Depression, Anxiety, and Stress in Health Professionals Working During the COVID-19 Pandemic in Peru: An Analytical Cross-Sectional Study
Alan Quispe-Sancho 1, Katerin Lesly Chambi-Macedo 2, Verónica Laurel-Vargas 1, Edson Huamani-Merma 1, Katherine Vanesa Cuzcano-Gonzales 3, Milagros Alexandra Huaita-Rocha 4, Lesly Mendoza-Guillen 5, Akemi Diana Sanchez-Choquepata 1, Jheampiero Fuentes-Casani 1, António Bandeira 6, Marcos Roberto Tovani-Palone 7 * , Christian R. Mejia 8 *
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1 Universidad Nacional de San Antonio Abad del Cusco, Escuela Profesional de Medicina Humana, Asociación científica de estudiantes de medicina humana ASOCIEMH CUSCO, Cusco, PERU
2 Unidad de Telesalud -Facultad de Medicina, Universidad Nacional Mayor de San Marcos, PERU
3 Universidad San Martín de Porres-Filial norte, SCIEMVE Sociedad Científica de Estudiantes de Medicina Veritas, Chiclayo, PERU
4 Facultad de Medicina Humana, Universidad Nacional de San Martín, Tarapoto, Sociedad Científica de Estudiantes de Medicina de San Martín (SOCIEMSA), San Martín, PERU
5 Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos (UNMSM), Sociedad Científica San Fernando (SCSF), Lima, PERU
6 Faculdade de Medicina da Universidade do Porto, Porto, PORTUGAL
7 Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, BRAZIL
8 Universidad Continental, Lima, PERU
* Corresponding Author


Objective: To determine the association between depression, anxiety, and stress according to sociodemographic and occupational factors in Peruvian health professionals during the coronavirus disease 2019 (COVID-19) pandemic.
Methods: Cross-sectional analytical and multicentre study, based on a virtual survey sent to Peruvian health personnel (from the 25 Peruvian regions) working during the COVID-19 pandemic. The three dependent variables (depression, anxiety, and stress) were measured with the Depression, Anxiety, and Stress Scale -21 (DASS-21) (Cronbach’s Alpha: 0.93) and compared with sociodemographic and occupational variables. P-values were obtained through generalized linear models, adjusted for each location where the survey was sent.
Results: Of the 550 participants, 2%, 13%, and 3% of them had severe or very severe depression, anxiety, and stress, respectively. In the multivariate analysis, we observed that professionals with a greater number of children had a lower frequency of severe depression (adjusted prevalence ratio (aPR): 0.37; 95% confidence interval (CI): 0.17-0.79; p = 0.010). In addition, physicians had a lower frequency of severe anxiety (aPR: 0.37; 95% CI: 0.18-0.75; p = 0.036), and professionals who lived in the Central region (aPR: 0.50; 95% CI: 0.25-0.97; p = 0.042) and in the South of the country (aPR: 0.37; 95% CI: 0.19-0.71; p = 0.003) had lower anxiety levels compared to those in the Northern region. With regard to severe stress, those who lived in the Central (aPR: 0.15; 95% CI: 0.03-0.75; p = 0.021) and South regions (aPR: 0.19; 95% CI: 0.04-0.79; p = 0.011) had lower stress levels.
Conclusion: There were significant percentages of deteriorating mental health in Peruvian health professionals during the pandemic, which may have negative repercussions in the short-, medium-, and long-term. In this sense, additional governmental actions should be necessary to provide specific psychological and psychiatric support programs to these workers.


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Article Type: Original Article

ELECTRON J GEN MED, 2021 - Volume 18 Issue 6, Article No: em319

Publication date: 08 Sep 2021

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