal protective equipment/other shortages.
Conclusions:
Occupational circumstances were associated with adverse mental health outcomes among health care workers during the COVID-19 pandemic, and some are potentially modifiable.
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