%0 Journal Article
%T Impact of the COVID pandemic on mental health and training opportunities of Public Health Residents from 4 European countries: A cross-sectional study.
%A Failla G
%A Caminiti M
%A Chen-Xu J
%A Lo Moro G
%A Berselli N
%A Cabral Ferreira M
%A Malcata F
%A Peyre-Costa D
%A Croci R
%A Soldà G
%A Capodici A
%A Morcavallo C
%A Traglia F
%A Cedrone F
%A Storti I
%A Jaquete AA
%A Antinozzi M
%A Vasiliu A
%J Front Public Health
%V 11
%N 0
%D 2023
%M 36960373
%F 6.461
%R 10.3389/fpubh.2023.1044171
%X There is little evidence on the impact of the COVID-19 pandemic on Public Health Residents' (PHR) mental health (MH). This study aims at assessing prevalence and risk factors for depression, anxiety and stress in European PHR during the COVID-19 pandemic.<BR>Between March and April 2021, an online survey was administered to PHR from France, Italy, Portugal and Spain. The survey assessed COVID-19 related changes in working conditions, training opportunities and evaluated MH outcomes using the Depression Anxiety Stress Scales-21. Multivariable logistic regressions were applied to identify risk factors.<BR>Among the 443 respondents, many showed symptoms of depression (60.5%), anxiety (43.1%) and stress (61.2%). The main outcome predictors were: female gender for depression (adjOR = 1.59, 95%CI [1.05-2.42]), anxiety (adjOR = 2.03, 95%CI [1.33-3.08]), and stress (adjOR = 2.35, 95%CI [1.53-3.61]); loss of research opportunities for anxiety (adjOR = 1.94, 95%CI [1.28-2.93]) and stress (adjOR = 1.98, 95%CI [1.26-3.11]); and COVID-19 impact on training (adjOR = 1.78, 95%CI [1.12-2.80]) for depression.<BR>The pandemic had a significant impact on PHR in terms of depression, anxiety and stress, especially for women and who lost work-related opportunities. Training programs should offer PHR appropriate MH support and training opportunities.