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Article

Stress and Associated Factors among Frontline Healthcare Workers in the COVID-19 Epicenter of Da Nang City, Vietnam

1
Institute for Community Health Research, University of Medicine and Pharmacy, Hue University, Hue 530000, Vietnam
2
Faculty of Public Health, University of Medicine and Pharmacy, Hue University, Hue 530000, Vietnam
3
Global Health Institute, University of Antwerp, 2610 Antwerp, Belgium
4
Faculty of Public Health, Da Nang University of Medical Technology and Pharmacy, Da Nang 550000, Vietnam
*
Author to whom correspondence should be addressed.
Academic Editors: Luenda E. Charles and Els Clays
Int. J. Environ. Res. Public Health 2021, 18(14), 7378; https://doi.org/10.3390/ijerph18147378
Received: 18 May 2021 / Revised: 1 July 2021 / Accepted: 7 July 2021 / Published: 10 July 2021
(This article belongs to the Special Issue Mental Health at the Workplace)
Frontline healthcare workers (HCWs) involved in the COVID-19 response have a higher risk of experiencing psychosocial distress amidst the pandemic. Between July and September 2020, a second wave of the COVID-19 pandemic appeared in Vietnam with Da Nang city being the epicenter. During the outbreak, HCWs were quarantined within the health facilities in a bid to limit the spread of COVID-19 to their respective communities. Using the stress component of the 21-item Depression, Anxiety and Stress Scale (DASS-21), we assessed the level of stress among HCWs in Da Nang city. Between 30 August and 15 September 2020, 746 frontline HCWs were recruited to fill in an online structured questionnaire. Overall, 44.6% of participants experienced increased stress and 18.9% severe or extremely severe stress. In multivariable analysis, increased stress was associated with longer working hours (OR = 1.012; 95% CI: 1.004–1.019), working in health facilities providing COVID-19 treatment (OR = 1.58, 95% CI: 1.04–2.39), having direct contact with patients or their bio-samples (physicians, nurses and laboratory workers; OR = 1.42, 95% CI: 1.02–1.99), low confidence in the available personal protective equipment (OR = 0.846; 95% CI: 0.744–0.962) and low knowledge on COVID-19 prevention and treatment (OR = 0.853; 95% CI: 0.739–0.986). In conclusion, many frontline HCWs experienced increased stress during the COVID-19 outbreak in Da Nang city. Reducing working time, providing essential personal protective equipment and enhancing the knowledge on COVID-19 will help to reduce this stress. Moreover, extra support is needed for HCWs who are directly exposed to COVID-19 patients. View Full-Text
Keywords: COVID-19; stress; Vietnam; healthcare workers COVID-19; stress; Vietnam; healthcare workers
MDPI and ACS Style

Nguyen, N.P.T.; Le, D.D.; Colebunders, R.; Siewe Fodjo, J.N.; Tran, T.D.; Vo, T.V. Stress and Associated Factors among Frontline Healthcare Workers in the COVID-19 Epicenter of Da Nang City, Vietnam. Int. J. Environ. Res. Public Health 2021, 18, 7378. https://doi.org/10.3390/ijerph18147378

AMA Style

Nguyen NPT, Le DD, Colebunders R, Siewe Fodjo JN, Tran TD, Vo TV. Stress and Associated Factors among Frontline Healthcare Workers in the COVID-19 Epicenter of Da Nang City, Vietnam. International Journal of Environmental Research and Public Health. 2021; 18(14):7378. https://doi.org/10.3390/ijerph18147378

Chicago/Turabian Style

Nguyen, Nhan Phuc Thanh, Duong Dinh Le, Robert Colebunders, Joseph Nelson Siewe Fodjo, Trung Dinh Tran, and Thang Van Vo. 2021. "Stress and Associated Factors among Frontline Healthcare Workers in the COVID-19 Epicenter of Da Nang City, Vietnam" International Journal of Environmental Research and Public Health 18, no. 14: 7378. https://doi.org/10.3390/ijerph18147378

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