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McBride, M, Martin, CA, Teece, L, Irizar, P, Batson, M, Lagrata, S, Papineni, P, Nazareth, J, Pan, D, Leary, A, Woolf, K, Pareek, M and the UK-REACH Study Collaborative Group, (2023) Investigating the impact of financial concerns on symptoms of depression in UK healthcare workers: Data from the UK-REACH nationwide cohort study. BJPsych Open, 9 (4). ISSN 2056-4724
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investigating_the_impact_of_financial_concerns_on_symptoms_of_depression_in_uk_healthcare_workers_data_from_the_ukreach_nationwide_cohort_study.pdf - Published Version Available under License Creative Commons Attribution. Download (395kB) | Preview |
Abstract
Background Exploration of the association between financial concerns and depression in UK healthcare workers (HCWs) is paramount given the current 'cost of living crisis', ongoing strike action and recruitment/retention problems in the National Health Service. Aims To assess the impact of financial concerns on the risk of depression in HCWs, how these concerns have changed over time and what factors might predict financial concerns. Method We used longitudinal survey data from a UK-wide cohort of HCWs to determine whether financial concerns at baseline (December 2020 to March 2021) were associated with depression (measured with the Public Health Questionnaire-2) at follow-up (June to October 2022). We used logistic regression to examine the association between financial concerns and depression, and ordinal logistic regression to establish predictors of developing financial concerns. Results A total of 3521 HCWs were included. Those concerned about their financial situation at baseline had higher odds of developing depressive symptoms at follow-up. Financial concerns increased in 43.8% of HCWs and decreased in 9%. Those in nursing, midwifery and other nursing roles had over twice the odds of developing financial concerns compared with those in medical roles. Conclusions Financial concerns are increasing in prevalence and predict the later development of depressive symptoms in UK HCWs. Those in nursing, midwifery and other allied nursing roles may have been disproportionately affected. Our results are concerning given the potential effects on sickness absence and staff retention. Policy makers should act to alleviate financial concerns to reduce the impact this may have on a discontent workforce plagued by understaffing.
| Item Type: | Article |
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| Uncontrolled Keywords: | UK-REACH Study Collaborative Group; Depressive disorders; aetiology; epidemiology; health economics; psychiatric nursing; 4203 Health Services and Systems; 32 Biomedical and Clinical Sciences; 3202 Clinical Sciences; 42 Health Sciences; Mental Illness; Mental Health; Health Services; Behavioral and Social Science; Depression; Brain Disorders; Clinical Research; 2.4 Surveillance and distribution; 3 Good Health and Well Being; 1103 Clinical Sciences; 1117 Public Health and Health Services; 3202 Clinical sciences; 4203 Health services and systems |
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology |
| Divisions: | Psychology (from Sep 2019) |
| Publisher: | Cambridge University Press |
| SWORD Depositor: | A Symplectic |
| Date Deposited: | 18 Feb 2025 16:15 |
| Last Modified: | 18 Feb 2025 16:30 |
| DOI or ID number: | 10.1192/bjo.2023.520 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/25662 |
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