<p>Mental Health Impact of COVID-19 on Quarantine Hotel Employees in China</p>

Abstract

Background: The COVID-19 pandemic has had a far-reaching and unprecedented influence on economies worldwide. It has also impacted on the global population's mental health and caused negative psychosocial effects, which may lead to psychological crises. During the pandemic, the challenges for quarantine hotel employees are not only the increased workloads created by operating a quarantine hotel but also high psychological stress associated with job insecurity, risk of exposure and contagion for themselves, their friends and families. This research attempts to explore COVID-19-related depression, anxiety, and stress among quarantine hotel employees in China. The mental health of quarantine hotel employees, who have faced unprecedented changes, is paramount while they provide hospitality and care for healthcare workers and quarantine guests during mandatory quarantine periods. Methods: This is a cross-sectional study that applied convenience sampling to collect questionnaire samples from 170 quarantine hotel employees in Xiamen, Fujian Province, China, during the COVID-19 pandemic, from May 20 to June 10, 2020. The Depression, Anxiety, and Stress Scale (DASS-21) was used to collect data. The study uses descriptive analysis, chi-square test and binary logistic regression to examine the sociodemographic factors associated with depression, anxiety and stress levels during the COVID-19 pandemic. Results: The results reveal that 43.5% of respondents report moderate to extremely severe symptoms of depression; 68.2% have moderate to extremely severe anxiety symptoms; and 8.2% indicated moderate to extremely severe stress symptoms. Quarantine hotel employees who have a higher level of education are less likely to experience anxiety, and those with higher incomes are less likely to experience depression. Discussion: In order to mitigate the increasing levels of anxiety and depression among their staff, quarantine hoteliers or managers urgently need to implement mental health assistance programs, such as providing extra training in hygiene and knowledge about COVID-19, offering online counseling and psychological support services, training in positive thinking, encouraging staff to keep in touch with their personal support networks, and constructing a resilience model.

The Association Between Fear of Coronavirus Disease 2019, Mental Health, and Turnover Intention Among Quarantine Hotel Employees in China

“…Other fears may stem from concerns regarding work-related changes and retaining employment. Recent research also reveals that COVID-19 influences mental health outcomes such as anger, anxiety, boredom, depression, fear, stigma, stress, and PTSD (6,(25)(26)(27)(28)(29)(30). Globalization and increased access to information have made it easy for concerns related to uncertainty to negatively shift toward fear and anxiety, causing more psychological distress among the general public (24,31).…”

Prevalence of and Factors Associated With Depressive Symptoms Among College Students in Wuhan, China During the Normalization Stage of COVID-19 Prevention and Control

“…In September 2020, when the Chinese fall semester began, all college students returned to Wuhan from different regions of China. Although the pandemic had been almost completely under control in China, sporadic cases or local partial outbreaks remained (32), and confirmed cases continuously entered China from overseas (6,36), which might increase the student's uncertainty about the pandemic. Therefore, preventing pandemic resurgences was also very important, which would also increase the workload of universities, especially concerning college students' mental health conditions.…”

Assessing the Knowledge, Attitudes and Practices of COVID-19 among Quarantine Hotel Workers in China

“…The latter resulted in a demand for designated quarantine hotels, as this is where the majority of incoming residents and visitors will stay. As a result, many governments have expropriated hotels to be used as temporary quarantine accommodation: the ‘quarantine hotel.’ Quarantine hotels are a community-based public health intervention designed to mitigate the spread of COVID-19 within the community [ 6 ]. The use of quarantine hotels to isolate tourists and returning residents for medical observation over a 14-day period is the hotel industry’s contribution to the control of COVID-19 [ 7 ].…”

“…Currently, in China, the COVID-19 epidemic is well-controlled; however, confirmed cases from overseas continue to increase [ 9 ]. During the pandemic, while hosting quarantine guests from overseas, quarantine hotel workers face a much higher risk of infection [ 6 ] as COVID-19′s main route of transmission is through respiratory droplets and direct contact with confirmed cases. Additionally, the quarantine hotel workload includes following an operation guide, complying with high-standard anti-epidemic and disinfection measures, and implementing quarantine services.…”