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Mental Health Among Healthcare Workers During the COVID-19 Pandemic in Vietnam
Nhan Phuc Thanh Nguyen, Ha Phan Ai Nguyen, Cao Khoa Dang, Minh Tri Phan, Huynh Ho Ngoc Quynh, Van Tuan Le, Chinh Van Dang, Tinh Huu Ho, Van Trong Phan, Thang Van Dinh, Thang Phan, Thi Anh Thu Dang
J Prev Med Public Health. 2024;57(1):37-46.   Published online December 11, 2023
DOI: https://doi.org/10.3961/jpmph.23.327
  • 1,195 View
  • 122 Download
AbstractAbstract AbstractSummary PDF
Objectives
The objective of this study was to characterize mental health issues among Vietnamese healthcare workers (HCWs) and to identify related factors.
Methods
A cross-sectional study was conducted with 990 HCWs in 2021. Their mental health status was measured using the Depression, Anxiety, and Stress Scale.
Results
In total, 49.9%, 52.3%, and 29.8% of respondents were found to have depression, anxiety, and stress, respectively. The multivariable linear regression model revealed that factors associated with increased anxiety scores included depression scores (β, 0.45; 95% confidence interval [CI], 0.39 to 0.51) and stress scores (β, 0.46; 95% CI, 0.41 to 0.52). Factors associated with increased depression scores included being frontline HCWs (β, 0.57; 95% CI, 0.10 to 1.10), stress scores (β, 0.50; 95% CI, 0.45 to 0.56), and anxiety scores (β, 0.41; 95% CI, 0.36 to 0.47), while working experience was associated with reduced depression scores (β, -0.08; 95% CI, -0.16 to -0.01). Factors associated with increased stress scores included working experience (β, 0.08; 95% CI, 0.00 to 0.16), personal protective equipment interference with daily activities (β, 0.55; 95% CI, 0.07 to 1.00), depression scores (β, 0.54; 95% CI, 0.48 to 0.59), and anxiety scores (β, 0.45; 95% CI, 0.39 to 0.50), while age was associated with reduced stress scores (β, -0.12; 95% CI, -0.20 to -0.05).
Conclusions
Specific interventions are necessary to enhance and promote the mental health of HCWs so they can successfully cope with the circumstances of the pandemic.
Summary
Key Message
A cross-sectional study of 990 Vietnamese healthcare workers in Vietnam, 2021 revealed significant mental health issues: 49.9 % suffered from depression, 52.3 % from anxiety, and 29.8 % from stress. The study found a correlation between these conditions, with frontline workers being particularly vulnerable to depression. These findings highlight the critical need for targeted mental health interventions for healthcare workers, particularly those new to the field and working on the front lines, in order to better manage pandemic-related stressors.
Sleep Quality and Poor Sleep-related Factors Among Healthcare Workers During the COVID-19 Pandemic in Vietnam
Thang Phan, Ha Phan Ai Nguyen, Cao Khoa Dang, Minh Tri Phan, Vu Thanh Nguyen, Van Tuan Le, Binh Thang Tran, Chinh Van Dang, Tinh Huu Ho, Minh Tu Nguyen, Thang Van Dinh, Van Trong Phan, Binh Thai Dang, Huynh Ho Ngoc Quynh, Minh Tran Le, Nhan Phuc Thanh Nguyen
J Prev Med Public Health. 2023;56(4):319-326.   Published online May 31, 2023
DOI: https://doi.org/10.3961/jpmph.22.528
  • 2,678 View
  • 272 Download
  • 2 Crossref
AbstractAbstract PDF
Objectives
The coronavirus disease 2019 (COVID-19) pandemic has increased the workload of healthcare workers (HCWs), impacting their health. This study aimed to assess sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and identify factors associated with poor sleep among HCWs in Vietnam during the COVID-19 pandemic.
Methods
In this cross-sectional study, 1000 frontline HCWs were recruited from various healthcare facilities in Vietnam between October 2021 and November 2021. Data were collected using a 3-part self-administered questionnaire, which covered demographics, sleep quality, and factors related to poor sleep. Poor sleep quality was defined as a total PSQI score of 5 or higher.
Results
Participants’ mean age was 33.20±6.81 years (range, 20.0-61.0), and 63.0% were women. The median work experience was 8.54±6.30 years. Approximately 6.3% had chronic comorbidities, such as hypertension and diabetes mellitus. About 59.5% were directly responsible for patient care and treatment, while 7.1% worked in tracing and sampling. A total of 73.8% reported poor sleep quality. Multivariate logistic regression revealed significant associations between poor sleep quality and the presence of chronic comorbidities (odds ratio [OR], 2.34; 95% confidence interval [CI], 1.17 to 5.24), being a frontline HCW directly involved in patient care and treatment (OR, 1.59; 95% CI, 1.16 to 2.16), increased working hours (OR, 1.84; 95% CI,1.37 to 2.48), and a higher frequency of encountering critically ill and dying patients (OR, 1.42; 95% CI, 1.03 to 1.95).
Conclusions
The high prevalence of poor sleep among HCWs in Vietnam during the COVID-19 pandemic was similar to that in other countries. Working conditions should be adjusted to improve sleep quality among this population.
Summary

