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Table 5 Factors related to deterioration to high depression levels among study participants

From: Assessing the mental effects of COVID-19-related work on depression among community health workers in Vietnam

Intercepts

n (%)a

Univariate associations

Base model*

Model 1**

Model 2***

Model 3****

Odds ratio

95% CI

p-value

Odds ratio

95% CI

p-value†

Odds ratio

95% CI

p-value†

Odds ratio

95% CI

p-value†

Odds ratio

95% CI

p-value†

Sociodemographic

 Age [median, IQR]

35 (31, 42)

0.97

0.94–0.99

0.038

0.98

0.93–1.03

0.465

0.97

0.92–1.03

0.324

0.99

0.93–1.05

0.638

0.98

0.93–1.05

0.612

 Sex

      

0.940

  

0.986

  

0.726

  

0.682

  Male

35 (49.3)

Ref.

  

Ref.

  

Ref.

  

Ref.

  

Ref.

  

  Female

36 (50.7)

0.95

0.58–1.53

0.822

1.02

0.62–1.69

 

1.00

0.59–1.71

 

1.11

0.62–1.98

 

1.13

0.62–2.07

 

 Marital status

      

0.902

  

0.923

  

0.795

  

0.710

  Single and divorced

10 (14.1)

Ref.

  

Ref.

  

Ref.

  

Ref.

  

Ref.

  

  Married

61 (85.9)

0.70

0.35–1.42

0.328

0.95

0.43–2.11

 

0.96

0.42–2.19

 

1.13

0.45–2.80

 

1.19

0.47–3.02

 

 Living with children or elderly

      

0.316

  

0.430

  

0.542

  

0.633

  No

19 (26.8)

Ref.

  

Ref.

  

Ref.

  

Ref.

  

Ref.

  

  Yes

52 (73.2)

1.45

0.84–2.50

0.177

1.35

0.74–2.45

 

1.27

0.69–2.34

 

1.23

0.63–2.42

 

1.18

0.59–2.35

 

 Years of job experiences

      

0.273

  

0.231

  

0.314

  

0.270

  < 5 y

19 (26.8)

Ref.

  

Ref.

  

Ref.

  

Ref.

  

Ref.

  

  5–14 y

32 (45.1)

0.53

0.29–0.96

0.035

0.57

0.29–1.12

 

0.54

0.27–1.08

 

0.56

0.25–1.23

 

0.51

0.23–1.16

 

  15 y + 

20 (28.2)

0.44

0.23–0.86

0.015

0.63

0.22–1.82

 

0.60

0.20–1.77

 

0.42

0.12–1.49

 

0.41

0.11–1.54

 

 Social economic status

      

0.021

  

0.023

  

0.732

  

0.770

  Upper and middle

36 (50.7)

Ref.

  

Ref.

  

Ref.

  

Ref.

  

Ref.

  

  Lower

35 (49.3)

2.02

1.24–3.28

0.005

1.82

1.10–3.02

 

1.82

1.09–3.05

 

1.11

0.6–2.05

 

1.10

0.59–2.04

 

Health condition

 Long-term health problems

      

0.575

  

0.717

  

0.722

  

0.787

  No

59 (83.1)

Ref.

  

Ref.

  

Ref.

  

Ref.

  

Ref.

  

  Yes

12 (16.9)

1.15

0.60–2.20

0.663

1.23

0.60–2.50

 

1.14

0.56–2.36

 

1.16

0.52–2.55

 

1.12

0.50–2.52

 

 Mental health disorders

      

–

  

–

  

–

  

–

  No

65 (92.9)

Ref.

  

Ref.

  

Ref.

  

Ref.

  

Ref.

  

  Yes

5 (7.1)

2.42

0.90–6.47

0.079

2.11

0.77–5.78

 

2.26

0.8–6.39

 

1.65

0.52–5.26

 

1.85

0.56–6.13

 

Intensity of direct exposure to SARS-CoV-2

 Contact tracing

         

0.346

     

0.826

  Lower

15 (21.1)

Ref.

     

Ref.

     

Ref.

  

  Middle

12 (16.9)

1.14

0.52–2.49

0.739

   

0.91

0.37–2.22

    

0.75

0.26–2.11

 

  Higher

44 (62.0)

1.86

1.02–3.41

0.045

   

1.5

0.75–3.01

    

0.97

0.43–2.16

 

 Organizing isolation

         

0.478

     

0.805

  Lower

21 (29.6)

Ref.

     

Ref.

     

Ref.

  

  Middle

17 (23.9)

1.57

0.81–3.04

0.185

   

1.45

0.69–3.07

    

0.83

0.35–1.97

 

  Higher

33 (46.5)

1.81

1.03–3.20

0.039

   

1.46

0.73–2.9

    

1.11

0.50–2.44

 

 Screening and testing

         

0.967

     

0.888

  Lower

15 (21.1)

Ref.

     

Ref.

     

Ref.

  

   Middle

14 (19.7)

1.22

0.57–2.59

0.609

   

1.11

0.48–2.58

    

0.82

0.31–2.16

 

  Higher

42 (59.2)

1.39

0.75–2.55

0.291

   

1.08

0.52–2.25

    

0.83

0.36–1.92

 

 Other exposure activities

         

0.407

     

0.362

  Lower

29 (40.8)

Ref.

     

Ref.

     

Ref.

  

  Middle

18 (25.4)

1.60

0.87–2.96

0.133

   

1.60

0.81–3.15

    

1.62

0.72–3.65

 

  Higher

24 (33.8)

1.28

0.73–2.24

0.392

   

1.16

0.63–2.14

    

0.89

0.43–1.84

 

 Distribution of confirmed cases in provinces

         

0.134

     

0.838

  No case

47 (66.2)

Ref.

