Essential Workers Research Articles

Integrating an Ethics Advisory Committee Into Public Health Response: A Case Study of COVID-19, Infection Prevention and Control, and Essential Work in the United States.

A lack of infection prevention and control protections for essential industries in the United States led to increased risk and incidence of COVID-19 among essential workers during the COVID-19 pandemic. When the nation deems an industry essential during a disease outbreak, an ethical obligation exists to safeguard the health of workers who are at increased risk of being exposed to disease. The Global Center for Health Security at the University of Nebraska Medical Center began work to rapidly develop and disseminate infection prevention and control guidance for essential industries, such as meat processing. The Global Center for Health Security established an ethics advisory committee to support COVID-19 response efforts. The ethics advisory committee supported the development of guidance on infection prevention and control to promote justice, reciprocity, health, safety, and equity for workers in the meat processing industry. Our experience highlighted the fundamental role of ethical analysis in public health response efforts, but ethical analysis in this case required an interdisciplinary approach, including the need for effective community-relevant solutions. The integration of an ethics committee into public health emergency response efforts can address ethical concerns for workers in industries that must remain operational during public health emergencies.

Promoting Workplace Health, Safety, and Well-Being Among Essential Agricultural Workers Through Vaccine-Preventable Infectious Diseases Training in the Rio Grande Valley

ABSTRACT Introduction Health, safety, and well-being training programs provide essential education on anticipating, identifying, and mitigating exposures like infectious diseases. Gaps in infectious diseases awareness and education became especially apparent during the COVID-19 pandemic and subsequently were exacerbated by mis- and disinformation. Methods Vaccine-preventable infectious diseases training (influenza, hepatitis A and B, and tetanus infections, including COVID-19) was developed, delivered, and evaluated among 1,043 farmworkers, bodega workers, and production management in the Rio Grande Valley using mobile-learning technologies. The Kirkpatrick Four-Level Training Evaluation Model was utilized to evaluate training satisfaction (Level 1), effectiveness (Level 2), and effect on behavior (Level 3). Results The mean score on the pretest before training was 67.8% (SD 17.5), and the mean score on the same test immediately after the video training was 77.2% (SD 17.9). A paired t-test revealed that knowledge improved significantly from pre- to post-training (p < .05). We observed a difference between mean pre- and post-test scores relative to the pooled standard deviation, resulting in an effect size estimate of 0.53 indicative of a medium learning effect. Conclusion There is no “silver bullet” for training migrating bodega and farmworkers. Our findings suggest that the utilization of m-learning techniques continues to be a successful mechanism for delivering health, safety, and well-being awareness training content to agricultural workers in remote and challenging work environments. There is a long overdue need for offline capable software with features that allow equitable access to training, even in remote farming regions.

Economic Insecurity during the COVID-19 Pandemic among Healthcare Workers by Educational Attainment

Abstract Prior to the COVID-19 pandemic, healthcare workers with less formal education (e.g., nursing assistants, home care aides) versus more formal education (e.g., physicians, nurses) were more likely to experience economic insecurity, the real and/or perceived risk of financial losses. Given the unprecedented impact of COVID-19 on healthcare workers, we sought to describe economic insecurity among these workers during the pandemic. Using data from the U.S. Census Bureau’s Household Pulse Survey from July 2021 to July 2023, we examined economic insecurity among healthcare workers by educational attainment. Higher proportions of healthcare workers with an associate degree or below reported difficulty paying usual expenses, food insufficiency, and being behind on rent/mortgage payments compared to healthcare workers with a bachelor’s degree or higher. Accounting for other sociodemographic characteristics, higher educational attainment was associated with significantly lower odds of economic insecurity. Since the public health emergency has ended and temporary policies to support low wage workers during the pandemic have sunsetted, targeted policies to promote economic security among financially vulnerable low wage workers are critical to enable recruitment and retention of these essential healthcare workers.

Association of mRNA COVID-19 vaccination and reductions in Post-COVID Conditions following SARS-CoV-2 infection in a US prospective cohort of essential workers.

