OBJECTIVE The mental health problems and perceived needs of healthcare workers involved with coronavirus disease (COVID-19) may vary due to individual and contextual characteristics. The objective of this study was to evaluate healthcare workers' mental health problems during the common COVID-19 exposure scenario in Mexico, comparing those on the frontline with other healthcare workers according to gender and profession, determining the main risk factors for the most frequent mental health problems. METHODS A cross-sectional online study was conducted with a non-probabilistic sample of 5,938 Mexican healthcare workers who completed brief screening measures of mental health problems and ad hoc questions about sociodemographic professional characteristics, conditions related to increased risk of COVID-19 infection, life stressors during the COVID-19 emergency, and perceived need to cope with COVID-19. RESULTS The identified mental health problems were insomnia, depression, and posttraumatic stress disorder (PTSD), all of which were more frequent in frontline healthcare workers (52.1, 37.7, and 37.5%, respectively) and women (47.1, 33.0 %, and 16.3%, respectively). A lack of rest time was the main risk factor for insomnia (OR = 3.1, 95%CI 2.6-3.7, p ≤ 0.0001). Mourning the death of friends or loved ones due to COVID-19 was the main risk factor for depression (OR = 2.2, 95%CI 1.8-2.7, p ≤ 0.0001), and personal COVID-19 status was the main risk factor for PTSD (OR = 2.2, 95%CI 1.7-2.9, p ≤ 0.0001). CONCLUSION The most frequent mental health problems during the common exposure scenario for COVID-19 in Mexico included the short-term psychological consequences of intense adversity. A comprehensive strategy for preventing mental health problems should focus on individuals with cumulative vulnerability and specific risk factors.

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参与 COVID-19 爆发的医护人员的心理健康问题

目标 与冠状病毒病 (COVID-19) 相关的医护人员的心理健康问题和感知需求可能因个人和环境特征而异。本研究的目的是评估墨西哥常见的 COVID-19 暴露情况下医护人员的心理健康问题，根据性别和职业将一线医护人员与其他医护人员进行比较，确定最常见的心理健康问题的主要风险因素。健康问题。方法 对 5,938 名墨西哥医护人员的非概率样本进行了一项横断面在线研究，他们完成了心理健康问题的简短筛查措施和关于社会人口学专业特征、与 COVID-19 感染风险增加相关的条件、COVID-19 紧急情况期间的生活压力，以及应对 COVID-19 的需求。结果 确定的心理健康问题包括失眠、抑郁和创伤后应激障碍 (PTSD)，所有这些问题在一线医护人员（分别为 52.1、37.7 和 37.5%）和女性（47.1、33.0 % 和 16.3）中更为常见。 ％， 分别）。缺乏休息时间是失眠的主要危险因素（OR = 3.1，95%CI 2.6-3.7，p ≤ 0.0001）。哀悼因 COVID-19 而死亡的朋友或亲人是抑郁症的主要危险因素（OR = 2.2，95%CI 1.8-2.7，p ≤ 0.0001），个人 COVID-19 状态是 PTSD 的主要危险因素(OR = 2.2, 95% CI 1.7-2.9, p ≤ 0.0001)。结论 在墨西哥常见的 COVID-19 暴露场景中，最常见的心理健康问题包括强烈逆境的短期心理后果。预防心理健康问题的综合策略应侧重于具有累积脆弱性和特定风险因素的个人。