     

Ref.

     

Ref.

  

  Low number of cases

15 (21.1)

1.79

0.97–3.30

0.062

   

1.83

0.95–3.52

    

1.13

0.54–2.37

 

  High number of cases

9 (12.7)

1.51

0.72–3.20

0.276

   

1.68

0.75–3.76

    

0.82

0.33–2.04

 

Sleep condition

 Hours of sleep per day

            

0.016

  

0.021

  7 + hours

9 (12.7)

Ref.

        

Ref.

  

Ref.

  

  Less than 7 h

62 (87.3)

7.23

3.55–14.72

 < 0.001

      

2.55

1.14–5.69

 

2.51

1.11–5.69

 

 Quality of sleep

            

0.044

  

0.042

  Good

10 (14.1)

Ref.

        

Ref.

  

Ref.

  

  Normal

34 (47.9)

7.40

3.60–15.20

 < 0.001

      

2.36

1.03–5.40

 

2.45

1.05–5.69

 

  Not good

27 (38.0)

16.41

7.69–35.02

 < 0.001

      

3.09

1.21–7.92

 

3.17

1.21–8.29

 

Work condition

 Working hours

            

0.879

  

0.890

  < 8 h

6 (8.5)

Ref.

        

Ref.

  

Ref.

  

  8–9 h

14 (19.7)

1.70

0.64–4.49

0.284

      

1.02

0.33–3.12

 

1.06

0.34–3.32

 

  9 + hours

51 (71.8)

5.63

2.38–13.34

 < 0.001

      

1.21

0.41–3.52

 

1.23

0.41–3.68

 

 Work overtime in workdays

            

0.426

  

0.476

  No

4 (5.6)

Ref.

        

Ref.

  

Ref.

  

  Yes

67 (94.4)

2.48

0.89–6.92

0.083

      

0.53

0.12–2.40

 

0.57

0.12–2.60

 

 Work on weekends

            

0.293

  

0.288

  No

1 (1.4)

Ref.

        

Ref.

  

Ref.

  

  Yes

70 (98.6)

9.55

1.31–69.44

0.026

      

3.50

0.28–42.88

 

3.53

0.29–43.18

 

 Working in two places + 

            

0.050

  

0.044

  No

53 (74.6)

Ref.

        

Ref.

  

Ref.

  

  Yes

18 (25.4)

2.15

1.22–3.79

0.008

      

1.92

1.01–3.74

 

2.05

1.04–4.03

 

 Work intensity

            

 < 0.001

  

 < 0.001

  Not intense

3 (4.2)

Ref.

        

Ref.

  

Ref.

  

  Normal

24 (33.8)

4.28

1.28–14.35

0.018

      

1.36

0.36–5.19

 

1.36

0.35–5.29

 

  Intense

44 (62.0)

27.58

8.41–90.39

 < 0.001

      

5.40

1.37–21.29

 

5.24

1.28–21.52

 

 Work security

            

0.707

  

0.704

  Secure

16 (22.5)

Ref.

        

Ref.

  

Ref.

  

  Normal

31 (43.7)

1.64

0.88–3.06

0.116

      

0.73

0.35–1.53

 

0.73

0.34–1.54

 

  Insecure

24 (33.8)

3.42

1.77–6.63

 < 0.001

      

0.78

0.33–1.86

 

0.78

0.32–1.87

 

 Working environment satisfaction

            

0.635

  

0.637

  Satisfied

10 (14.1)

Ref.

        

Ref.

  

Ref.

  

  Normal

45 (63.4)

3.62

1.80–7.27

 < 0.001

      

1.43

0.62–3.32

 

1.45

0.62–3.38

 

  Dissatisfied

16 (22.5)

9.40

4.09–21.63

 < 0.001

      

1.65

0.54–5.04

 

1.65

0.53–5.12

 

 Relationship with co-workers

            

0.014

  

0.014

  Good

13 (18.3)

Ref.

        

Ref.

  

Ref.

  

  Normal

26 (36.6)

0.90

0.45–1.79

0.767

      

1.23

0.56–2.72

 

1.15

0.51–2.58

 

  Not good

32 (45.1)

3.01

1.54–5.90

0.001

      

2.82

1.23–6.45

 

2.77

1.19–6.42

 

 Appreciation/reward system satisfaction

            

0.146

  

0.151

  Satisfied

5 (7.0)

Ref.

        

Ref.

  

Ref.

  

  Normal

34 (47.9)

3.71

1.43–9.60

0.007

      

2.59

0.86–7.74

 

2.61

0.85–8.01

 

  Dissatisfied

32 (45.1)

6.86

2.63–17.90

 < 0.001

      

2.87

0.91–9.04

 

2.91

0.91–9.37

 

 Feeling more overloaded during COVID-19

            

0.029

  

0.044

  No

22 (31.0)

Ref.

        

Ref.

  

Ref.

  

  Yes

49 (69.0)

3.36

2.00–5.65

< 0.001

      

1.95

1.06–3.58

 

1.88

1.01–3.51

 
  1. *Base model: socio-demographic + pre-existing health condition
  2. **Model 1: base model + direct exposure ***Model 2: base model + sleep/work condition ****Model 3: base model + direct exposure + sleep/work condition
  3. †p-value from likelihood-ratio test
  4. aFrequency and percentage of CHWs’ groups of deterioration to high depression levels