Abstract
Objective: Understanding gender differences in responses of health-care workers (HCWs) to COVID-19 outbreak is an effective way to promote customized supports.Methods: During February 2020, 103 HCWs infected with COVID-19 (64 females and 39 males) and 535 uninfected HCWs (383 females and 152 males) were recruited in a cross-sectional study. Level of attention, six emotional status, and self-evaluation of eight protective measures were recorded. Multivariable Firth's logistic regressions were applied to explored independent effect of gender.Results: During early outbreak, female HCWs were more likely to give greater attention, adjusted OR:1.92 (95%CI 1.14–3.23) in total HCWs. Higher proportion of anxiety was observed in female HCWs, adjusted OR:3.14 (95%CI 1.98–4.99) for total HCWs, 4.32(95%CI 1.32–14.15) for infected HCWs and 2.97 (1.78, 4.95) for uninfected HCWs. Proportion of pessimism, fear, full of fighting spirit, and optimism were low, and no gender differences were observed. During a later outbreak, a majority of HCWs reported being very familiar with eight protective measures. After training, a proportion of high self-evaluation in hand hygiene, wearing gloves, and surgical masks increased independently in female HCWs, and adjusted ORs were 3.07 (95% CI 1.57–5.99), 2.37 (95% CI 1.26–4.49), and 1.92 (95% CI 1.02–3.62), respectively. Infection status amplified gender difference in anxiety, hand hygiene, and glove wearing.Conclusion: Female HCWs perceived the outbreak seriously, effective emotional and psychological well-ness should be targeted at female HCWs preferentially, and male HCWs should be encouraged to express their feelings and be further trained.
Highlights
Coronavirus disease 2019 (COVID-19) presented clear evidence of human-to-human transmission and the population is generally susceptible [1]
A proportion of high self-evaluation in hand hygiene, wearing gloves, and surgical masks increased independently in female healthcare workers (HCWs), and adjusted ORs were 3.07, 2.37, and 1.92, respectively
Female HCWs perceived the outbreak seriously, effective emotional and psychological well-ness should be targeted at female HCWs preferentially, and male HCWs should be encouraged to express their feelings and be further trained
Summary
Coronavirus disease 2019 (COVID-19) presented clear evidence of human-to-human transmission and the population is generally susceptible [1]. The COVID-19 requires timely diagnosis and effective treatment to prevent the development of severe or critical condition and reduce the risk of death [2]. At the early stage of the outbreak, many healthcare workers (HCWs) had to fight against the COVID-19 with limited resources for months. As of March 2020, a total of 3,387 HCWs had been confirmed with COVID-19, and 23 cases had died during their frontline work [3]. Uncertainty of COVID-19, colleagues’ infections and deaths placed great pressure and threat on frontline HCWs. The necessity of a psychological study on HCWs has been emphasized in many studies [4, 5]. Personal hygiene and protection practice in frontline HCWs were emphasized to contain the spread of the outbreak [6]
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