Mental Health

Lifestyle consequences for rescue workers in public health emergencies: a cross-sectional study from china.

TL;DR

Public health emergencies trigger unhealthy lifestyle shifts and significant mental health deterioration among rescue workers, with restrictive environments amplifying these risks.

Key Findings

Smoking behavior increased among rescue workers following the public health emergency outbreak.

  • 13.98% of smokers reported increased smoking post-outbreak
  • Cross-sectional online survey conducted February 23 to March 9, 2020 among rescue workers from a designated unit in China
  • 1,052 valid responses were collected using a retrospective design comparing pre- and post-outbreak periods

Alcohol consumption increased among rescue workers following the public health emergency outbreak.

  • 6.02% of drinkers reported increased alcohol consumption post-outbreak
  • Data collected from 1,052 rescue workers during the early COVID-19 outbreak period
  • Participants self-reported lifestyle behaviors for both pre- and post-outbreak periods

Mobile phone use increased significantly among rescue workers after the outbreak.

  • Median mobile phone use rose from 2 to 3 hours per day post-outbreak
  • This represents a 50% increase in median daily mobile phone use
  • Change was assessed using paired comparisons between pre- and post-outbreak self-reported data

Physical inactivity increased substantially among rescue workers following the outbreak.

  • Inactivity rose from 6.56% to 17.68% post-outbreak
  • This represents approximately a 2.7-fold increase in the proportion of physically inactive rescue workers
  • Physical activity was assessed as part of a broader lifestyle behavior survey comparing pre- and post-outbreak periods

Nocturnal awakenings increased and work hours declined among rescue workers following the outbreak.

  • Sleep quality deteriorated as indicated by increased nocturnal awakenings post-outbreak
  • Work hours also declined post-outbreak
  • These changes were assessed alongside other lifestyle behaviors using retrospective self-report among 1,052 rescue workers

Mild-to-severe anxiety and depression were prevalent among rescue workers during the public health emergency.

  • Mild-to-severe anxiety prevalence was 9.98%
  • Mild-to-severe depression prevalence was 10.17%
  • Mental health was assessed using the PHQ-9 (depression) and GAD-7 (anxiety) scales
  • Sample consisted of 1,052 rescue workers surveyed during the early COVID-19 outbreak in China

Restrictive living environments were identified as a factor amplifying unhealthy lifestyle changes and mental health risks among rescue workers.

  • Statistical analyses included stratification by living status and age group
  • Multivariable regression models were used to identify key modifiable risk factors associated with psychological distress
  • Correlation analysis was conducted among lifestyle behavior variables and mental health outcomes

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Citation

Chen Q, Song Y, Shi Z, Bao Y. (2026). Lifestyle consequences for rescue workers in public health emergencies: a cross-sectional study from china.. Frontiers in public health. https://doi.org/10.3389/fpubh.2026.1758053