Browsing by Autor "Clare McCormack"

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Decision: Inequality on the frontline: A multi-country study on gender differences in mental health among healthcare workers during the COVID-19 pandemic — R0/PR3
(2024) Diana Czepiel; Clare McCormack; Andréa Da Silva; Dominika Šeblová; Maria Luisa Moro; Alexandra Restrepo; Adriana Martínez; Oyeyemi Afolabi; Lubna Alnasser; Rubén Alvarado
Healthcare workers (HCWs) were at increased risk for mental health problems during the COVID-19 pandemic, with prior data suggesting women may be particularly vulnerable. Our global mental health study aimed to examine factors associated with gender differences in psychological distress and depressive symptoms among HCWs during COVID-19. Across 22 countries in South America, Europe, Asia and Africa, 32,410 HCWs participated in the COVID-19 HEalth caRe wOrkErS (HEROES) study between March 2020 and February 2021. They completed the General Health Questionnaire-12, the Patient Health Questionnaire-9 and questions about pandemic-relevant exposures. Consistently across countries, women reported elevated mental health problems compared to men. Women also reported increased COVID-19-relevant stressors, including insufficient personal protective equipment and less support from colleagues, while men reported increased contact with COVID-19 patients. At the country level, HCWs in countries with higher gender inequality reported less mental health problems. Higher COVID-19 mortality rates were associated with increased psychological distress merely among women. Our findings suggest that among HCWs, women may have been disproportionately exposed to COVID-19-relevant stressors at the individual and country level. This highlights the importance of considering gender in emergency response efforts to safeguard women's well-being and ensure healthcare system preparedness during future public health crises.
Inequality on the frontline: A multi-country study on gender differences in mental health among healthcare workers during the COVID-19 pandemic
(Cambridge University Press, 2024) Diana Czepiel; Clare McCormack; Andréa Tenório Correia da Silva; Dominika Šeblová; Maria Francesca Moro; Alexandra Restrepo; Adriana Martínez; Oyeyemi Afolabi; Lubna Alnasser; Rubén Alvarado
Healthcare workers (HCWs) were at increased risk for mental health problems during the COVID-19 pandemic, with prior data suggesting women may be particularly vulnerable. Our global mental health study aimed to examine factors associated with gender differences in psychological distress and depressive symptoms among HCWs during COVID-19. Across 22 countries in South America, Europe, Asia and Africa, 32,410 HCWs participated in the COVID-19 HEalth caRe wOrkErS (HEROES) study between March 2020 and February 2021. They completed the General Health Questionnaire-12, the Patient Health Questionnaire-9 and questions about pandemic-relevant exposures. Consistently across countries, women reported elevated mental health problems compared to men. Women also reported increased COVID-19-relevant stressors, including insufficient personal protective equipment and less support from colleagues, while men reported increased contact with COVID-19 patients. At the country level, HCWs in countries with higher gender inequality reported less mental health problems. Higher COVID-19 mortality rates were associated with increased psychological distress merely among women. Our findings suggest that among HCWs, women may have been disproportionately exposed to COVID-19-relevant stressors at the individual and country level. This highlights the importance of considering gender in emergency response efforts to safeguard women's well-being and ensure healthcare system preparedness during future public health crises.
Inequality on the frontline: A multi-country study on gender differences in mental health among healthcare workers during the COVID-19 pandemic
(Research Square (United States), 2023) Diana Czepiel; Clare McCormack; Andréa Tenório Correia da Silva; Dominika Šeblová; Maria Francesca Moro; Alexandra Restrepo; Lubna Alnasser; Rubén Alvarado; Hiroki Asaoka; Olatunde Ayinde
Abstract Purpose Healthcare workers (HCWs) were at increased risk for mental health problems during the COVID-19 pandemic, with data from previous crises suggesting women may be particularly vulnerable. The objective of the study was to examine individual and social factors that may be associated with gender differences in psychological distress and depressive symptoms among HCWs during the initial COVID-19 pandemic outbreak and to examine the consistency of these differences across a diverse range of countries. Methods Data were collected in a cross-sectional design between March 2020 and February 2021 as part of the COVID-19 HEalth caRe wOrkErS (HEROES) study. 32,410 HCWs recruited across 22 countries completed the General Health Questionnaire-12 (GHQ-12), the Patient Health Questionnaire-9 (PHQ-9), and questions about pandemic-relevant exposures. Results Consistently across countries, women reported elevated mental health problems compared to men. Women also reported increased COVID-19-relevant stressors, including less access to sufficient personal protective equipment and less support from colleagues than men; however, men reported increased contact with COVID-19 patients. At the country-level, HCWs working in countries with higher gender inequality reported lower levels of mental health problems. Higher COVID-19 mortality rates were associated with increased psychological distress among women but not among men. Conclusion Our findings suggest that among HCWs, women may have been disproportionately exposed to several COVID-19-relevant stressors at the individual and country-level. This highlights the importance of considering gender in emergency response efforts to protect women’s well-being and ensure adequate healthcare system preparedness during future public health crises.
