Русский
The emotional state of medical workers and HIV-infected patients in relation to the COVID-19 epidemic
DOI: https://dx.doi.org/10.18565/epidem.2020.10.4.27-32
Belyaeva V.V., Kozyrina N.V., Kuimova U.A., Goliusova M.D., Narkevich A.N.
1) Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; 2) Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia, Krasnoyarsk, Russia
Subjects and methods. A questionnaire survey covered 192 respondents: 67 healthcare workers in Moscow (Group 1), 79 HIV-infected patients (Group 2), and 46 respondents in the comparison group (Group 3).
Results. When assessing the risks for COVID-19 infection, the respondents in Group 1 more commonly reported an increased infection risk (34.32%). When answering a question indicator, the respondents in Group 2 more often chose the option of the same risk as most people (72.15%). This group was noted to have also the largest share of risk denial (18.98%). 78.26% of the respondents in the comparison group considered the risk of getting coronavirus infection to be the same as the majority of people. The median self-assessment of emotional state in relation to coronavirus among the respondents in Group 2 (9.0 [5.0; 8.0] points) was statistically significantly higher than that in Group 1 (6.0 [5.0; 8.0] points; p < 0.001) and in Group 3 (6.0 [5.0; 8.0] points; p <0.001). When describing behavioral strategies aimed at reducing anxiety in relation to COVID-19, the group of strategies aimed at maintaining mental ecology was most representative: 26, 36, and 35% in Groups 1, 2, 3, respectively. These were respiratory exercises, meditation, reading, and hobbies in Group 1; meditation, going to the cottage, listening to music, respiratory exercises, and reading in Group 2; reading, going to the cottage, and meditation in Group 3. The avoidance strategies («I try not to think about it», «I do not think about it») were presented in 16, 9 and 9%, respectively. The stress in relation to COVID-19 was reduced, by drinking alcohol, eating, and smoking cigarettes, by survey participants in Groups 1 and 3 (9 and 6%, respectively).
Conclusion. Correction of the detected deficiencies required comprehensive measures: the development of consistent measures aimed at studying the needs of various target groups during the COVID-19 epidemic, at increasing their commitment towards maintaining health and supporting the most adaptive behavioral strategies.
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About the Autors
Valentina V. Belyaeva, МD, Leading Researcher, Department of Epidemiology and Prevention of AIDS, Central Research Institute of Epidemiology, Russian Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being, Moscow, Russia; е-mail: labora-et-ora@yandex.ru; ORCID: http://orcid.org/0000-0002-4621-7892
Nadezhda V. Kozyrina, Cand. Med. Sci., Senior Researcher, Department of Epidemiology and Prevention of AIDS, Central Research Institute of Epidemiology, Russian Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being, Moscow, Russia; е-mail: nad-kozyrina@yandex.ru; ORCID: htpp://orcid.org/0000-0001-5134-0054
Ulyana A. Kuimova, Cand. Med. Sci., Researcher, Department of Epidemiology and Prevention of AIDS, Central Research Institute of Epidemiology, Russian Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being, Moscow, Russia; е-mail: ulyanakuimova@gmail.com; ORCID: http://orcid.org/0000-0002-1101-151X
Marina D. Goliusova, Infectious Diseases Specialist, Department of Epidemiology and Prevention of AIDS, Central Research Institute of Epidemiology, Russian Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being, Moscow, Russia; е-mail: mad2501@yandex.ru
Artem N. Narkevich, Cand. Med. Sci., Associate Professor, Head, Department of Medical Cybernetics and Informatics; Head, Laboratory of Medical Cybernetics and Management in Healthcare, Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia, Krasnoyarsk, Russia; е-mail: narkevichart@gmail.com; ORCID: http://orcid.org/0000-0002-1489-5058
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