Evidence map›Paper›PMID 38515173›Full record

ArticleJournal of advanced nursing2024

Nurses' use of 'wellness' supplements during the COVID-19 pandemic in the United States.

Samantha L Turner, Ariel Beccia, Gwenneth Feeny, Amanda Raffoul, Destiny Jackson, Vishnudas Sarda, Janet Rich-Edwards, Jorge Chavarro, Jaime E Hart, S Bryn Austin

Open access · greenAbstract read
In one paragraph

Article in Journal of advanced nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.6field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Samantha L TurnerTan Chingfen Graduate School of Nursing, UMass Chan Medical School, Worcester, Massachusetts, USA.ORCID https://orcid.org/0000-0001-9008-5308
Ariel BecciaDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Gwenneth FeenyFaculty of Health Sciences, McMcaster University, Hamilton, Ontario, Canada.
Amanda RaffoulDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Destiny JacksonHarvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Vishnudas SardaDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Janet Rich-EdwardsDepartment of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA.
Jorge ChavarroDepartments of Nutrition and Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Jaime E HartChanning Division of Network Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
S Bryn AustinDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Boston Children's Hospital · USHarvard University · USBrigham and Women's Hospital · USMcMaster University Medical Centre · CAUniversity of Massachusetts Chan Medical School · US

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
Life Course Cancer Epidemiology Cohort in WomenU01CA176726 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI ELIASSEN, A. HEATHER, WILLETT, WALTER C. · 2018 to 2025
$22.4M
Integrating lifecourse approaches, biologic and digital phenotypes in support of heart and lung disease epidemiologic researchU01HL145386 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI CHAVARRO, JORGE EDUARDO, MANSON, JOANN ELISABETH · 2019 to 2025
$17.8M
Premonopausal Hormone Levels and Risk of Breast CancerR01CA067262 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI HANKINSON, SUSAN E · 2002 to 2011
$11.9M
Causes and Impact of Minority Stress on Health and Development in YouthR01HD057368 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI AUSTIN, S BRYN, ROSARIO, MARGARET · 2009 to 2013
$3.3M
Nurses Health Study 3: A multiple exposure environmental epidemiology cohort of young adultsR24ES028521 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI CHAVARRO, JORGE EDUARDO, LADEN, FRANCINE · 2018 to 2022
$2.1M
CIHR MFE-171217Maternal and Child Health Bureau T76MC00001NCI NIH HHS R01 CA067262NCI NIH HHS U01 CA176726NHLBI NIH HHS NIH U01 HL145386NHLBI NIH HHS U01 HL145386NICHD NIH HHS R01 HD057368NIEHS NIH HHS P30 ES000002NIEHS NIH HHS R24 ES028521NIH HHS R01CA67262NIH HHS R01HD057368NIH HHS R24ES028521NIH HHS U01CA176726NIH HHS U01HL145386NIOSH CDC HHS 75D30120P08255
6 · The paper itself

Abstract

aimQuantify disparities and identify correlates and predictors of 'wellness' supplement use among nurses during the first year of the pandemic.

designLongitudinal secondary analysis of Nurses' Health Studies 2 and 3 and Growing Up Today Study data.

methodsSample included 36,518 total participants, 12,044 of which were nurses, who completed surveys during the first year of the COVID-19 pandemic (April 2020 to April 2021). Analyses were conducted in March 2023. Modified Poisson models were used to estimate disparities in 'wellness' supplement use between nurses and non-healthcare workers and, among nurses only, to quantify associations with workplace-related predictors (occupational discrimination, PPE access, workplace setting) and psychosocial predictors (depression/anxiety, county-level COVID-19 mortality). Models included race/ethnicity, gender identity, age and cohort as covariates.

resultsNurses were significantly more likely to use all types of supplements than non-healthcare workers. Lacking personal protective equipment and experiencing occupational discrimination were significantly associated with new immune supplement use. Depression increased the risk of using weight loss, energy and immune supplements.

conclusionNurses' disproportionate use of 'wellness' supplements during the COVID-19 pandemic may be related to workplace and psychosocial stressors. Given well-documented risks of harm from the use of 'wellness' supplements, the use of these products by nurses is of concern. IMPACT: 'Wellness' supplements promoting weight loss, increased energy, boosted immunity and cleansing of organs are omnipresent in today's health-focused culture, though their use has been associated with harm. This is of added concern among nurses given their risk of COVID-19 infection at work. Our study highlighted the risk factors associated with use of these products (lacking PPE and experiencing occupational discrimination). Findings support prior research suggesting a need for greater public health policy and education around the use of 'wellness' supplements. REPORTING

methodSTROBE guidelines were followed throughout manuscript. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution was involved.

Indexed as

COVID-19Dietary SupplementsPandemicsSARS-CoV-2AdultFemaleHumansLongitudinal StudiesMaleMiddle AgedNursesUnited StatesWorkplaceCOVID‐19 pandemicinequalities in healthoccupational healthworkforce issues

Identifiers

PMID38515173
PMCPMC11415537
OpenAlexW4393091195

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.