Psychological Distress Among HIV Healthcare Providers During the COVID-19 Pandemic in China: Mediating Roles of Institutional Support and Resilience.
Cheuk Chi TamShufang SunXueying YangXiaoming LiYuejiao ZhouZhiyong ShenPublished in: AIDS and behavior (2020)
Psychological distress among healthcare providers is concerning during COVID-19 pandemic due to extreme stress at healthcare facilities, including HIV clinics in China. The socioecological model suggests that psychological distress could be influenced by multi-level factors. However, limited COVID-19 research examined the mechanisms of psychological distress among HIV healthcare providers. This study examined organizational and intrapersonal factors contributing to psychological health during COVID-19 pandemic. Data were collected via online anonymous surveys from 1029 HIV healthcare providers in Guangxi, China during April-May 2020. Path analysis was utilized to test a mediation model among COVID-19 stressors, institutional support, resilience, and psychological distress (PHQ-4). Thirty-eight percent of the providers experienced psychological distress (PHQ-4 score > 3). Institutional support and resilience mediated the relationship between COVID-19 stressors and psychological distress. Psychological distress was common among Chinese HIV healthcare providers during COVID-19 pandemic. Psychological health intervention should attend to institutional support and resilience.
Keyphrases
- healthcare
- antiretroviral therapy
- hiv positive
- sleep quality
- hiv infected
- hiv testing
- human immunodeficiency virus
- hiv aids
- hepatitis c virus
- coronavirus disease
- men who have sex with men
- sars cov
- climate change
- health information
- social support
- randomized controlled trial
- public health
- mental health
- depressive symptoms
- south africa
- risk assessment
- social media
- deep learning
- respiratory syndrome coronavirus
- health promotion