Recommendation: Inequality on the frontline: A multi-country study on gender differences in mental health among healthcare workers during the COVID-19 pandemic — R1/PR5
(2024) Diana Czepiel; Clare McCormack; Andréa Da Silva; Dominika Šeblová; Maria Luisa Moro; Alexandra Restrepo; Adriana Martínez; Oyeyemi Afolabi; Lubna Alnasser; Rubén Alvarado
Healthcare workers (HCWs) were at increased risk for mental health problems during the COVID-19 pandemic, with prior data suggesting women may be particularly vulnerable. Our global mental health study aimed to examine factors associated with gender differences in psychological distress and depressive symptoms among HCWs during COVID-19. Across 22 countries in South America, Europe, Asia and Africa, 32,410 HCWs participated in the COVID-19 HEalth caRe wOrkErS (HEROES) study between March 2020 and February 2021. They completed the General Health Questionnaire-12, the Patient Health Questionnaire-9 and questions about pandemic-relevant exposures. Consistently across countries, women reported elevated mental health problems compared to men. Women also reported increased COVID-19-relevant stressors, including insufficient personal protective equipment and less support from colleagues, while men reported increased contact with COVID-19 patients. At the country level, HCWs in countries with higher gender inequality reported less mental health problems. Higher COVID-19 mortality rates were associated with increased psychological distress merely among women. Our findings suggest that among HCWs, women may have been disproportionately exposed to COVID-19-relevant stressors at the individual and country level. This highlights the importance of considering gender in emergency response efforts to safeguard women’s well-being and ensure healthcare system preparedness during future public health crises.
Trusting in times of the COVID-19 crisis: Workplace and government trust and depressive symptoms among healthcare workers
(Cambridge University Press, 2025) Djordje Basic; Diana Czepiel; Hans W. Hoek; Adriana Martínez; Clare McCormack; Ezra Susser; Franco Mascayano; Maria Francesca Moro; Mauro Giovanni Carta; Gonzalo Martínez‐Alés
Previous research has highlighted the negative impact of the COVID-19 pandemic on healthcare workers' (HCWs) mental health, yet protective factors remain underexplored. Emerging studies emphasize the importance of trust in government and interpersonal relationships in reducing infections and fostering positive vaccine attitudes. This study investigates the relationship between HCWs' trust in the workplace and government and depressive symptoms during the pandemic. The COVID-19 HEalth caRe wOrkErS study surveyed 32,410 HCWs from 22 countries, including clinical and nonclinical staff. Participants completed the Patient Health Questionnaire-9 and ad-hoc questions assessing trust in the workplace and government. Logistic regression and multilevel models examined associations between trust levels and depressive symptoms. High workplace trust (OR = 0.72 [0.68, 0.76]) and government trust (OR = 0.72 [0.69, 0.76]) were linked to lower odds of depressive symptoms, with significant between-country variation. Country-level analyses showed that workplace trust was more protective in more developed countries and under stricter COVID-19 restrictions. Despite cross-country variation, HCWs with higher trust in the workplace and government had ~28% lower odds of experiencing depressive symptoms compared to those with lower trust. Promoting trust may help mitigate the mental health impact of future crises on HCWs.
Trusting in Times of the COVID-19 Crisis: Workplace and Government Trust and Depressive Symptoms among Healthcare Workers
(2024) Djordje Basic; Diana Czepiel; Els van der Ven; Hans W. Hoek; Maria Francesca Moro; Clare McCormack; Mauro Giovanni Carta; Dominika Šeblová; Ezra Susser; Franco Mascayano
<title>Abstract</title> Purpose Previous research has highlighted the negative impact of the COVID-19 pandemic on healthcare workers' (HCWs) mental health, yet protective factors remain underexplored. Emerging studies emphasize the importance of trust in government and interpersonal relationships in reducing COVID-19 infections and fostering positive attitudes toward vaccines. This study investigates the relationship between HCWs' trust in the workplace and government and depressive symptoms during the COVID-19 pandemic. Methods The COVID-19 HEalth caRe wOrkErS (HEROES) study surveyed 32,410 HCWs from 22 countries, including both clinical and non-clinical staff. Participants completed the Patient Health Questionnaire-9 (PHQ-9) and ad-hoc questions assessing their trust in the workplace and government. Logistic regression and multilevel models were employed to examine the association between trust levels and depressive symptoms. Results High levels of trust in the workplace (OR = 0.72 [0.68, 0.76]) and government (OR = 0.72 [0.69, 0.76]) were associated with lower odds of depressive symptoms, with significant between-country variation in these associations. Conclusions Despite substantial cross-country variation, HCWs with higher trust in the workplace and government had approximately 28% lower odds of experiencing depressive symptoms during the COVID-19 pandemic compared to their counterparts with lower trust levels. Promoting trust in the workplace and government may help mitigate the adverse effects of future crises on HCWs' mental health.