Table 3.
Results of hierarchical regression analyses of factors associated with mental health help-seeking among public health workers who reported probable mental health problems (N = 3,417).
| Independent variables | Professional mental health help-seeking | |||
|---|---|---|---|---|
| Model 1 | Model 2 | Model 3 | Model 4 | |
| Block 1 Predisposing characteristics | ||||
| Province (Hubei vs. others) | 1.13 (0.85, 1.49) | 1.09 (0.82, 1.45) | 1.07 (0.81, 1.43) | 1.13 (0.84, 1.52) |
| Sex (Male vs. female) | 0.84 (0.66, 1.07) | 0.90 (0.70, 1.16) | 0.90 (0.70, 1.17) | 0.91 (0.70, 1.18) |
| Age (years) | 1.01 (1.00, 1.03)* | 1.02 (1.00, 1.03)* | 1.01 (1.00, 1.03)* | 1.02 (1.01, 1.03)** |
| Having children under 6 years (No vs. yes) | 1.03 (0.77, 1.36) | 0.98 (0.74, 1.30) | 0.99 (0.74, 1.33) | 0.97 (0.73, 1.30) |
| Work unit | ||||
| Primary care | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
| Disease control and health education | 0.65 (0.51, 0.83)** | 0.68 (0.52, 0.89)* | 0.70 (0.52, 0.92)* | 0.57(0.43, 0.76)*** |
| Health administration | 1.53 (0.61, 3.82) | 1.38 (0.54, 3.54) | 1.43 (0.55, 3.68) | 1.44 (0.56, 3.72) |
| Others | 0.83 (0.32, 2.14) | 0.88 (0.34, 2.31) | 0.85 (0.32, 2.23) | 0.87 (0.33, 2.31) |
| Block 2 COVID-19 control and prevention work-related factors | ||||
| Days of overnight work due to COVID-19 outbreak | 1.05 (1.01, 1.10)* | 1.05 (1.01, 1.10) | 1.05 (1.00, 1.09)* | |
| Average Working hours per day in the past week | 1.00 (0.96, 1.05) | 1.00 (0.96, 1.05) | 1.00 (0.96, 1.05) | |
| Involvement in filed work with risk exposure (No vs. yes) | 0.93 (0.74, 1.18) | 0.95 (0.75, 1.20) | 0.95 (0.75, 1.20) | |
| Worries about getting infected at work | 1.03 (0.99, 1.08) | 1.04 (0.99, 1.09) | 1.01 (0.96, 1.06) | |
| Work-related distress | 1.06 (1.02, 1.09)** | 1.05 (1.02, 1.09)** | 1.02 (0.98, 1.05) | |
| Training of psychological coping with COVID-19 outbreak (No vs. yes) | 1.29 (1.08, 1.55)** | 1.30 (1.08, 1.56)** | 1.22 (1.03, 1.45)* | |
| Consent of personal future development (Low vs. high) | 1.23 (0.95, 1.59) | 1.24 (0.96, 1.62) | 1.53 (0.96, 1.97) | |
| Consent of manifestation of ability (Low vs. high) | 1.12 (0.82, 1.54) | 1.16 (0.84, 1.60) | 0.77 (0.54, 1.09) | |
| Block 3 Enabling factors | ||||
| Perceived support from the workplace (Low vs. high) | 0.88 (0.65, 1.18) | 0.92 (0.68, 1.25) | ||
| Perceived support from colleagues (Low vs. high) | 0.76 (0.56, 1.04) | 0.74 (0.54, 1.02) | ||
| Perceived support from families (Low vs. high) | 0.83 (0.61, 1.13) | 0.87 (0.64, 1.19) | ||
| Perceived support from society (Low vs. high) | 1.37 (1.02, 1.82)* | 1.35 (1.01, 1.80)* | ||
| Employment title | ||||
| Junior | 1.00 (reference) | 1.00 (reference) | ||
| Intermediate | 0.91 (0.68, 1.23) | 0.88 (0.65, 1.19) | ||
| Senior/Deputy senior | 1.17 (0.77, 1.76) | 1.21 (0.80, 1.83) | ||
| Others (volunteer etc.) | 1.01 (0.70, 1.45) | 1.01 (0.70, 1.46) | ||
| Block 4 Need factors | ||||
| Self-rated health status during the last week | ||||
| Very good/good | 1.00 (reference) | |||
| Fair | 1.01 (0.70, 1.46) | |||
| Very poor/Poor | 1.20 (0.84, 1.71) | |||
| Physical fatigue (Low vs. high) | 1.00 (0.76, 1.31) | |||
| Probable anxiety (No vs. yes) | 1.73 (1.28, 2.33)*** | |||
| Probable depression (No vs. yes) | 1.49 (1.10, 2.02)** | |||
| Chi-square change | 22.68 | 43.14 | 11.66 | 43.07 |
| Block significance | 0.002 | <0.001 | 0.112 | <0.001 |
| −2 Log likelihood | 2,067.88 | 2,024.73 | 2,013.08 | 1,970.01 |
*
p < 0.05,
**
p < 0.01,
***
p < 0.0.01.