While there is evidence that COVID-19 vaccination protects against development of post-COVID conditions (PCC) after severe infection data are limited on whether vaccination reduces the risk after cases of less-severe non-hospitalized COVID-19 disease with more recent SARS-CoV-2 variant viruses. This study assessed whether COVID-19 vaccination was protective against subsequent development of PCC in persons with predominantly mild initial infections during both Delta and Omicron variant predominance. This study utilized a case-control design, nested within the HEROES-RECOVER cohort. Participants aged ≥18 years with PCR-confirmed SARS-CoV-2 infection between 6/28/2021 and 9/14/2022 were surveyed for PCC, defined by symptoms lasting >1 month after initial infection Cases were participants self-reporting PCC and controls were participants that did not self-report PCC. The exposure was mRNA COVID-19 vaccination (2 or 3 monovalent doses) versus no COVID-19 vaccination. Logistic regression was used to compare the odds of PCC among vaccinated and unvaccinated persons; additional analyses evaluating PCC subtypes were also performed. A total of 936 participants with documented SARS-CoV-2 infection were included; of these 23.6% (221) reported PCC and 83.3% (779) were vaccinated. Participants who received a 3rd COVID-19 monovalent mRNA dose prior to infection had lower odds of PCC-related gastrointestinal, neurological, and other symptoms compared to unvaccinated participants (aOR: 0.37; 95% CI: 0.16-0.85; aOR: 0.56; 95% CI: 0.32-0.97; aOR:0.48; 95% CI: 0.25-0.91). COVID-19 vaccination protected against development of PCC among persons with mild infection during both Delta and Omicron variant predominance, supporting vaccination as an important tool for PCC prevention.

Recent Vaccination Against SARS-CoV-2 Is Associated with Less Severe Disease in Working-Age Adults

Background: Essential workers, including those working in healthcare and education, are at higher risk of exposure to communicable diseases, including SARS-CoV-2. Reducing the rates of infection is important for their personal health and for the ongoing safe operation of essential services. Methods: Data from participants in two prospective cohort studies who tested positive for SARS-CoV-2 in 2020 through 2023 were used to determine whether vaccination against SARS-CoV-2 is associated with the severity of symptoms in working-age adults. Results: SARS-CoV-2-positive tests (N = 3757) were reported by 3093 participants (mean: 1.2 per person); 1229 (33%) illnesses did not interfere with regular activities, 1926 (51%) made participants too unwell for regular activities, and 602 (16%) required participant bed rest. Compared with vaccine receipt more than 12 months earlier, receipt within six months of an infection was associated with lower risk ratios for more severe illness (too unwell: 0.69 and bed rest: 0.67) compared with being able to conduct regular activities. More recent vaccination was also associated with lower odds reporting of systemic symptoms (fever, myalgia, arthralgia) and fewer solicited symptoms. Conclusion: Staying current with COVID-19 vaccinations should continue to be recommended since receiving a recent immunization lessened the severity of illness. Also, as symptoms of COVID-19 are now largely similar to other respiratory viruses, practitioners need to use this evidence to inform diagnostic testing and return-to-work policies.

Temporal Trends of Early COVID-19 Infections in New York City Transit Workers and Residents: March 01, 2020-May 02, 2020.

The continuity of public transportation was necessary during the COVID-19 pandemic so that essential workers could report for duty. Therefore, it is important to consider COVID-19's impact on transit workers themselves. We described COVID-19 incidence rates over time in New York City (NYC) transit workers and the NYC general population during March-May, 2020. NYC transit COVID-19 cases were abstracted from occupational injury and illness logs, and health department data was used to ascertain NYC resident cases. COVID-19 rates among transit workers peaked during the week of March 22-28 (429.8 cases/100,000 workers). The peak in transit workers occurred 1-2weeks before the general public's peak (March 29-April 4: 368.8 cases/100,000 people; April 5-11: 357.8 cases/100,000 people). These data suggest that NYC transit workers may have been impacted by COVID-19 earlier than the general public. Thus, improving early detection and response of respiratory disease outbreaks may be vital to protecting transit workers.

The economic and psychological impacts of covid-19: a exploratory study of the intersection of traditional and new vulnerable groups in South Korea

