Table 2.
Univariate and multivariate analysis of factors associated with mental health help-seeking among public health workers who reported probable mental health problems (N = 3,417).
| Independent variables | ORu (95% CI) | AOR (95% CI) |
|---|---|---|
| Predisposing factors | ||
| Province | ||
| Hubei | 1.00 (reference) | NA |
| Guangdong | 0.78 (0.57, 1.07) | |
| Jiangsu | 1.32 (0.91, 1.92) | |
| Sichuan | 1.05 (0.78, 1.42) | |
| Gansu | 1.02 (0.67, 1.55) | |
| Sex | ||
| Male | 1.00 (reference) | NA |
| Female | 0.85 (0.69, 1.05) | |
| Age (year) | 1.01 (1.00, 1.02)† | NA |
| Having children under 6 years (yes) | ||
| No | 1.00 (reference) | NA |
| Yes | 0.91 (0.73, 1.15) | |
| Work unit | ||
| Primary care | 1.00 (reference) | NA |
| Disease control and health education | 0.69 (0.55, 0.87)** | |
| Health administration | 1.65 (0.75, 3.63) | |
| Other | 1.07 (0.50, 2.30) | |
| COVID-19 prevention and control work-related factors | ||
| Workload | ||
| Days of overnight work due to COVID-19 outbreak | 1.07 (1.03, 1.10)*** | 1.06 (1.02, 1.10)** |
| Average Working hours per day in the past week | 1.04 (1.00, 1.07)* | 1.04 (1.00, 1.07)† |
| Work-related risk and distress | ||
| Involvement in filed work with risk exposure | ||
| No | 1.00 (reference) | 1.00 (reference) |
| Yes | 1.09 (0.89, 1.34) | 1.09 (0.88, 1.33) |
| Worries about getting infected at work | 1.07 (1.03, 1.12)*** | 1.07 (1.03, 1.11)** |
| Work related distress | 1.07 (1.04, 1.10)*** | 1.07 (1.04, 1.10)*** |
| Training of psychological coping with COVID-19 outbreak | ||
| No | 1.00 (reference) | 1.00 (reference) |
| Yes | 1.41 (1.20, 1.66)*** | 1.32 (1.12, 1.55)** |
| Personal attitudes toward work | ||
| Consent of personal future development | ||
| Low level | 1.00 (reference) | 1.00 (reference) |
| High level | 1.35 (1.10, 1.66)** | 1.40 (1.14, 1.72)** |
| Consent of manifestation of the ability | ||
| Low level | 1.00 (reference) | 1.00 (reference) |
| High level | 1.39 (1.09, 1.79)** | 1.39 (1.08, 1.79)* |
| Enabling factors | ||
| Perceived support from the workplace | ||
| Low level | 1.00 (reference) | 1.00 (reference) |
| High level | 0.86 (0.71, 1.06) | 0.89 (0.72, 1.09) |
| Perceived support from colleagues | ||
| Low level | 1.00 (reference) | 1.00 (reference) |
| High level | 0.85 (0.69, 1.04) | 0.86 (0.70, 1.06) |
| Perceived support from families | ||
| Low level | 1.00 (reference) | 1.00 (reference) |
| High level | 0.89 (0.71, 1.12) | 0.90 (0.71, 1.12) |
| Perceived support from society | ||
| Low level | 1.00 (reference) | 1.00 (reference) |
| High level | 1.21 (0.98, 1.49)† | 1.18 (0.95, 1.45) |
| Employment title | ||
| Junior | 1.00 (reference) | 1.00 (reference) |
| Intermediate | 0.85 (0.67, 1.07) | 0.91 (0.71, 1.18) |
| Senior/Deputy senior | 0.89 (0.64, 1.24) | 0.97 (0.67, 1.41) |
| Others (volunteer etc.) | 0.99 (0.72, 1.37) | 0.99 (0.71, 1.38) |
| Need factors | ||
| Self-rated health status during the last week | ||
| Very good/good | 1.00 (reference) | 1.00 (reference) |
| Fair | 1.03 (0.82, 1.30) | 1.07 (0.85, 1.35) |
| Very poor/Poor | 1.49 (1.13, 1.95)** | 1.57 (1.19, 2.09)** |
| Level of physical fatigue | ||
| Not at all/A few/Medium | 1.00 (reference) | 1.00 (reference) |
| High/Very high | 1.37 (1.12, 1.67)** | 1.41 (1.15, 1.74)** |
| Probable anxiety | ||
| No | 1.00 (reference) | 1.00 (reference) |
| Yes | 2.23 (1.78, 2.79)*** | 2.35 (1.87, 2.96)*** |
| Probable depression | ||
| No | 1.00 (reference) | 1.00 (reference) |
| Yes | 1.91 (1.53, 2.40)*** | 2.24 (1.77, 2.83)*** |
†
0.05< p <0.01,
*
p < 0.05,
**
p < 0.01,
***
p < 0.001, NA: Not applicable.
ORu, Univariate Odds Ratio; AOR, Odds ratio adjusted for predisposing variables.