Mental Health Problems of HIV Healthcare Providers During the COVID-19 Pandemic: The Interactive Effects of Stressors an
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ORIGINAL PAPER
Mental Health Problems of HIV Healthcare Providers During the COVID‑19 Pandemic: The Interactive Effects of Stressors and Coping Tianyue Mi1 · Xueying Yang1,4 · Shufang Sun2 · Xiaoming Li1 · Cheuk Chi Tam1 · Yuejiao Zhou3 · Zhiyong Shen3 Accepted: 21 October 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract HIV healthcare providers might be vulnerable to mental health problems during the COVID-19 pandemic. Guided by the stress and coping paradigm, the current study aimed at examining the interactive effects of COVID-19-related stressors and coping on mental health problems. A cross-sectional online survey was conducted among 1029 HIV healthcare providers in Guangxi, China. The prevalence of depression and anxiety in the current study was 13.31% and 6.61%, respectively. Results from path analyses revealed that the main effects of COVID-19-related stressors and coping were significant on both depression and anxiety. The interaction of coping and COVID-19-related stressors had significant effects on depression and anxiety. Simple slope tests revealed that more coping behaviors buffered against the negative effect of COVID-19-related stressors on mental health problems. Coping acted as a protective factor that alleviated the harm of COVID-19-related stressors on mental health. Intervention targeting coping management might benefit the mental health of HIV healthcare providers. Keywords COVID-19 · HIV healthcare providers · Mental health · Coping · China
Introduction The coronavirus disease 2019 (COVID-19) has become a global public health crisis, causing enormous pressure on residents and governments [1]. The COVID-19 pandemic has triggered massive human casualties and severe economic loss [2], as well as substantial adverse psychological impacts [3]. What is worse, the number of cases has continued to escalate exponentially in some countries [4]. The unprecedentedly epidemic and substantial lockdown in China has caused great distress and burden, disproportionately among * Xueying Yang [email protected] 1
Department of Health Promotion Education and Behavior, SC SmartState Center for Healthcare Quality, University of South Carolina, Columbia, USA
2
Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA
3
Guangxi Center for Diseases Control and Prevention, Nanning, China
4
University of South Carolina, 915 Greene St, Room 529, Columbia, SC 29208, USA
healthcare providers [5]. Healthcare providers are among those at high risk of infection due to occupational exposure when treating the patients. A study conducted in Wuhan reported that healthcare providers accounted for 29% of all COVID-19 cases [6]. Recent studies have consistently shown the elevated prevalence of mental health problems among healthcare providers, such as frontline nurses and physicians [7]. However, mental health problems among HIV healthcare providers have rarely been investigated. Despite the strict COVID-19 control measure
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