Les travailleurs de la santé (TS) sont confrontés à l’épidémie de coronavirus 2019 (CoViD-19). Par conséquent, des troubles psychologiques ont été signalés. Cependant, la littérature a montré des résultats controversés sur la relation entre le sexe, le personnel de santé de première ligne et les troubles psychologiques. Cette étude a pour but d’étudier la peur du CoViD-19 et la réticence à travailler chez les travailleurs de santé.
Background Health care workers (HCW) are facing the Coronavirus disease 2019 (CoViD-19) epidemic. Consequently, psychological impairments have been reported. However, literature showed controversial results on the relationship between gender, frontline HCW, and psychological impairments. This study aims to investigate CoViD-19 fear and reluctance to work in HCW. Methods Employees who worked between April and October 2020 at the UZ Brussel were included. Data were prospectively collected in 2 phases through a survey together with serological tests. Sampling strategy was convenience sampling. Results About 2,336 employees completed the study and response rate was 70%. The prevalence of severe CoViD-19 fear in participants increased from 9% to 15%. Employees showing way less motivation rose from 9% to 14%. The seroprevalence was 7.4% and 7.9%. Multivariable analysis found a relation between reluctance to work, study phase, female gender, shortage of personal protective equipment, and poor education on CoViD-19. Furthermore, CoViD-19 fear was related to the study phase, older age, female gender, being second-line HCW, reported exposure to CoViD-19 during work, and insufficient education on CoViD-19. Discussion Seroprevalence remained rather stable, but fear and reluctance to work significantly increased. Differences in time of data collection together with epidemiological setting might be responsible for conflicting data reported in literature. Conclusions The evolution of the epidemiological setting might influence the results of studies investigating psychological impairments in HCW.