One year of COVID-19 in dental health services in Norway: psychological impact, risk perceptions and vaccination status.
Dental public health
Dentistry
Fear of COVID-19
Psychological impact
SARS-CoV-2
Vaccination
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
08 Sep 2023
08 Sep 2023
Historique:
received:
02
07
2022
accepted:
28
08
2023
medline:
11
9
2023
pubmed:
9
9
2023
entrez:
8
9
2023
Statut:
epublish
Résumé
Increased psychological pressure on oral healthcare professionals (OHP) due to COVID-19 has been shown, yet little is known about the long-term psychological impacts. We aimed to study the psychological impact of COVID-19 and associated factors including perceived risk and preparedness and vaccination status among OHP in the first year after the lockdown period in Norway. A structured questionnaire sent electronically to dentists, dental hygienists and dental assistants inquired experiences and perceptions during the second year following the outbreak in Norway. The questionnaire comprised a COVID-19 fear scale and questions about risk perception, preparedness and vaccination status. Exploratory factor analysis (EFA) and Structural Equation Modeling (SEM) were used to assess psychological impact, perception of risk and preparedness according to vaccination status of the respondents. The majority of the 708 respondents were female (92.8%), had ten or more years of work experience (67.1%), and worked in public dental clinics (95.9%). Fears and concerns related to COVID-19 were common, 72.6% feared getting infected and 85.4% feared infecting others. Of the 642 respondents who agreed that their workplaces handled the situation well, 55.6% were fully vaccinated. Three factors were retrieved from EFA: Insecurity, Instability and Infection. SEM showed that females were more concerned with Infection, and respondents with long clinical experience were less likely to express fear about Instability. Fully vaccinated individuals felt more insecure about becoming infected, and those agreeing that their workplaces handled the current situation well were concerned with Insecurity. Despite widespread perception of adequate preparedness and high vaccine coverage, a considerable psychological impact and high levels of fear of COVID-19 were observed among the majority of OHP. Fully vaccinated individuals had a larger psychological burden than not fully vaccinated and those with unknown vaccination status. These findings can inform means and interventions to reduce negative impacts of fear in populations with a high psychological burden.
Sections du résumé
BACKGROUND
BACKGROUND
Increased psychological pressure on oral healthcare professionals (OHP) due to COVID-19 has been shown, yet little is known about the long-term psychological impacts. We aimed to study the psychological impact of COVID-19 and associated factors including perceived risk and preparedness and vaccination status among OHP in the first year after the lockdown period in Norway.
METHODS
METHODS
A structured questionnaire sent electronically to dentists, dental hygienists and dental assistants inquired experiences and perceptions during the second year following the outbreak in Norway. The questionnaire comprised a COVID-19 fear scale and questions about risk perception, preparedness and vaccination status. Exploratory factor analysis (EFA) and Structural Equation Modeling (SEM) were used to assess psychological impact, perception of risk and preparedness according to vaccination status of the respondents.
RESULTS
RESULTS
The majority of the 708 respondents were female (92.8%), had ten or more years of work experience (67.1%), and worked in public dental clinics (95.9%). Fears and concerns related to COVID-19 were common, 72.6% feared getting infected and 85.4% feared infecting others. Of the 642 respondents who agreed that their workplaces handled the situation well, 55.6% were fully vaccinated. Three factors were retrieved from EFA: Insecurity, Instability and Infection. SEM showed that females were more concerned with Infection, and respondents with long clinical experience were less likely to express fear about Instability. Fully vaccinated individuals felt more insecure about becoming infected, and those agreeing that their workplaces handled the current situation well were concerned with Insecurity.
CONCLUSIONS
CONCLUSIONS
Despite widespread perception of adequate preparedness and high vaccine coverage, a considerable psychological impact and high levels of fear of COVID-19 were observed among the majority of OHP. Fully vaccinated individuals had a larger psychological burden than not fully vaccinated and those with unknown vaccination status. These findings can inform means and interventions to reduce negative impacts of fear in populations with a high psychological burden.