Citations

Citations to this article as recorded by  
  • A cross‐sectional study of sleep disturbance among middle‐aged cancer patients at Vietnam National Cancer Hospital
    Anh Tuan Pham, Mai Tuyet Do, Huong Thi Thanh Tran
    Cancer Reports.2024;[Epub]     CrossRef
  • Poor sleep quality and associated factors among healthcare professionals at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia
    Winta Tesfaye, Ayechew Adera Getu, Baye Dagnew, Alemu Lemma, Yigizie Yeshaw
    Frontiers in Psychiatry.2024;[Epub]     CrossRef
Objectively Measured Physical Activity of Vietnamese Adults With Type 2 Diabetes: Opportunities to Intervene
Vuong Van Do, Jonine Jancey, Ngoc Minh Pham, Chung Thanh Nguyen, Minh Van Hoang, Andy H. Lee
J Prev Med Public Health. 2019;52(2):101-108.   Published online February 22, 2019
DOI: https://doi.org/10.3961/jpmph.18.213
  • 5,069 View
  • 147 Download
  • 7 Crossref
AbstractAbstract PDF
Objectives
To objectively determine and compare the physical activity (PA) levels of adults newly diagnosed with type 2 diabetes (T2D) and adults without T2D in Vietnam using an accelerometer.
Methods
A total of 120 participants with newly diagnosed T2D and 120 adults without T2D were recruited from a large hospital in Hanoi, the capital city of Vietnam. All participants wore an ActiGraph GT3X accelerometer for at least 5 days, including 1 weekend day. Freedson cut-off points were used to estimate different intensities of PA. In addition, comparisons between groups were made with respect to achieving the World Health Organization (WHO) and International Diabetes Federation (IDF) recommended PA guidelines.
Results
Men with T2D had significantly lower levels of PA than men without T2D. The respective multivariable-adjusted mean values of daily step count, daily light-intensity, moderate-intensity, and moderate-to-vigorous-intensity PA were approximately 14%, 19%, and 22% lower in the men with T2D than in their non-T2D counterparts. However, women with T2D accumulated a greater number of steps per day than women without T2D. Only 59.2% of the adults with T2D met the minimum recommended level of PA (WHO and IDF), compared to 74.2% of adults without T2D (p<0.05). After adjusting for potential confounders, participants with T2D experienced 50.0% significantly lower odds of achieving PA recommendations.
Conclusions
Vietnamese men with T2D were less physically active than those without T2D, and adults with T2D were less likely to meet PA guidelines. The results suggest a need for integrating PA into the self-management of this chronic condition.
Summary

