OBJECTIVE Racial and ethnic disparities in exposure to COVID-19-related stressors, pandemic-related distress, and adverse mental health outcomes were assessed among health care workers in the Bronx, New York, during the first wave of the pandemic. METHODS The authors analyzed survey data from 992 health care workers using adjusted logistic regression models to assess differential prevalence of outcomes by race/ethnicity and their interactions. RESULTS Compared with their White colleagues, Latinx, Black, Asian, and multiracial/other health care workers reported significantly higher exposure to multiple COVID-19-related stressors: redeployment, fear of being sick, lack of autonomy at work, and inadequate access to personal protective equipment. Endorsing a greater number of COVID-19-related stressors was associated with pandemic-related distress in all groups and with adverse mental health outcomes in some groups; it was not related to hazardous alcohol use in any of the groups. These associations were not significantly different between racial and ethnic groups. Latinx health care workers had significantly higher probabilities of pandemic-related distress and posttraumatic stress than White colleagues. Despite greater exposure to COVID-19-related stressors, Black, Asian, and multiracial/other health care workers had the same, if not lower, prevalence of adverse mental health outcomes. Conversely, White health care workers had a higher adjusted prevalence of moderate to severe anxiety compared with Asian colleagues and greater hazardous alcohol use compared with all other groups. CONCLUSIONS Health care workers from racial and ethnic minority groups reported increased exposure to COVID-19-related stressors, suggestive of structural racism in the health care workforce. These results underscore the need for increased support for health care workers and interventions aimed at mitigating disparities in vocational exposure to risk and stress.

中文翻译：

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卫生保健工作者中与 COVID-19 相关的压力源暴露和不良心理健康结果的种族和民族差异。

目的 在第一波大流行期间，对纽约布朗克斯区的卫生保健工作者在接触 COVID-19 相关压力源、大流行相关痛苦和不良心理健康结果方面的种族和民族差异进行了评估。方法 作者使用调整后的逻辑回归模型分析了 992 名医护人员的调查数据，以评估不同种族/民族及其相互作用的结果患病率差异。结果 与白人同事相比，拉丁裔、黑人、亚裔和多种族/其他卫生保健工作者报告称，他们面临的多种与 COVID-19 相关的压力源显着更高：调动、害怕生病、工作缺乏自主权以及缺乏获得医疗服务的机会个人保护设备。支持更多与 COVID-19 相关的压力源与所有群体中与大流行相关的痛苦有关，并且与某些群体中的不良心理健康结果有关；这与任何群体中危险的酒精使用无关。这些关联在种族和族裔群体之间没有显着差异。与白人同事相比，拉丁裔医护人员遭受流行病相关痛苦和创伤后压力的可能性明显更高。尽管更多地接触与 COVID-19 相关的压力源，黑人、亚洲人和多种族/其他医护人员的不良心理健康结果的发生率即使不是更低，也是相同的。相反，与亚洲同事相比，白人医护人员的中度至重度焦虑症调整后患病率更高，与所有其他群体相比，危险酒精使用率更高。结论 来自种族和族裔群体的医护人员报告称，他们接触到的与 COVID-19 相关的压力源有所增加，这表明医护人员中存在结构性种族主义。这些结果强调需要增加对卫生保健工作者的支持和旨在减轻职业风险和压力方面的差异的干预措施。