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

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  • 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
    Mailman School of Public Health, Columbia University, 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)

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.

Suggested Citation

  • 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 & Ari Shech, 2021. "Factors Associated with Insomnia Symptoms in a Longitudinal Study among New York City Healthcare Workers during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(17), pages 1-9, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:8970-:d:622100
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    References listed on IDEAS

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    1. Kavita Batra & Tejinder Pal Singh & Manoj Sharma & Ravi Batra & Nena Schvaneveldt, 2020. "Investigating the Psychological Impact of COVID-19 among Healthcare Workers: A Meta-Analysis," IJERPH, MDPI, vol. 17(23), pages 1-33, December.
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