BackgroundThe global impact of the COVID-19 pandemic has been extensive, disproportionately affecting various vulnerable populations. In addition to traditional vulnerable groups (TVGs) such as the elderly, women, people with lower education, disabled individuals, and low-income groups, new vulnerable groups (NVGs) have emerged, including essential workers, face-to-face workers, temporary workers, and the self-employed. This study focuses on exploring the economic and psychological effects of the pandemic on both traditional and newly recognized vulnerable groups within Korea.MethodsThe study employed multiple logistic regression using micro-level social survey data from Statistics Korea to calculate the odds ratio relating to two categories of vulnerable groups and their economic and mental health impacts. Additionally, through interaction term analysis, we tried to uncover the complex interrelationship between these non-vulnerable groups and target vulnerable groups.ResultsBoth the newly identified and traditional vulnerable groups showed higher likelihood of facing economic and mental health challenges compared to non-vulnerable groups. The likelihood of encountering a decrease in income and work-related stress was 2.17 times higher (95% CI = 1.90–2.47) for NVGs, while those belonging to TVGs had a 1.75-fold increase (95% CI = 1.47–2.08). Moreover, female self-employed workers faced higher overall stress at 1.36 times greater risk (95% CI = 1.08–1.71), whereas elderly individuals who are self-employed exhibited lower odds of experiencing such stress at the intersection between TVGs and NVGs.ConclusionThis research offers in-depth understanding of the diverse impacts of COVID-19 on at-risk groups. Furthermore, examinations that take into account interactions between NVGs and TVGs uncovered subtle effects within subgroup dynamics, suggesting that intersecting factors play a role in different levels of vulnerability. This provides valuable evidence for informing policy decisions and allocating resources.

Rapid Learning in Frontline Grocery Workers During the COVID‐19 Pandemic

ABSTRACTProlonged stress and the need for rapid uptake of information can have detrimental effects on memory and cognition, whereas meaningfulness of study material and motivation to learn can have positive effects. How do these opposing conditions impact workplace learning in essential frontline workers during a global pandemic? We analyzed learning data collected longitudinally since before the pandemic in over 85,000 essential frontline grocery workers and nonessential telecommunications workers via a learning management system that incorporates a spaced retrieval schedule, where items are retrieved following retention intervals of varying length. Findings indicate more rapid knowledge uptake in grocery workers (a) during than before the pandemic, (b) for COVID‐19‐related content than non‐COVID content, and (c) in the United States than in Canada. Longer‐term maintenance of training material was similar across groups. Evidence of enhanced workplace learning and retention supports efforts to integrate empirically based strategies from the behavioral sciences into learning‐based technologies.

“…considered ‘essential workers’, so we report to work and serve the community”: experiences of community health workers during COVID-19 pandemic in the Eastern Cape, South Africa

BackgroundCommunity health workers (CHWs) played an essential part in providing health services to the communities they served prior to and during the COVID-19 pandemic, and they had some positive impact on community/household health service promotion and delivery. Nonetheless, restricted movement and social isolation made it challenging for community members to access CHW services, which are normally provided in person. We explore community health workers’ opinions on the impact of COVID-19 on their responsibilities, clients, and communities in South Africa’s Eastern Cape.MethodsUsing a semi-structured interview guide, we conducted individual (n = 10) and focus group discussions (n = 13) with 23 community health workers. Participants were community health workers servicing three Black township communities in Buffalo Municipality District, Eastern Cape, South Africa. Transcripts from audiotaped and transcribed verbatim interviews were analysed thematically using Atlas.ti.ResultsThe COVID-19 had an impact on the CHWs’ job-related activities, the clients’ health, and caused disruptions in community social and economic activities, all of these had a negative impact on population health. COVID-19 had detrimental effects on the clients’ health in various ways, including restricted movement and fear of contracting the virus, isolation and deaths created anxiety and terror, or refusal to attend clinics for routine medical check-ups and treatment. Furthermore, CHWs claimed that COVID-19 affected community livelihoods, exacerbating food insecurity and job insecurity. The vast majority of CHWs, who were predominantly women, had to balance their employment workload tasks with domestic responsibilities, which added extra pressure and burden. In addition, many individuals experienced personal loss and bereavement. However, the clients and the community exhibited remarkable resilience and perseverance despite the multifaceted obstacles faced by the COVID-19 pandemic.ConclusionFinancial hardships, unemployment, and work disruptions or changes created by the COVID-19 pandemic triggered stress, sadness, worry, and terror among the CHWs. The client’s health conditions were adversely affected, as some clients refrained from visiting clinics for their medications and treatment because of restricted movements, concerns about contracting the virus, and isolation, all of which contributed to their anxiety and fear. The social isolation and quarantine, as well as food and job insecurity, all had an impact on the community’s social and economic life. Despite the COVID-19 risks and stressors, CHWs demonstrated resilience during the COVID-19 pandemic burden and emphasising their importance as “essential workers” in community health care which further underscores the need to provide CHWs with adequate resources and training in preparation for future pandemics.

