{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T18:47:29Z","timestamp":1790707649373,"version":"4.1.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T00:00:00Z","timestamp":1600646400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To examine the relationship between perceived adequacy of personal protective equipment (PPE) and workplace-based infection control procedures (ICP) and mental health symptoms among a sample of health-care workers in Canada within the context of the current COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A convenience-based internet survey of health-care workers in Canada was facilitated through various labor organizations between April 7 and May 13, 2020. A total of 7,298 respondents started the survey, of which 5,988 reported information on the main exposures and outcomes. Anxiety symptoms were assessed using the Generalized Anxiety Disorder (GAD-2) screener, and depression symptoms using the Patient Health Questionnaire (PHQ-2) screener. We assessed the perceived need and adequacy of 8 types of PPE and 10 different ICP. Regression analyses examined the proportion of GAD-2 and PHQ-2 scores of 3 and higher across levels of PPE and ICP, adjusted for a range of demographic, occupation, workplace, and COVID-19-specific measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 54.8% (95% confidence interval [CI], 53.5% to 56.1%) of the sample had GAD-2 scores of 3 and higher, and 42.3% (95% CI, 41.0% to 43.6%) of the sample had PHQ-2 scores of 3 and higher. Absolute differences of 18% (95% CI, 12% to 23%) and 17% (95% CI, 12% to 22%) were observed in the prevalence of GAD-2 scores of 3 and higher between workers whose perceived PPE needs and ICP needs were met compared to those who needs were not met. Differences of between 11% (95% CI, 6% to 17%) and 19% (95% CI, 14% to 24%) were observed in PHQ-2 scores of 3 and higher across these same PPE and ICP categories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our results suggest strengthening employer-based infection control strategies likely has important implications for the mental health symptoms among health-care workers in Canada.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0706743720961729","type":"journal-article","created":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T02:00:46Z","timestamp":1600740046000},"page":"17-24","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":58,"title":["The Association between the Perceived Adequacy of Workplace Infection Control Procedures and Personal Protective Equipment with Mental Health Symptoms: A Cross-sectional Survey of Canadian Health-care Workers during the COVID-19 Pandemic: L\u2019association entre le caract\u00e8re ad\u00e9quat per\u00e7u des proc\u00e9dures de contr\u00f4le des infections au travail et de l\u2019\u00e9quipement de protection personnel pour les sympt\u00f4mes de sant\u00e9 mentale. Un sondage transversal des travailleurs de la sant\u00e9 canadiens durant la pand\u00e9mie COVID-19"],"prefix":"10.1177","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8286-4563","authenticated-orcid":false,"given":"Peter M.","family":"Smith","sequence":"first","affiliation":[{"name":"Institute for Work & Health, Toronto, Ontario, Canada"},{"name":"Dalla Lana School of Public Health, University of Toronto, Ontario, Canada"},{"name":"Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Oudyk","sequence":"additional","affiliation":[{"name":"Occupational Health Clinics for Ontario Workers, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy","family":"Potter","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron","family":"Mustard","sequence":"additional","affiliation":[{"name":"Institute for Work & Health, Toronto, Ontario, Canada"},{"name":"Dalla Lana School of Public Health, University of Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,9,21]]},"reference":[{"key":"bibr1-0706743720961729","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2020-106567"},{"key":"bibr2-0706743720961729","doi-asserted-by":"publisher","DOI":"10.1179\/oeh.2004.10.4.421"},{"key":"bibr3-0706743720961729","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2004.06.005"},{"key":"bibr4-0706743720961729","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.1031077"},{"key":"bibr5-0706743720961729","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m1642"},{"key":"bibr6-0706743720961729","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2015.06.004"},{"key":"bibr7-0706743720961729","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssci.2016.12.021"},{"key":"bibr8-0706743720961729","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30460-8"},{"key":"bibr9-0706743720961729","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(01)00109-5"},{"key":"bibr10-0706743720961729","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2020.03.011"},{"key":"bibr11-0706743720961729","volume-title":"Labour 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