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Prevalence of COVID-19 fear and its association with quality of life and network structure among Chinese mental health professionals after ending China’s dynamic zero-COVID policy: a national survey
Lam, Mei Ieng1,2; Chen, Pan1,3; Zhang, Qinge4; Sha, Sha4; An, Feng Rong4; Su, Zhaohui5; Cheung, Teris6; Ungvari, Gabor S.7,8; Ng, Chee H.9; Xiang, Yu Tao1,3; Feng, Yuan4
2023
Source PublicationFrontiers in Public Health
Volume11
AbstractBackground: China recorded a massive COVID-19 pandemic wave after ending its Dynamic Zero-COVID Policy on January 8, 2023. As a result, mental health professionals (MHPs) experienced negative mental health consequences, including an increased level of fear related to COVID-19. This study aimed to explore the prevalence and correlates of COVID-19 fear among MHPs following the end of the Policy, and its association with quality of life (QoL) from a network analysis perspective. Methods: A cross-sectional national study was conducted across China. The correlates of COVID-19 fear were examined using both univariate and multivariate analyses. An analysis of covariance (ANCOVA) was conducted to determine the relationship between fear of COVID-19 and QoL. Central symptoms were identified using network analysis through the “Expected Influence” of the network model while specific symptoms directly correlated with QoL were identified through the “flow function.” Results: A total of 10,647 Chinese MHPs were included. The overall prevalence of COVID-19 fear (FCV-19S total score ≥ 16) was 60.8% (95% CI = 59.9–61.8%). The binary logistic regression analysis found that MHPs with fear of COVID-19 were more likely to be married (OR = 1.198; p < 0.001) and having COVID-19 infection (OR = 1.235; p = 0.005) and quarantine experience (OR = 1.189; p < 0.001). Having better economic status (good vs. poor: OR = 0.479; p < 0.001; fair vs. poor: OR = 0.646; p < 0.001) and health status (good vs. poor: OR = 0.410; p < 0.001; fair vs. poor: OR = 0.617; p < 0.001) were significantly associated with a lower risk of COVID-19 fear. The ANCOVA showed that MHPs with fear of COVID-19 had lower QoL [F = 228.0, p < 0.001]. “Palpitation when thinking about COVID-19” was the most central symptom in the COVID-19 fear network model, while “Uncomfortable thinking about COVID-19” had the strongest negative association with QoL (average edge weight = −0.048). Conclusion: This study found a high prevalence of COVID-19 fear among Chinese MHPs following the end of China’s Dynamic Zero-COVID Policy. Developing effective prevention and intervention measures that target the central symptoms as well as symptoms correlated with QoL in our network structure would be important to address COVID-19 fear and improve QoL.
KeywordCOVID-19 fear mental health professionals network analysis quality of life
DOI10.3389/fpubh.2023.1280688
URLView the original
Language英語English
Scopus ID2-s2.0-85176388450
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Document TypeJournal article
CollectionFaculty of Health Sciences
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Affiliation1.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao
2.Kiang Wu Nursing College of Macau, Macao
3.Centre for Cognitive and Brain Sciences, University of Macau, Taipa, Macao
4.Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders, National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
5.School of Public Health, Southeast University, Nanjing, China
6.School of Nursing, Hong Kong Polytechnic University, Kowloon, Hong Kong
7.Section of Psychiatry, University of Notre Dame Australia, Fremantle, Australia
8.Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia
9.Department of Psychiatry, The Melbourne Clinic and St Vincent's Hospital, University of Melbourne, Richmond, Australia
First Author AffilicationFaculty of Health Sciences
Recommended Citation
GB/T 7714
Lam, Mei Ieng,Chen, Pan,Zhang, Qinge,et al. Prevalence of COVID-19 fear and its association with quality of life and network structure among Chinese mental health professionals after ending China’s dynamic zero-COVID policy: a national survey[J]. Frontiers in Public Health, 2023, 11.
APA Lam, Mei Ieng., Chen, Pan., Zhang, Qinge., Sha, Sha., An, Feng Rong., Su, Zhaohui., Cheung, Teris., Ungvari, Gabor S.., Ng, Chee H.., Xiang, Yu Tao., & Feng, Yuan (2023). Prevalence of COVID-19 fear and its association with quality of life and network structure among Chinese mental health professionals after ending China’s dynamic zero-COVID policy: a national survey. Frontiers in Public Health, 11.
MLA Lam, Mei Ieng,et al."Prevalence of COVID-19 fear and its association with quality of life and network structure among Chinese mental health professionals after ending China’s dynamic zero-COVID policy: a national survey".Frontiers in Public Health 11(2023).
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