Term of Award

Fall 2022

Degree Name

Doctor of Public Health in Epidemiology (Dr.P.H.)

Document Type and Release Option

Dissertation (open access)

Copyright Statement / License for Reuse

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


Department of Biostatistics, Epidemiology, and Environmental Health Sciences

Committee Chair

Kelly Sullivan

Committee Member 1

Jessica Schwind

Committee Member 2

Andrew Hansen


In 2019, the Emergency Medical System (EMS) employed over 20,000 personnel in the state of Georgia. EMS personnel were often exposed to unsafe working conditions while caring for injured patients, emphasizing that the workplace served as a potential occupational health intervention site. At the time of this study, there was no surveillance for EMS personnel’s employee wellness or any solutions to improve psychosocial wellness in the workplace in Georgia. The purpose of this quantitative, cross-sectional study was to determine the association of current physical and mental health outcomes in Georgia EMS personnel, as it relates to the presence of workplace wellness strategies and work-related stressors. Our study presented the findings of health help-seeking behaviors and coping skills regarding workplace support by geographic area, gender, age, and license level. The online and paper surveys were distributed to EMS personnel across Georgia’s hospital-based, municipal, and private EMS agencies. The sample included 218 participants who consented to participate in the study. For modeling purposes, the completed sample (114 participants) were included within the full analysis (54.2% completion rate). Descriptive statistics, T-test, F-test, linear, and linear regressions were conducted. During COVID-19, participants reported significant exposure to traumatic incidents at work (N=116, 96%), having low social support (scored 2.93 out of 5 points), and increased use of avoidant coping skills (scored 6.2 out of 8 points). Among all participants, sleep at work was less than 1.7 hours less than when sleep at home (t-test=25.75, p-value

Research Data and Supplementary Material


Available for download on Sunday, November 07, 2027