Identifiants
pubmed: 37684589
doi: 10.1186/s12913-023-09981-9
pii: 10.1186/s12913-023-09981-9
pmc: PMC10486048
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
972Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
Health Psychol. 2007 Mar;26(2):136-45
pubmed: 17385964
J Clin Nurs. 2022 May;31(9-10):1258-1266
pubmed: 34309114
Syst Rev. 2021 Feb 2;10(1):45
pubmed: 33526078
Ann Surg. 2023 Jan 1;277(1):50-56
pubmed: 33491983
J Educ Health Promot. 2021 Aug 31;10:311
pubmed: 34667811
Int J Environ Res Public Health. 2020 Apr 19;17(8):
pubmed: 32325888
Br J Health Psychol. 2022 Nov;27(4):1354-1381
pubmed: 35642867
J Am Dent Assoc. 2021 Oct;152(10):791-799
pubmed: 34344507
J Consult Clin Psychol. 2005 Apr;73(2):344-9
pubmed: 15796643
Int J Environ Res Public Health. 2020 Apr 22;17(8):
pubmed: 32331401
BMJ Open. 2022 Aug 18;12(8):e060555
pubmed: 35981767
BMC Health Serv Res. 2021 May 3;21(1):420
pubmed: 33941194
Ann Intern Med. 2022 Jan;175(1):W8-W9
pubmed: 34781714
J Affect Disord. 2021 Feb 15;281:91-98
pubmed: 33310451
Neuropsychopharmacol Rep. 2021 Jun;41(2):223-229
pubmed: 33825340
Am J Emerg Med. 2020 Sep;38(9):1727-1731
pubmed: 32738467
Int J Environ Res Public Health. 2021 Oct 01;18(19):
pubmed: 34639673
Braz J Psychiatry. 2020;42(3):232-235
pubmed: 32267343
Int J Behav Med. 2009;16(1):3-6
pubmed: 19127440
Clin Epidemiol Glob Health. 2021 Oct-Dec;12:100899
pubmed: 34746514
J Dent. 2021 Nov;114:103749
pubmed: 34280498
BMC Public Health. 2011 Jul 19;11:575
pubmed: 21771296
Global Health. 2021 Mar 29;17(1):34
pubmed: 33781283
Saf Sci. 2021 Mar;135:105140
pubmed: 36570787
Int Dent J. 2022 Aug;72(4):545-551
pubmed: 34706826
Clin Oral Investig. 2022 May;26(5):3965-3974
pubmed: 35015149
Front Psychol. 2021 Feb 01;12:619145
pubmed: 33597909
Int J Environ Res Public Health. 2021 Jan 22;18(3):
pubmed: 33499422
Br J Health Psychol. 2021 May;26(2):679-696
pubmed: 33763971
Annu Rev Psychol. 2002;53:83-107
pubmed: 11752480
PLoS One. 2021 Aug 24;16(8):e0256663
pubmed: 34428247
BMC Oral Health. 2021 Feb 10;21(1):59
pubmed: 33568128
Vaccine. 2016 Feb 3;34(6):803-8
pubmed: 26740251
Lancet. 2020 Apr 11;395(10231):1194
pubmed: 32246915
Front Public Health. 2021 Jan 12;8:577018
pubmed: 33585379
BMJ Open. 2021 Feb 22;11(2):e044364
pubmed: 33619199
Expert Rev Vaccines. 2021 Jul;20(7):881-889
pubmed: 33900148
Int J Environ Res Public Health. 2020 Aug 12;17(16):
pubmed: 32806769
Euro Surveill. 2021 Oct;26(40):
pubmed: 34622761
PLoS One. 2020 Sep 29;15(9):e0239961
pubmed: 32991611
J Clin Exp Dent. 2022 Jan 01;14(1):e40-e47
pubmed: 35070123
Psychiatr Serv. 2021 Feb 1;72(2):122-128
pubmed: 33267652
BMC Public Health. 2020 Oct 23;20(1):1597
pubmed: 33097011
Front Psychol. 2021 Jul 14;12:669119
pubmed: 34335381
BMJ. 2020 Oct 28;371:m3582
pubmed: 33115726