{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T03:08:13Z","timestamp":1788923293516,"version":"build-2803163510"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,8]]},"DOI":"10.7759\/cureus.115973","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T02:45:12Z","timestamp":1788921912000},"source":"Crossref","is-referenced-by-count":0,"title":["Prevalence of Stress and Perceived Contributing Factors Among Healthcare Workers at a District Health Center in Vietnam: A Mixed-Methods Study"],"prefix":"10.7759","author":[{"given":"Oanh","family":"Luu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuan","family":"Phan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyet","family":"Ha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thuy","family":"Hua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.930812","article-title":"Use of the Depression, Anxiety and Stress Scale (DASS-21) questionnaire to assess levels of depression, anxiety, and stress in healthcare and administrative staff in 5 oncology institutions in Bosnia and Herzegovina during the 2020 COVID-19 pandemic","volume":"27","author":"Marijanovi\u0107 I","year":"2021","unstructured":"Marijanovi\u0107 I, Kraljevi\u0107 M, Buhovac T, et al.. Use of the Depression, Anxiety and Stress Scale (DASS-21) questionnaire to assess levels of depression, anxiety, and stress in healthcare and administrative staff in 5 oncology institutions in Bosnia and Herzegovina during the 2020 COVID-19 pandemic. Med Sci Monit. 2021, 27:e930812. 10.12659\/MSM.930812","journal-title":"Med Sci Monit"},{"key":"ref2","unstructured":"Who updates fact sheet on mental health at work (28 September 2022). (2022). Accessed. May 6, 2026: https:\/\/communitymedicine4asses.wordpress.com\/2022\/10\/01\/who-updates-fact-sheet-on-mental-health-at-work-28-september...."},{"key":"ref3","unstructured":"Mental health at work. (2024). Accessed. May 6, 2026: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/mental-health-at-work."},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S475482","article-title":"Emotional responses of hospital staff to the Dass-21 survey during mass COVID-19 testing after the relaxation of prevention and control measures in Zhejiang, China, and their change trajectory","volume":"17","author":"Lu L","year":"2024","unstructured":"Lu L, Sheng D, Xia X, Chen G, Liang J, Shen X, Zheng G. Emotional responses of hospital staff to the Dass-21 survey during mass COVID-19 testing after the relaxation of prevention and control measures in Zhejiang, China, and their change trajectory. Risk Manag Healthc Policy. 2024, 17:2467-82. 10.2147\/RMHP.S475482","journal-title":"Risk Manag Healthc Policy"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.56294\/saludcyt20241112","article-title":"The factors influencing the depression, anxiety, and stress of grassroots healthcare workers in the context of the COVID-19 pandemic in the Vietnamese Mekong Delta: a cross-sectional study in An Giang Province","volume":"4","author":"Hanh LTH","year":"2024","unstructured":"Hanh LTH, Huyen TT, Gioi LXLX, Cong LM. The factors influencing the depression, anxiety, and stress of grassroots healthcare workers in the context of the COVID-19 pandemic in the Vietnamese Mekong Delta: a cross-sectional study in An Giang Province. Salud Cienc Tecnol. 2024, 4:1112. 10.56294\/saludcyt20241112","journal-title":"Salud Cienc Tecnol"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.25122\/jml-2024-0275","article-title":"Anxiety and stress among Vietnamese health workers during the emergence of the SARS-CoV-2 Omicron variant: a cross-sectional study","volume":"17","author":"Hoat NV","year":"2024","unstructured":"Hoat NV, Lien HQ, Duc TQ, Luu NB, Minh HV. Anxiety and stress among Vietnamese health workers during the emergence of the SARS-CoV-2 Omicron variant: a cross-sectional study. J Med Life. 2024, 17:940-7. 10.25122\/jml-2024-0275","journal-title":"J Med Life"},{"key":"ref7","unstructured":"Open Knowledge Repository. (2026). Accessed. May 6, 2026: https:\/\/openknowledge.worldbank.org\/entities\/publication\/4a880113-cec6-5849-95bf-d3e39fae8d3b.."},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.40414","article-title":"Vietnam\u2019s evolving healthcare system: notable successes and significant challenges","volume":"15","author":"Quan NK","year":"2023","unstructured":"Quan NK, Taylor-Robinson AW. Vietnam\u2019s evolving healthcare system: notable successes and significant challenges. Cureus. 2023, 15:e40414. 10.7759\/cureus.40414","journal-title":"Cureus"},{"key":"ref9","unstructured":"Viet Nam. a primary health care case study in the context of the COVID-19 pandemic. (2023). Accessed: May 6, 2026: https:\/\/reliefweb.int\/report\/viet-nam\/viet-nam-primary-health-care-case-study-context-covid-19-pandemic."},{"key":"ref10","unstructured":"New directive consolidates grassroots healthcare operations. (2023). Accessed. May 6, 2026: https:\/\/en.vietnamplus.vn\/new-directive-consolidates-grassroots-healthcare-operations-post271731.vnp."},{"key":"ref11","unstructured":"Grassroots healthcare. elevating standards in new context. (2025). Accessed: May 6, 2026: https:\/\/en.nhandan.vn\/grassroots-healthcare-elevating-standards-in-new-context-post151612.html."},{"key":"ref12","unstructured":"Pham DASS21 Vietnamese translation. (2026). Accessed. May 6, 2026: https:\/\/www2.psy.unsw.edu.au\/dass\/Vietnamese\/Pham.htm."},{"key":"ref13","article-title":"Manual for the Depression Anxiety Stress Scales","author":"Lovibond SH","year":"1996","unstructured":"Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. Psychology Foundation of Australia, Sydney, Australia; 1996."