{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:42:23Z","timestamp":1777858943224,"version":"3.51.4"},"reference-count":69,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Health care workers (HCWs) are among the professionals at serious risk for the impact of the COVID-19 pandemic on their mental health. In this sense, the next public health challenge globally will be to preserving healthy HCWs during this pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The present study has the aim of investigating the relationship among concerns, perceived impact, preparedness for the COVID-19 pandemic and the mental health of Italian physicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>From March 29th to April 15th 2020, we conducted an online survey using snowball sampling techniques through Limesurvey platform. Data were analyzed using descriptive statistics and multiple binary logistic regressions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Multivariate analysis showed that the risk factors for perceived job stress were concerns about catching COVID-19 (OR\u2009=\u20093.18 [95% CI\u2009=\u20092.00-5.05] P\u2009&lt;\u2009.001), perceived impact on job demands (OR\u2009=\u20091.63 [95% CI\u2009=\u20091.05-2.52] P\u2009&lt;\u2009.05), perceived impact on job role (OR\u2009=\u20092.50 [95% CI\u2009=\u20091.60-3.90] P\u2009&lt;\u2009.001), and non-working concerns (OR\u2009=\u20091.86 [95% CI\u2009=\u20091.15-3.03] P\u2009&lt;\u2009.05). With respect to the risk factors for rumination about the pandemic emerged concerns about catching COVID-19 (OR 1.74, [95% CI\u2009=\u20091.12-2.71] P\u2009&lt;\u2009.05), perceived impact on job role (OR\u2009=\u20091.68 [95% CI\u2009=\u20091.12-2.52] P\u2009&lt;\u2009.05), and impact on personal life (OR\u2009=\u20092.04 [95% CI\u2009=\u20091.08-3.86] P\u2009&lt;\u2009.05). Finally, the risk factors for crying at work were perceived impact on job role (OR\u2009=\u20092.47, [95% CI\u2009=\u20091.20-5.09] P\u2009&lt;\u2009.05), rumination about the pandemic (OR\u2009=\u20093.027 [95% CI\u2009=\u20091.27-7.19] P\u2009&lt;\u2009.01), watching colleagues crying at work (OR\u2009=\u20093.82 [95% CI\u2009=\u20091.88-7.77] P\u2009&lt;\u2009.01), and perceived job stress (OR\u2009=\u20093.53 [95% CI\u2009=\u20091.24-10.07] P\u2009&lt;\u2009.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In general, our results highlighted that being concerned about being infected\/infecting other people, carrying out new and unusual tasks, and witnessing colleagues crying at work were important risk factors for physicians\u2019 well-being. Additional data are necessary to advance understanding of these risk factors in a long-term perspective.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501327211000245","type":"journal-article","created":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T06:47:51Z","timestamp":1616050071000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Concerns, Perceived Impact, Preparedness in Coronavirus Disease (COVID-19) Pandemic and Health Outcomes among Italian Physicians: A Cross-Sectional Study"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3700-8594","authenticated-orcid":false,"given":"Igor","family":"Portoghese","sequence":"first","affiliation":[{"name":"Universit\u00e0 degli Studi di Cagliari, Monserrato (Ca), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Meloni","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Cagliari, Monserrato (Ca), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maura","family":"Galletta","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Cagliari, Monserrato (Ca), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1656-2273","authenticated-orcid":false,"given":"Ilenia","family":"Piras","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Cagliari, Monserrato (Ca), Italy"},{"name":"University of Sassari, Sassari (SS), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ernesto","family":"D\u2019Aloja","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Cagliari, Monserrato (Ca), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Finco","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Cagliari, Monserrato (Ca), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcello","family":"Campagna","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Cagliari, Monserrato (Ca), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,3,18]]},"reference":[{"key":"bibr1-21501327211000245","unstructured":"World Health Organization. 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