Table 2.
Stratified comparison of persistent mental or behavioral health issues a from baseline to follow-up survey, New York State COVID-19 Healthcare Personnel Study b
| Characteristic | Mental or behavioral health issues | P value c | |
|---|---|---|---|
| None/resolved (n = 38 618.2) | Continuing (n = 9867.9) | ||
| Age group, y | .15 | ||
| 20-39 | 9112.4 (24.5) | 2957.3 (31.1) | |
| 40-59 | 16 331.1 (43.9) | 4301.4 (45.2) | |
| ≥60 | 11 784.8 (31.7) | 2248.0 (23.6) | |
| Sex | <.001 | ||
| Female | 22 543.7 (58.7) | 7299.4 (75.0) | |
| Male | 15 831.5 (41.3) | 2429.8 (25.0) | |
| Profession | .08 | ||
| Physician | 26 490.3 (68.6) | 5632.5 (57.1) | |
| Nurse practitioner | 6521.4 (16.9) | 2419.8 (24.5) | |
| Physician assistant | 5606.5 (14.5) | 1815.6 (18.4) | |
| No. of years in practice | .08 | ||
| <5 | 7560.9 (19.6) | 2511.0 (25.4) | |
| 5-15 | 9865.5 (25.5) | 2763.1 (28.0) | |
| 16-25 | 17 325.5 (44.9) | 3228.8 (32.7) | |
| >25 | 3866.4 (10.0) | 1365.0 (13.8) | |
| No. of patients who died from COVID-19 | .71 | ||
| <10 | 5350.3 (24.5) | 1164.3 (21.2) | |
| 10-20 | 3631.5 (16.6) | 700.2 (12.8) | |
| 21-50 | 3378.1 (15.5) | 922.5 (16.8) | |
| >50 | 9479.0 (43.4) | 2697.7 (49.2) | |
| Worked with COVID-19 patients in previous 2 weeks | 16 149.4 (84.5) | 4665.8 (82.9) | .76 |
| NYC metropolitan practice d | |||
| Baseline | 23 033.7 (60.1) | 6791.2 (69.3) | .04 |
| Follow-up | 19 670.0 (59.7) | 5907.6 (70.0) | .04 |
| NYC practice | |||
| Baseline | 10 536.4 (27.5) | 2987.4 (30.5) | .44 |
| Follow-up | 9635.2 (29.2) | 2478.9 (29.4) | .97 |
| Hospital-based practice | 17 171.9 (45.1) | 4974.8 (50.6) | .27 |
| Clinical specialty | .64 | ||
| Behavioral | 1833 (4.8) | 623 (6.3) | |
| Critical care | 1855 (4.9) | 804 (8.2) | |
| Emergency | 3769 (9.9) | 561 (5.7) | |
| Pediatrics | 6100 (16.0) | 1366 (13.9) | |
| Primary care | 9172 (24.0) | 2460 (25.0) | |
| Nonsurgical specialties | 2442 (6.4) | 692 (7.0) | |
| Surgery | 4698 (12.3) | 1143 (11.6) | |
| Other e | 8358.4 (21.9) | 2177.5 (22.2) | |
| Type of practice | .71 | ||
| Government | 4455.5 (11.6) | 1429.2 (14.5) | |
| Academic | 11 973.5 (31.1) | 2783.6 (28.2) | |
| Private/nonprofit | 17 847.7 (46.3) | 4738.9 (48.0) | |
| Other | 4277.1 (11.1) | 916.3 (9.3) | |
| Reassigned to other than usual duties/specialty | 715.7 (14.4) | 449.5 (22.2) | .34 |
| Worked excess hours at baseline | 12 066.9 (59.2) | 2472.0 (54.9) | .57 |
| Worked excess hours at follow-up | 15 535.0 (64.0) | 4189.2 (66.2) | .72 |
Abbreviation: NYC, New York City.
Mental or behavioral health issues were nervousness/anxiety, worrying thoughts, feeling down or hopeless, lack of pleasure in previously enjoyable activities, and sleep disturbances.
All values are number (percentage) unless otherwise indicated. Participants (978 survey weighted responses representing a weighted estimate of 48 486 [95% CI, 46 256-50 717] physicians, nurse practitioners, and physician assistants licensed in New York State) were surveyed at baseline 13 (April 2020) and follow-up (February 2021).
P value based on matched survey-adjusted t test for dichotomous comparisons and the Pearson χ2 test for >2 categories. P < .05 was considered significant.
Includes NYC metropolitan (“downstate”) area of NYC and Nassau, Suffolk, Westchester, and Rockland counties.
“Other” includes responses that did not fall into the previous 7 specialties.