From tourists to essential workers: The multifaceted presence of backpackers in rural Queensland, Australia

Although there is notable scholarship on backpackers and their part in tourism cultures, there has been little reflection on their status as long term essential workers in rural areas and what this means for the communities who receive them. We address this gap by investigating the evolution of Australia's Working Holiday Maker program and how it has shaped the presence of backpackers in farming communities. Contemporary backpacking in Australia now involves a culturally and ethnically diverse cohort, which has become essential for farming communities' economic and cultural livelihoods. We argue that the ongoing modifications to the visa program have transformed the presence of backpackers in farming towns, from highly transient tourists to essential workers who may stay for longer periods as temporary migrants, and this has transformed the people and places that host them. Through the lens of mobilities, we outline useful lessons and insights from this example of a backpacker visa, which are relevant for future research and debates around rural livelihoods, labour migration, and farming communities.

“When the Bills Keep on Coming:” the Experiences of Seafood Processors During the COVID-19 Pandemic

ABSTRACT Essential workers were at increased risk during the COVID-19 pandemic, including seafood processors who are often rendered invisible within the public sphere. To examine the health and safety concerns of seafood processors, many who are low income or im/migrant workers on H-2B visas, our team conducted qualitative research with 44 participants. We found that in addition to high occupational health hazards that existed before the pandemic, COVID-19 increased workers’ financial risks, which put them in more dangerous health and safety positions, since they needed to work through physical and mental health illness. These financial risks can be seen through the themes of paid sick leave, mental health, economic duress, and primary care access. We conclude with three recommendations to the H-2B visa worker program, which will not only decrease health disparities for im/migrant workers, but also increase health equity across seafood worker populations.

A Comparative Study on Handloom and Power Loom Industry of Mubarakhpur

The weaving heritage of Qasba Mubarakhpur in the district of Azamgarh was explored through the case study. The town is well-known for its compound cotton and silk tussar, or pure silk cloth. The history of Mubarakpur demonstrates the emergence and decline of locally produced textile goods about social and political activities in the colonial Indian economy. The introduction of power looms into neighboring regions, such as Mau, has altered the region's modes of production by progressively diminishing the handloom industry. The present research paper studied the reasons why for manufacturing sector contributes to the decrease the unemployment and increase in poverty. The findings showed that women were not considered essential workers in the past; instead, women joined the workforce following the invention of machines.

Occupational differences in SARS-CoV-2 infection: the Japan COVID-19 and Society Internet Survey (JACSIS) study in 2022

BackgroundDuring the coronavirus disease (COVID-19) pandemic, essential workers (e.g. medical workers) may be at a high prevalence of contracting COVID-19; however, the trend remains unclear in Japan. This study aimed to investigate occupational differences in the prevalence of COVID-19.MethodsData were retrieved from the 2022 Japan COVID-19 and Society Internet Survey. We analyzed the self-reported SARS-CoV-2 infection as of October 2022. We included 21,875 participants aged 20–64 years. Participants were classified into five occupation groups (“medical workers,” “off-site medical workers,” “care workers,” “other essential workers”, and “non-essential workers”), as well as those unemployed. The prevalence ratio of COVID-19 was computed using Poisson regression. We included sex, age, SARS-CoV-2 vaccination history, number of households, education level, and residential area as covariates. Additionally, we performed similar analyses for three time periods: (1) August–September 2022, (2) October 2021 to July 2022, and (3) before September 2021.ResultsThe overall cumulative prevalence of COVID-19, as of October 2022, was 16.5%. Regarding occupation, medical workers had a higher prevalence than non-essential workers (23.5% vs 16.2% (difference: 7.2% point [95% confidence interval (CI): 4.2–10.2])). Similar results were observed among care workers compared with non-essential workers (22.1% vs 16.2% (difference: 5.9% point [95% CI: 2.5%–9.3%])). Other essential workers had a similar prevalence to non-essential workers (17.6% vs 16.2% (difference: 1.4% point [95% CI: -0.1%–2.8%]). In relative terms, medical workers and care workers were associated with an increased prevalence of COVID-19 (prevalence ratio: 1.44 [95% CI: 1.20–1.73] and 1.36 [95% CI: 1.11–1.66], respectively). In addition, we found that younger age, living in endemic region (e.g., Tokyo and Osaka), and living with more than four people contributed to the higher prevalence. According to the time period, the prevalence was significantly higher in medical and care workers than in non-essential workers only during August–September 2022, which corresponded to the severest outbreak period in Japan.ConclusionsIn Japan, medical and care workers had a higher prevalence of contracting COVID-19 compared to non-essential workers. However, this trend emerged during the peak of the COVID-19 spreading in the summer of 2022.

