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  • Title: Post-COVID-19 Epidemic: Allostatic Load among Medical and Nonmedical Workers in China.
    Author: Peng M, Wang L, Xue Q, Yin L, Zhu BH, Wang K, Shangguan FF, Zhang PR, Niu YY, Zhang WR, Zhao WF, Wang H, Lv J, Song HQ, Min BQ, Leng HX, Jia Y, Chang H, Yu ZP, Tian Q, Yang Y, Zhu Z, Li W, Gao XL, Liu XL, Yang M, Wang P, Wei PH, Wang CX, Li JN, Jia LB, Huang XM, Li DN, Xu DJ, Deng YL, Si TM, Dong HQ, Wang YP, Cosci F, Wang HX.
    Journal: Psychother Psychosom; 2021; 90(2):127-136. PubMed ID: 33152729.
    Abstract:
    BACKGROUND: As the fight against the COVID-19 epidemic continues, medical workers may have allostatic load. OBJECTIVE: During the reopening of society, medical and nonmedical workers were compared in terms of allostatic load. METHODS: An online study was performed; 3,590 Chinese subjects were analyzed. Socio-demographic variables, allostatic load, stress, abnormal illness behavior, global well-being, mental status, and social support were assessed. RESULTS: There was no difference in allostatic load in medical workers compared to nonmedical workers (15.8 vs. 17.8%; p = 0.22). Multivariate conditional logistic regression revealed that anxiety (OR = 1.24; 95% CI 1.18-1.31; p < 0.01), depression (OR = 1.23; 95% CI 1.17-1.29; p < 0.01), somatization (OR = 1.20; 95% CI 1.14-1.25; p < 0.01), hostility (OR = 1.24; 95% CI 1.18-1.30; p < 0.01), and abnormal illness behavior (OR = 1.49; 95% CI 1.34-1.66; p < 0.01) were positively associated with allostatic load, while objective support (OR = 0.84; 95% CI 0.78-0.89; p < 0.01), subjective support (OR = 0.84; 95% CI 0.80-0.88; p < 0.01), utilization of support (OR = 0.80; 95% CI 0.72-0.88; p < 0.01), social support (OR = 0.90; 95% CI 0.87-0.93; p < 0.01), and global well-being (OR = 0.30; 95% CI 0.22-0.41; p < 0.01) were negatively associated. CONCLUSIONS: In the post-COVID-19 epidemic time, medical and nonmedical workers had similar allostatic load. Psychological distress and abnormal illness behavior were risk factors for it, while social support could relieve it.
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