},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0347196","article-title":"Prevalence of depression, anxiety and stress and associated workplace stressors among healthcare workers in a tertiary hospital in Vietnam: a cross-sectional study","volume":"21","author":"Nguyen HP","year":"2026","unstructured":"Nguyen HP, Nguyen TT, Nguyen NQ, Van Bui T, Le HA, Hoang VT, Nguyen TL. Prevalence of depression, anxiety and stress and associated workplace stressors among healthcare workers in a tertiary hospital in Vietnam: a cross-sectional study. PLoS One. 2026, 21:e0347196. 10.1371\/journal.pone.0347196","journal-title":"PLoS One"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/6475605","article-title":"Stress is associated with quality of life reduction among health professionals in Vietnam: a multisite survey","author":"Hanh LTK","year":"2023","unstructured":"Hanh LTK, Van Toan N, Hai VM. Stress is associated with quality of life reduction among health professionals in Vietnam: a multisite survey. Ment Illn. 2023, 6475605. 10.1155\/2023\/6475605","journal-title":"Ment Illn"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1231326","article-title":"Depression, anxiety and stress among healthcare workers in the context of the COVID-19 pandemic: a cross-sectional study in a tertiary hospital in Northern Vietnam","volume":"11","author":"Thu Pham H","year":"2023","unstructured":"Thu Pham H, Viet Cao T, Bich Le N, et al.. Depression, anxiety and stress among healthcare workers in the context of the COVID-19 pandemic: a cross-sectional study in a tertiary hospital in Northern Vietnam. Front Public Health. 2023, 11:1231326. 10.3389\/fpubh.2023.1231326","journal-title":"Front Public Health"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1186\/s12991-023-00470-1","article-title":"Stress, depression, anxiety, and quality of life among the healthcare workers during COVID-19 pandemic in Syria: a multi-center study","volume":"22","author":"Al Houri HN","year":"2023","unstructured":"Al Houri HN, Alhouri A, Arrouk DM, et al.. Stress, depression, anxiety, and quality of life among the healthcare workers during COVID-19 pandemic in Syria: a multi-center study. Ann Gen Psychiatry. 2023, 22:41. 10.1186\/s12991-023-00470-1","journal-title":"Ann Gen Psychiatry"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph181910142","article-title":"The Depression Anxiety Stress Scale 21: development and validation of the Depression Anxiety Stress Scale 8-item in psychiatric patients and the general public for easier mental health measurement in a post COVID-19 world","volume":"18","author":"Ali AM","year":"2021","unstructured":"Ali AM, Alkhamees AA, Hori H, Kim Y, Kunugi H. The Depression Anxiety Stress Scale 21: development and validation of the Depression Anxiety Stress Scale 8-item in psychiatric patients and the general public for easier mental health measurement in a post COVID-19 world. Int J Environ Res Public Health. 2021, 18:10142. 10.3390\/ijerph181910142","journal-title":"Int J Environ Res Public Health"},{"key":"ref19","unstructured":"The DASS-21 scoring template and interpretation. (2026). Accessed. May 10, 2026: https:\/\/comorbidityguidelines.org.au\/appendix-k-depression-anxiety-stress-scale-dass-21."},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.130447.1","article-title":"Validation of Depression, Anxiety and Stress Scale (DASS-21) among healthcare workers during the outbreak of delta variant of SARS-CoV-2 in Ghana","volume":"12","author":"Marfoh K","year":"2023","unstructured":"Marfoh K, Samba A, Okyere E, Kushigbor P, Acheampong F. Validation of Depression, Anxiety and Stress Scale (DASS-21) among healthcare workers during the outbreak of delta variant of SARS-CoV-2 in Ghana. F1000Research. 2023,  12:229. 10.12688\/f1000research.130447.1","journal-title":"F1000Research"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-47577-9","article-title":"Multicenter observational survey on psychosocial and behavioral impacts of COVID-19 in people living with HIV in Northern Vietnam","volume":"13","author":"Matsumoto S","year":"2023","unstructured":"Matsumoto S, Nagai M, Tran LK, et al.. Multicenter observational survey on psychosocial and behavioral impacts of COVID-19 in people living with HIV in Northern Vietnam. Sci Rep. 2023, 13:20321. 10.1038\/s41598-023-47577-9","journal-title":"Sci Rep"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.5001\/omj.2023.111","article-title":"Impact of COVID-19 on mental health among healthcare workers in India: a mixed-methods systematic review","volume":"38","author":"Mathias EG","year":"2023","unstructured":"Mathias EG, Anupama DS, Phagdol T, et al.. Impact of COVID-19 on mental health among healthcare workers in India: a mixed-methods systematic review. Oman Med J. 2023, 38:e544. 10.5001\/omj.2023.111","journal-title":"Oman Med J"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/496439-prevalence-of-stress-and-perceived-contributing-factors-among-healthcare-workers-at-a-district-health-center-in-vietnam-a-mixed-methods-study","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T02:45:16Z","timestamp":1788921916000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/496439-prevalence-of-stress-and-perceived-contributing-factors-among-healthcare-workers-at-a-district-health-center-in-vietnam-a-mixed-methods-study"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,8]]},"references-count":22,"URL":"https:\/\/doi.org\/10.7759\/cureus.115973","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9,8]]}}}