Reconciling market and moral logics on a minimum wage: Supermarket work in Australia during the first two years of the SARS-COV-2 pandemic

Essential workers generate and maintain basic services that populations must receive, without interruption, to sustain a healthy, functional society. When SARS-COV-2 spread around the world, mundane low-paid work in essential non-healthcare industries such as supermarkets, became high risk, makeshift and unpredictable. Drawing on recent scholarship in the sociology of work, we conducted 32 interviews to capture how supermarket workers in Australia navigated the trade-offs and moral choices entailed in performing essential roles in non-health settings during a pandemic. We found that, as key assumptions about the resilience of globalised modernity and its supporting systems were tested, supermarket workers found themselves at the centre of experiments and public debates about the effectiveness and appropriateness of different infection control measures. Compensating for a lack of preparedness by governments and corporations, they were forced to accept, and then tasked with resolving inconsistencies between the political economy of low paid work and the moral economy of social provision. Given the experiences of those who found themselves in essential roles outside healthcare, there is an urgent need to reconceptualize what ‘successful’ pandemic preparedness and response entails. Reflecting on their experiences, these workers told us that expressions of solidarity and concern, from those not sharing their position of biological and financial precarity, were of little value. Drawing on the market logics that define their employment as essential and replaceable, the workers we spoke to observed that fair renumeration for risks and better protections were the most important considerations in recasting how societies prepare for future pandemics.

Essential(ly forgotten) workers: Latine youth farmworkers during the COVID-19 pandemic.

Essential workers across multiple industries faced a disproportionate burden of morbidity and mortality during the COVID-19 pandemic. The effects were especially severe for agricultural and food processing workers, many of whom are members of the structurally vulnerable Latine community. Under current U.S. federal laws, children under 12 years old can legally work in agriculture, one of the most hazardous U.S. industries. Many of these working youth are Latine and experience health and educational inequities. Using a community-based participatory research approach and a qualitative design, we conducted semi-structured in-depth interviews in North Carolina in 2022, with service providers in health, education, and advocacy fields (n = 10) and Latine youth farmworkers aged 10-17 (n = 24). We used participatory qualitative analysis methods and a reflexive thematic analysis to understand and describe the work experiences of these youth during the first 2 years of the pandemic. Amidst precarious economic and school situations exacerbated by the COVID-19 pandemic, many youths described an increased need to work to support their families. While aware and sometimes fearful of the added occupational health risks of COVID-19, youth and their families felt they had few other options. Service providers and youth described minimal employer-provided safety protocols or equipment, yet some workers organized their own attempts at safety protocols. Youth narratives imply limited knowledge of basic workplace safety requirements. Study findings emphasize the urgent need to address structural vulnerabilities shaping workplace policies and norms to protect Latine youth farmworkers to support their healthy development.

"I Don't Know What I'm Going to Meet Today": Home Care Workers' Decision-Making About Safety During the COVID-19 Pandemic.

The home care workforce provides supportive healthcare services to older adults. The COVID-19 pandemic heightened the need for knowledge that can better support this high-risk and understudied group of essential workers. The study aimed to understand decision-making about safety and well-being during the COVID-19 pandemic. The study design used a descriptive qualitative study approach, and 34 participants completed individual video or phone interviews. The results were organized into three themes specific to decision-making around safety and well-being for home care workers (HCWs) during the pandemic: 1) Responsibility, commitment, and dedication to their clients led HCWs to continue to provide essential services, 2) Safety concerns did not prevent HCWs from reporting to work, and 3) HCWs expressed more concern about clients than their own safety. Understanding the experiences of HCWs can offer important insights for developing strategies and policies to address the safety of these essential yet often overlooked healthcare professionals.

Comparative Analysis of Sustainable Seafarers’ Employment and Welfare Systems in South Korea and China: Contemporary Issues and Improvements

Seafarers are recognized as essential workers responsible for maintaining the national logistics supply chain. This study analyzes the sustainable seafarers’ employment and welfare systems in South Korea and China using the comparative case study approach and presents relevant implications. In the era of the “New Normal” after the coronavirus disease 2019 pandemic, which is marked by hyper-personalization, seafarers have become increasingly resistant to acquiring maritime education and performing onboard duties. Even though South Korea has recognized seafarers as key agents of national economic growth, the participation of the new generation in the shipping industry has recently been declining. Meanwhile, China has been developing its shipping industry since the Deng Xiaoping reforms and fosters skilled seafarers by providing rigorous maritime education. However, both countries have been experiencing difficulties in ensuring the legal and social protection of seafarers; hence, the challenge of providing sustainable employment and welfare to seafarers remains. In conclusion, this study proposes the establishment of the “Asia Maritime Education, Employment, and Welfare Support Center” to support seafarers’ employment and welfare with the cooperation of other countries in the Asian region.

