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Factors Associated with Insomnia Symptoms in a Longitudinal Study among New York City Healthcare Workers during the COVID-19 Pandemic

Marwah Abdalla, Codruta Chiuzan, Yimeng Shang, Gavin Ko, Franchesca Diaz, Kaitlin Shaw, Cara L. McMurry, Diane E. Cannone, Alexandra M. Sullivan, Sung A. J. Lee, Hadiah K. Venner and Ari Shechter
Additional contact information
Marwah Abdalla: Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA
Codruta Chiuzan: Mailman School of Public Health, Columbia University, New York, NY 10032, USA
Yimeng Shang: Mailman School of Public Health, Columbia University, New York, NY 10032, USA
Gavin Ko: Mailman School of Public Health, Columbia University, New York, NY 10032, USA
Franchesca Diaz: Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA
Kaitlin Shaw: Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA
Cara L. McMurry: Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA
Diane E. Cannone: Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA
Alexandra M. Sullivan: Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA
Sung A. J. Lee: Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA
Hadiah K. Venner: Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA
Ari Shechter: Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA

IJERPH, 2021, vol. 18, issue 17, 1-9

Abstract: Background: Few studies have examined the longer-term psychological impact of COVID-19 in healthcare workers (HCWs). Purpose: We examined the 10-week trajectory of insomnia symptoms in HCWs during the COVID-19 pandemic. Methods: HCWs completed a web-based survey at baseline (9 April–11 May 2020) and every 2 weeks for 10 weeks. The main outcome was the severity of insomnia symptoms in the past week. Multivariable-adjusted generalized estimating equation analyses examined factors associated with insomnia symptoms. Results: n = 230 completed surveys at baseline. n = 155, n = 130, n = 118, n = 95, and n = 89 completed follow-ups at weeks 2, 4, 6, 8, and 10, respectively. Prevalence of insomnia symptoms of at least moderate severity was 72.6% at baseline, and 63.2%, 44.6%, 40.7%, 34.7%, and 39.3% at weeks 2, 4, 6, 8, and 10, respectively. In multivariable analyses, factors significantly associated with increased odds of insomnia symptoms were younger age (OR: 0.98, 95% CI: 0.96–1.00), working in a COVID-facing environment (OR: 1.75, 95% CI: 1.15–2.67) and hours worked (OR: 1.16, 95% CI: 1.06–1.27). Conclusions: The initial high rates of insomnia symptoms improved as time passed from the peak of local COVID-19 cases but four out of ten HCWs still had moderate-to-severe insomnia symptoms ten weeks after baseline.

Keywords: healthcare worker; insomnia; sleep; COVID-19; mental health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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