Citations

Citations to this article as recorded by  
  • Accelerometer-Measured Physical Activity Data Sets (Global Physical Activity Data Set Catalogue) That Include Markers of Cardiometabolic Health: Systematic Scoping Review
    Jonah J C Thomas, Amanda J Daley, Dale W Esliger, Victoria E Kettle, April Coombe, Emmanuel Stamatakis, James P Sanders
    Journal of Medical Internet Research.2023; 25: e45599.     CrossRef
  • Association Between Risk for Prediabetes and Type 2 Diabetes Mellitus Prevention Among Faculty Members and Administrative Staff of a Saudi University
    Abdullah I Al Shuwaysh, Eduardo L Fabella, Mohammed Al Hassan, Yasser Taher Al Hassan, Abdullah Al Hassan, Hussam Al Majed, Ahmad Al Nahwi, Hassan Al Howayshel, Ali Al Abdi
    Cureus.2023;[Epub]     CrossRef
  • The Physical Activity Assessment of Adults With Type 2 Diabetes Using Accelerometer-Based Cut Points: Scoping Review
    Ioana A Moldovan, Alexa Bragg, Anna S Nidhiry, Barbara A De La Cruz, Suzanne E Mitchell
    Interactive Journal of Medical Research.2022; 11(2): e34433.     CrossRef
  • Sex Differences in Physical Activity Among Individuals With Type 2 Diabetes Across the Life Span: A Systematic Review and Meta-analysis
    Mary O. Whipple, Ana J. Pinto, Layla A. Abushamat, Audrey Bergouignan, Kristina Chapman, Amy G. Huebschmann, Kevin S. Masters, Kristen J. Nadeau, Rebecca L. Scalzo, Irene E. Schauer, Deirdre Rafferty, Jane E.B. Reusch, Judith G. Regensteiner
    Diabetes Care.2022; 45(9): 2163.     CrossRef
  • Walking activity in a large cohort of boys with Duchenne muscular dystrophy
    Donovan J. Lott, Tanja Taivassalo, Claudia R. Senesac, Rebecca J. Willcocks, Ann M. Harrington, Kirsten Zilke, Hilary Cunkle, Catherine Powers, Erika L. Finanger, William D. Rooney, Gihan I. Tennekoon, Krista Vandenborne
    Muscle & Nerve.2021; 63(2): 192.     CrossRef
  • Effectiveness of a Singaporean Community-Based Physical Activity and Nutrition Intervention: A Cluster Randomized Controlled Trial
    Elaine Yee-Sing Wong, Anthony P. James, Andy H. Lee, Jonine Jancey
    Asia Pacific Journal of Public Health.2021; 33(2-3): 196.     CrossRef
  • Physical Activity and Plasma Glucose Control among Diabetic Patients Attending Outpatients Clinics in Hanoi, Vietnam
    Tam Ngoc Nguyen, Tam Thi Nguyen, Maria Hagströmer, Thang Pham, Ingeborg van der Ploeg, Carl Johan Sundberg, Huyen Thi Thanh Vu
    International Journal of Environmental Research and Public Health.2021; 18(3): 1182.     CrossRef
Brief Report
Knowledge and Perceptions of Influenza Vaccinations Among College Students in Vietnam and the United States
Akiko Kamimura, Ha N. Trinh, Shannon Weaver, Alla Chernenko, Maziar M. Nourian, Nushean Assasnik, Hanh Nguyen
J Prev Med Public Health. 2017;50(4):268-273.   Published online May 25, 2017
DOI: https://doi.org/10.3961/jpmph.17.061
  • 10,559 View
  • 228 Download
  • 11 Crossref
AbstractAbstract PDF
Objectives
Influenza is a significant worldwide public health issue. Knowledge and perceptions regarding the flu vaccination are associated with whether individuals obtain the vaccination. The purpose of this study was to examine how such perceptions were related to knowledge and self-efficacy regarding influenza and the flu vaccination in Vietnam and the US. Methods: College students (n=932) in Vietnam (n=495) and the US (n=437) completed a self-administered survey regarding knowledge and perceptions of influenza vaccinations in September and October 2016. Results: Vietnamese participants reported significantly lower levels of awareness about flu risk, higher levels of negative attitudes toward flu vaccination, lower levels of knowledge about the flu and vaccination, and lower levels of self-efficacy than US participants. Higher levels of flu and flu vaccination knowledge and self-efficacy regarding general responsible health practices were associated with lower levels of negative perceptions of flu risk and attitudes toward vaccination. At the same time, self-efficacy regarding responsible health practices was associated with higher levels of awareness of flu risk and lower levels of negative attitudes toward vaccination. Self-efficacy regarding exercise was associated with lower levels of perceptions of flu risk and higher levels of negative attitudes toward vaccination. Conclusions: Vietnam could benefit from influenza education based on this comparison with the US. In both countries, knowledge and self-efficacy were found to be important factors influencing perceptions of influenza risk and vaccination.
Summary

Citations

Citations to this article as recorded by  
  • Effects of Vaccine Literacy, Health Beliefs, and Flu Vaccination on Perceived Physical Health Status among Under/Graduate Students
    En-Jung Shon, Lena Lee
    Vaccines.2023; 11(4): 765.     CrossRef
  • Seasonal influenza vaccination among cancer patients: A systematic review and meta-analysis of the determinants
    George N. Okoli, Otto L.T. Lam, Tiba Abdulwahid, Christine J. Neilson, Salaheddin M. Mahmud, Ahmed M. Abou-Setta
    Current Problems in Cancer.2021; 45(2): 100646.     CrossRef
  • Influenza Vaccination Among U.S. College or University Students: A Systematic Review
    En-Jung Shon, Siyoung Choe, Lena Lee, Youn Ki
    American Journal of Health Promotion.2021; 35(5): 708.     CrossRef
  • Sociodemographic and health‐related determinants of seasonal influenza vaccination in pregnancy: A systematic review and meta‐analysis of the evidence since 2000
    George N. Okoli, Viraj K. Reddy, Yahya Al‐Yousif, Christine J. Neilson, Salaheddin M. Mahmud, Ahmed M. Abou‐Setta
    Acta Obstetricia et Gynecologica Scandinavica.2021; 100(6): 997.     CrossRef
  • Effects of Health Beliefs on Flu Vaccination and Physical Health among Under/Graduate Students in the U.S.: Racial Differences (Whites, African Americans, Hispanics, and Asians)
    En-Jung Shon, Youn Ki, Lena Lee
    Social Work in Public Health.2021; 36(3): 377.     CrossRef
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    Issa Alawneh, Hamza Al-Sayeh, Mahdi Zaid, Maysa Alawneh, Hossam Al-Tatari, Carol J. Burns
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    George N. Okoli, Ahmed M. Abou-Setta, Christine J. Neilson, Ayman Chit, Edward Thommes, Salaheddin M. Mahmud
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    Neli M. Ermenlieva, Gabriela S. Tsankova, Tatina T. Todorova
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JPMPH : Journal of Preventive Medicine and Public Health