The prevalence and correlates of depression before and after the COVID-19 pandemic declaration among urban refugee adolescents and youth in informal settlements in Kampala, Uganda: A longitudinal cohort study.
The prevalence and correlates of depression before and after the COVID-19 pandemic declaration among urban refugee adolescents and youth in informal settlements in Kampala, Uganda: A longitudinal cohort study.
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DOI：
10.1016/j.annepidem.2021.11.005
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发表时间：
2022-03
影响因子：
5.6
通讯作者：
Mbuagbaw L
中科院分区：
文献类型：
--
作者：
Logie CH;Berry I;Okumu M;Loutet M;McNamee C;Hakiza R;Musoke DK;Mwima S;Kyambadde P;Mbuagbaw L
很少有研究探讨城市难民青年的心理健康结果，包括新冠肺炎大流行的潜在影响。我们在乌干达坎帕拉的城市难民青年中研究了2019冠状病毒病大流行宣布前后抑郁症的患病率和生态社会风险因素。收集了世卫组织COVID-19大流行宣布之前（2020年2月）和之后（2020年12月）期间16-24岁难民青年队列（n = 367）的数据。我们开发了粗略的和调整后的广义估计方程logistic回归模型，以检查与抑郁症相关的人口和生态社会因素（食品不安全，社会支持，亲密伴侣暴力），并包括时间-生态社会相互作用，以检查是否协会在大流行宣布之前和之后有所不同。抑郁症的患病率很高，但在宣布大流行之前（27.5%）和之后（28.9%）没有显著差异（P = 0.583）。在调整后的模型中，食物不安全（aOR：2.54; 95%CI：1.21-5.33）和经历暴力（aOR：2.53; 95%CI：1.07-5.96）与抑郁增加相关，社会支持与抑郁减少相关（aOR：0.85; 95%CI：0.81-0.89）。这些发现凸显了迫切需要采取干预措施来解决坎帕拉城市难民青年中的慢性抑郁症、粮食不安全以及暴力暴露的持续影响。
There is scant research examining urban refugee youth mental health outcomes, including potential impacts of the COVID-19 pandemic. We examine prevalence and ecosocial risk factors of depression in the periods before and after the COVID-19 pandemic declaration among urban refugee youth in Kampala, Uganda. Data from a cohort of refugee youth (n = 367) aged 16–24 years were collected in periods before (February 2020) and after (December 2020) the WHO COVID-19 pandemic declaration. We developed crude and adjusted generalized estimating equation logistic regression models to examine demographic and ecosocial factors (food insecurity, social support, intimate partner violence) associated with depression, and include time-ecosocial interactions to examine if associations differed before and after the pandemic declaration. The prevalence of depression was high, but there was no significant difference before (27.5%), and after (28.9%) the pandemic declaration (P = .583). In adjusted models, food insecurity (aOR: 2.54; 95% CI: 1.21–5.33) and experiencing violence (aOR: 2.53; 95% CI: 1.07–5.96) were associated with increased depression, and social support was associated with decreased depression (aOR: 0.85; 95% CI: 0.81–0.89). These findings highlight the urgent need for interventions to address chronic depression, food insecurity, and ongoing effects of violence exposure among urban refugee youth in Kampala.
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影响因子：
6
作者：
Logie CH;Okumu M;Kibuuka Musoke D;Hakiza R;Mwima S;Kyambadde P;Abela H;Gittings L;Musinguzi J;Mbuagbaw L;Baral S
通讯作者：
Baral S
影响因子：
3.3
作者：
Gibbs, Andrew;Govender, Kaymarlin;Jewkes, Rachel
通讯作者：
Jewkes, Rachel
影响因子：
7.6
作者：
Hatcher, Abigail M.;Gibbs, Andrew;Christofides, Nicola
通讯作者：
Christofides, Nicola
DOI：
10.1080/09540121.2013.764385
发表时间：
2013-10-01
影响因子：
1.7
作者：
Akena, Dickens;Joska, John;Stein, Dan J.
通讯作者：
Stein, Dan J.
影响因子：
6.9
作者：
Mackin, D. M.;Perlman, G.;Klein, D. N.
通讯作者：
Klein, D. N.