ArticleInternational journal of environmental research and public health2021
Stress and Associated Factors among Frontline Healthcare Workers in the COVID-19 Epicenter of Da Nang City, Vietnam.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed, 31 citations in OpenAlex.
- Preventing and reducing burnout globally: a six continent thematic assessment.Research connections · 2026Article
- Occupational stress, job satisfaction, and intention to leave among critical care nurses during the COVID-19 pandemic: a cross-sectional study in Lebanon.Frontiers in public health · 2026Article
- Development and validation of the Healthcare Worker Stress Scale-Vietnamese: a culturally grounded instrument to assess work-related stress.Global health action · 2025Article
- Prevalence of stress and its associated factors among intern physicians in Bangladesh: a cross-sectional study.BMJ open · 2025Article
- Covid-19 pandemic? Mental health implications among nurses and Proposed interventions.AIMS public health · 2024Review
- Occupational stress and associated factors among clinical nurses caring for COVID-19 patients in a Vietnamese tertiary hospital.PloS one · 2024Article
- Mental Health Among Healthcare Workers During the COVID-19 Pandemic in Vietnam.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Article
- The Impact of COVID-19 on Psychiatric Health in the Korean Population.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2023Review
- Sleep Quality and Poor Sleep-related Factors Among Healthcare Workers During the COVID-19 Pandemic in Vietnam.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2023Article
- Difficulties of healthcare workers encountered under cohort isolation in a psychiatric hospital during the COVID-19 pandemic: A qualitative study.Psychiatry research · 2022Article
- The Impact of the Implementation of Preventive Measures Due to COVID-19 on Work Design and Early Childhood Professionals' Well-Being-A Qualitative Study.International journal of environmental research and public health · 2022Article
- Translation, validation and psychometric properties of Effort-Reward Imbalance questionnaire among nurses in Vietnam.Preventive medicine reports · 2022Article
- Adherence to COVID-19 Preventive Measures among Dental Care Workers in Vietnam: An Online Cross-Sectional Survey.International journal of environmental research and public health · 2022Article
- Acceptance of COVID-19 vaccine and associated factors among health care workers at public hospitals in Eastern Ethiopia using the health belief model.Frontiers in public health · 2022Article
- Depression, anxiety, and stress among frontline health workers during the second wave of COVID-19 in southern Vietnam: A cross-sectional survey.PLOS global public health · 2022Article
- Emotional Control among Nurses against Work Conditions and the Support Received during the SARS-CoV-2 Pandemic.International journal of environmental research and public health · 2021Article
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Frontline healthcare workers (HCWs) involved in the COVID-19 response have a higher risk of experiencing psychosocial distress amidst the pandemic. Between July and September 2020, a second wave of the COVID-19 pandemic appeared in Vietnam with Da Nang city being the epicenter. During the outbreak, HCWs were quarantined within the health facilities in a bid to limit the spread of COVID-19 to their respective communities. Using the stress component of the 21-item Depression, Anxiety and Stress Scale (DASS-21), we assessed the level of stress among HCWs in Da Nang city. Between 30 August and 15 September 2020, 746 frontline HCWs were recruited to fill in an online structured questionnaire. Overall, 44.6% of participants experienced increased stress and 18.9% severe or extremely severe stress. In multivariable analysis, increased stress was associated with longer working hours (OR = 1.012; 95% CI: 1.004-1.019), working in health facilities providing COVID-19 treatment (OR = 1.58, 95% CI: 1.04-2.39), having direct contact with patients or their bio-samples (physicians, nurses and laboratory workers; OR = 1.42, 95% CI: 1.02-1.99), low confidence in the available personal protective equipment (OR = 0.846; 95% CI: 0.744-0.962) and low knowledge on COVID-19 prevention and treatment (OR = 0.853; 95% CI: 0.739-0.986). In conclusion, many frontline HCWs experienced increased stress during the COVID-19 outbreak in Da Nang city. Reducing working time, providing essential personal protective equipment and enhancing the knowledge on COVID-19 will help to reduce this stress. Moreover, extra support is needed for HCWs who are directly exposed to COVID-19 patients.
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