Risk perception, mental health impacts and coping strategies during COVID-19 pandemic among Filipino healthcare workers

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  • Roy Rillera Marzo
    Department of Community Medicine, International Medical School, Management and Science University, Selangor, Malaysia; Department of Community Medicine, Faculty of Medicine, Asia Metropolitan University, Johor Bahru, Malaysia.
  • Emilio Quilatan Villanueva III
    Department of Pathology, College of Medicine, University of the Philippines, Manila, Philippines.
  • Udita Chandra
    Department of Clinical Research, Meril Life Sciences Pvt.Ltd., Gujrat, India.
  • Mila Nu Nu Htay
    Department of Community Medicine, Melaka-Manipal Medical College, Manipal Academy of Higher Education (MAHE), Melaka, Malaysia.
  • Rajeev Shrestha
    Department of Pharmacy, District Hospital Lamjung, Lamjung, Nepal.
  • Sunil Shrestha
    School of Pharmacy, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, Selangor Darul Ehsan, Malaysia.


Background: COVID-19 pandemic has caused an extraordinary situation, especially for the healthcare workers (HCWs), leading to increased psychological stress. The aim of the study was to estimate the prevalence of different grades of anxiety and depression across different centers in the Philippines and identify demographic factors associated with them.

Design and Method: A cross-sectional, web-based, multi-center study was conducted among HCWs of Philippines from April 20- May 20, 2020. The study instruments used were the Generalized Anxiety Disorder (GAD-7) scale and Patient Health Questionnaire (PHQ-9). Risk perception scores were analyzed using Mann-Whitney and Kruskal-Wallis test. Logistic regression was done to identify factors significantly associated with symptoms of anxiety and depression determined.

Results: A total of 516 HCWs were included in the study. Most of them have anxiety symptoms (70.74%), but only half of them have symptoms of depression (50.97%). In addition, gender, age, marital status, living status, occupation, work premises, and availability of mental health services were significantly associated with the participants’ anxiety symptoms; In contrast, gender, marital status, occupation, and work premises were significantly associated with depression symptoms.

Conclusion: This study reiterates the fact and demonstrates that COVID-19 has disrupted the mental well-being of HCWs in the Philippines. Majority of HCW was psychologically affected by COVID-19. Therefore, there is a dire need to address mental illness amongst HCWs and frame guidelines based on proven algorithms to overcome these mental illnesses.


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