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Prevalence of COVID-19 fear and its association with quality of life among fire service recruits after ceasing the dynamic zero-COVID policy in China
Liu, Jian1; Si, Tong Leong2,3; Chen, Pan2,3; Wang, Yue Ying3; Su, Zhaohui4; Cheung, Teris5; Jackson, Todd6; Xiang, Yu Tao2,3; Feng, Yuan7
2023-10-06
Source PublicationFrontiers in Public Health
ISSN2296-2565
Volume11
Abstract

Background: In December 2022, China terminated its dynamic zero-COVID policy. To date, however, no research has been conducted upon mental health issues and their relationship with quality of life (hereafter QoL) among fire service recruits since the dynamic zero-COVID policy ended. This study explored fear of COVID-19 (FOC) prevalence and correlates as well as its network structure and interconnections with QoL among fire service recruits. Methods: A cross-sectional survey design was used to assess fire service recruits in Beijing and Sichuan, Guangxi and Guizhou provinces of China between February 13 and 16, 2023. Fear of COVID-19 was measured using the Fear of COVID-19 Scale, depression was assessed with the Patient Health Questionnaire, anxiety was examined using the Generalized Anxiety Disorder scale, and QOL was evaluated with the World Health Organization Quality of Life-brief version. Univariate and multivariate analyses were used to explore correlates of COVID-19 fear. Network analysis assessed the structure of fear of COVID-19 and its associations with QoL. Results: A total of 1,560 participants were included in this study. The overall prevalence of fear of COVID-19 was 38.85% (n = 606; 95% CI = 36.42–41.32%). Being afraid of COVID-19 was significantly related to depression (OR = 1.084; p < O.OO1) and physical fatigue (OR = 1.063; p = 0.026). Fire service recruits with more fear of COVID-19 had lower QOL (F = 18.061 p < 0.001) than those with less fear of COVID-19 did. The most central symptoms included FOC6 (“Sleep difficulties caused by worry about COVID-19”), FOC7 (“Palpitations when thinking about COVID-19”) and FOC2 (“Uncomfortable to think about COVID-19”). The top three symptoms negatively associated with QoL were FOC4 (“Afraid of losing life because of COVID-19”), FOC6 (“Sleep difficulties caused by worry about COVID-19”) and FOC2 (“Uncomfortable to think about COVID-19”). Conclusion: Over one-third of fire service recruits reported fear of COVID-19 after China’s dynamic zero-COVID policy had terminated. Poorer QoL was related to fear of COVID-19. Targeting core symptoms of the fear network structure could help improve the physical and mental health of fire service recruits during public health crises.

KeywordCovid-19 Pandemic Fear Of Covid-19 Fire Service Recruits Network Analysis Quality Of Life
DOI10.3389/fpubh.2023.1257943
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaPublic, Environmental & Occupational Health
WOS SubjectPublic, Environmental & Occupational Health
WOS IDWOS:001085658100001
PublisherFRONTIERS MEDIA SAAVENUE DU TRIBUNAL FEDERAL 34, LAUSANNE CH-1015, SWITZERLAND
Scopus ID2-s2.0-85174836986
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Document TypeJournal article
CollectionInstitute of Translational Medicine
Faculty of Health Sciences
DEPARTMENT OF PSYCHOLOGY
INSTITUTE OF COLLABORATIVE INNOVATION
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Co-First AuthorLiu, Jian; Si, Tong Leong
Corresponding AuthorXiang, Yu Tao; Feng, Yuan
Affiliation1.Department of Rehabilitation Medicine, China Emergency General Hospital, Beijing, China
2.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, Macao
3.Centre for Cognitive and Brain Sciences, University of Macau, Taipa, Macao
4.School of Public Health, Southeast University, Nanjing, China
5.School of Nursing, Hong Kong Polytechnic University, Kowloon, Hong Kong
6.Department of Psychology, University of Macau, Taipa, SAR, Macao
7.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
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Liu, Jian,Si, Tong Leong,Chen, Pan,et al. Prevalence of COVID-19 fear and its association with quality of life among fire service recruits after ceasing the dynamic zero-COVID policy in China[J]. Frontiers in Public Health, 2023, 11.
APA Liu, Jian., Si, Tong Leong., Chen, Pan., Wang, Yue Ying., Su, Zhaohui., Cheung, Teris., Jackson, Todd., Xiang, Yu Tao., & Feng, Yuan (2023). Prevalence of COVID-19 fear and its association with quality of life among fire service recruits after ceasing the dynamic zero-COVID policy in China. Frontiers in Public Health, 11.
MLA Liu, Jian,et al."Prevalence of COVID-19 fear and its association with quality of life among fire service recruits after ceasing the dynamic zero-COVID policy in China".Frontiers in Public Health 11(2023).
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