Abstract
BackgroundThe COVID-19 related lockdown and home confinement might have an important impact on the quality of life in enterprise workers. We investigated the quality of life during the epidemic in enterprise workers who just returned to work, and assessed its potential influencing factors to have a better understanding of the impact of COVID-19 epidemic lockdown and home confinement.MethodsThis was a cross-sectional study of enterprise workers conducted in Deqing and Taizhou, Zhejiang Province, China. The Chinese version of EQ5D was used to assess life quality, and information about general characteristics and COVID-19 related factors was collected by a structured questionnaire, which was distributed through the social application “WeChat”. Multiple liner regression was used to investigate potential influencing factors.ResultsA total of 2420 participants were enrolled, 59.5% of which worked in Deqing. About 50% of the participants reported worries about the COVID-2019 epidemic and 40.2% had a centralized or home quarantine during the epidemic. The mean EQ-5D score and VAS were 0.990 and 93.5. Multiple liner regression showed that the quality of life measures was related to physical activities (β = 0.006) and keeping home ventilation (β = 0.063) in Deqing, and were related to wearing a mask when going out (β = 0.014), keeping home ventilation (β = 0.061), other marital status (β = − 0.011), worry about the epidemic (β = − 0.005) and having a centralized or home quarantine (β = − 0.005) in Taizhou.ConclusionsThe quality of life for returning enterprise workers in areas with different risks of COVID-19 was affected by different factors. Associated factors identified from this study would help develop proper intervention measures for enterprise workers to reduce the impact of large-scale public health events like the COVID-19 on their quality of life.
Highlights
The COVID-19 related lockdown and home confinement might have an important impact on the quality of life in enterprise workers
The impact of COVID-19 lockdown on the quality of life has not been well studied for working people, especially for those who stop working during the lockdown from epidemic
There were no differences in the distributions of cigarette smoking, alcohol drinking, physical activity and depression between participants from Deqing and Taizhou, except for tea drinking (χ2 = 5.58, p = 0.018) and anxiety (χ2 = 6.52, P = 0.038)
Summary
Study population and design We carried out a cross-sectional study among the employees who had returned to work in Deqing and Taizhou, Zhejiang Province, China, from 5 March 2020 to 14 March 2020, the study design of which has been described previously [29, 30]. The EQ-5D has been applied to a Chinese general population and reveals the utility values of each health condition, ranged from − 0.149 to 1.000, with higher scores indicating higher health status [39]. Mental health was assessed by using the 7-item Generalized Anxiety Disorder Scale(GAD-7) [40] for anxiety and the 9-item Patient Health Questionnaire(PHQ-9) [41] for depression. These two questionnaires have been validated and widely used in Chinese population [42,43,44,45]. All statistical analyses were performed in SPSS version 22.0, and an alpha level p ≤ 0.05 was considered to be statistically significant
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