The Most Essential Workers

The Most Essential Workers

Occupational Stress and Its Effect on Health Status Among Karnataka State Road Transport Corporation (KSRTC) Bus Drivers: A Cross-Sectional Study.

Occupational stress is a critical health concern across various professions, often linked to adverse health outcomes and increased risk-taking behaviors. Bus drivers are especially vulnerable due to prolonged shifts, exposure to environmental pollutants, and higher rates of sickness absenteeism. This study aimed to assess the prevalence of occupational stress among Karnataka State Road Transport Corporation (KSRTC) bus drivers and the factors contributed. In addition, it explores the relationship between job-related stress and overall health status, providing insights into the occupational challenges faced by this workforce. A cross-sectional study was conducted over two years from June 1, 2022, to June 30, 2024, at the KSRTC depot in Kolar, serving urban and rural areas. A representative sample of 235 bus drivers was selected from a total of 654 using simple random sampling. Socio-demographic details, including age, gender, education, religion, family type, and per capita income, were collected using a pre-tested semi-structured self-administered questionnaire. Stress levels were assessed using the American Institute of Stress (AIS) questionnaire, a widely used tool for evaluating various stress dimensions. Data were collected through interviews, entered into Excel, and subsequently analyzed using IBM SPSS Statistics for Windows, Version 22 (Released 2013; IBM Corp., Armonk, New York, United States). The study revealed that 65% of KSRTC bus drivers experienced moderate to severe stress. Significant factors associated with occupational stress included urban residency, divorce, chronic alcohol consumption, current tobacco chewing, hypertension, higher BMI, long working hours, and high waist-hip ratio. Binary logistic regression showed urban residents had higher stress odds than rural residents (OR=1.27, p=0.03). Divorced individuals and chronic alcoholics also had higher odds of stress (OR=1.24, p=0.05 and OR=1.33, p=0.04, respectively). Stress was significantly associated with hypertension (OR=1.40, p=0.01), obesity (OR=1.30, p=0.03), morbid obesity (OR=1.47, p=0.01), high-risk waist-hip ratios (OR=1.42, p=0.01), and longer working hours (>12 hours, OR=1.30, p=0.03). Health assessments revealed a high prevalence of hypertension (39%) and obesity (65%). The study highlights a high prevalence of occupational stress among KSRTC bus drivers in Kolar, with 65% experiencing moderate to severe stress. Factors such as urban residency, lifestyle habits, and physiological parameters significantly contribute to stress. These findings underscore the need for targeted health promotion programs and policy changes to enhance the health of essential workers and improve road safety.

Patterns and correlates of traumatic stress, depression, anxiety, and moral injury in U.S. health care providers late in the COVID-19 pandemic.

Providing health care during the COVID-19 pandemic has been associated with a high mental health burden for health care providers. This study examined patterns of responses and correlates of class membership across commonly assessed mental health symptoms, psychosocial functioning, and moral injury for providers in the United States in Fall 2022. A convenience sample of 1,504 primary care physicians, pediatricians, nurse practitioners, and physician assistants who had been in practice for three or more years (Mage = 46.1 years, SDage = 11.3, 58% male) completed self-report measures in an online, opt-in panel survey from September to November 2022. Using latent class analysis, three classes were identified: No/Low Symptoms (64.8%), High Moral Injury (19.9%), and Elevated Symptoms (15.2%). Several factors were correlated with class membership including age, sex, social support, personal risk of COVID-19, pandemic-related work stressors, proportion of COVID-19 patients seen at the height of the pandemic, and death of a patient due to COVID-19. This study found high levels of mental health symptoms, and problems with psychosocial functioning and moral injury in health care providers well past the pandemic's peak. The results also demonstrated the importance of considering the unique contribution of moral injury to psychosocial functional difficulties experienced by health care providers during the pandemic given their defined role as essential workers. These findings have implications for preventing and managing mental health problems and burnout among providers postpandemic as well as for future pandemics at both the organizational and individual levels. (PsycInfo Database Record (c) 2024 APA, all rights reserved).