Urbanization level and neighborhood deprivation, not COVID-19 case numbers by residence area, are associated with severe psychological distress and new-onset suicidal ideation during the COVID-19 pandemic.
Urbanization level and neighborhood deprivation, not COVID-19 case numbers by residence area, are associated with severe psychological distress and new-onset suicidal ideation during the COVID-19 pandemic.
复制标题
DOI：
10.1016/j.jad.2021.03.028
复制
发表时间：
2021-05-15
影响因子：
6.6
通讯作者：
Tabuchi, Takahiro
中科院分区：
文献类型：
--
作者：
Okubo, Ryo;Yoshioka, Takashi;Nakaya, Tomoki;Hanibuchi, Tomoya;Okano, Hiroki;Ikezawa, Satoru;Tsuno, Kanami;Murayama, Hiroshi;Tabuchi, Takahiro
最近的研究表明，在新冠肺炎大流行期间，迫切需要采取行动应对心理健康问题。然而，在大流行期间，生活条件等更大规模的环境因素与精神健康问题之间的联系目前尚不清楚。2020年8月至9月，日本进行了一项全国性的横断面互联网调查，旨在考察城市化水平与居住条件和新冠肺炎案件数量之间的关联。针对潜在的混杂因素，调整了大流行期间严重心理困扰、自杀意念和新发自杀意念的患病率(PR)。在24,819个被分析的受访者中，严重心理困扰的心理健康问题发生率为9.2%，新出现的自杀意念的发生率为3.6%。严重心理困扰的PR与较高的城市化水平显著相关(最高PR=91.30，95%CI=11.08~1.56)。新发自杀意念的PR与较高的城市化水平(最高PR=11.83，95%CI=91.37~2.45)和较大的邻里剥夺(最高PR=61.35，95%CI=11.06~1.72)显著相关。城市化程度越高，邻里剥夺程度越低，严重心理困扰和新发自杀意念的发生率越高(PR分别为1.34[1.15-1.56]和1.57[1.22-2.03])。这些发现表明，新冠肺炎大流行期间严重的心理困扰和新发的自杀意念与较高的城市化水平和更大的邻里剥夺(较低的邻里层面的社会经济地位)有关，而不是按居住地划分的自杀病例数量。这些发现在一定程度上不同于大流行前获得的证据。
Recent studies indicate an urgent need to take action against mental health issues during the COVID-19 pandemic. However, the association between larger-scale environmental factors such as living conditions and mental health problems during the pandemic is currently unknown. A nationwide, cross-sectional internet survey was conducted in Japan between August and September 2020 to examine the association between urbanization level and neighborhood deprivation as living conditions and COVID-19 case numbers by prefecture. Prevalence ratios (PRs) for severe psychological distress, suicidal ideation, and new-onset suicidal ideation during the pandemic were adjusted for potential confounders. Among 24,819 responses analyzed, the prevalence of mental health problems was 9.2% for severe psychological distress and 3.6% for new-onset suicidal ideation. PRs for severe psychological distress were significantly associated with higher urbanization level (highest PR = 1.30, 95% CI = 1.08-1.56). PRs for new-onset suicidal ideation were significantly associated with higher urbanization level (highest PR = 1.83, 95% CI = 1.37-2.45) and greater neighborhood deprivation (highest PR = 1.35, 95% CI = 1.06-1.72). Severe psychological distress and new-onset suicidal ideation were significantly more prevalent when there was higher urbanization plus lower neighborhood deprivation (PR = 1.34 [1.15-1.56], and 1.57 [1.22-2.03], respectively). These findings suggest that it is not the number of COVID-19 cases by residence area but higher urbanization level and greater neighborhood deprivation (lower neighborhood-level socioeconomic status) that are associated with severe psychological distress and new-onset suicidal ideation during the pandemic. These findings differ in part from evidence obtained before the pandemic.
登录
查看更多内容
影响因子：
4.5
作者：
Klijs B;Kibele EU;Ellwardt L;Zuidersma M;Stolk RP;Wittek RP;Mendes de Leon CM;Smidt N
通讯作者：
Smidt N
影响因子：
6.6
作者：
Mamun MA;Sakib N;Gozal D;Bhuiyan AI;Hossain S;Bodrud-Doza M;Al Mamun F;Hosen I;Safiq MB;Abdullah AH;Sarker MA;Rayhan I;Sikder MT;Muhit M;Lin CY;Griffiths MD;Pakpour AH
通讯作者：
Pakpour AH
影响因子：
24.9
作者：
Ivey-Stephenson, Asha Z.;Crosby, Alex E.;Kresnow-Sedacca, Marcie-jo
通讯作者：
Kresnow-Sedacca, Marcie-jo
影响因子：
6.6
作者：
Choi, Jeong-Kyun;Teshome, Tamrat;Smith, John
通讯作者：
Smith, John
影响因子：
4.6
作者：
Helbich, Marco;Plener, Paul L.;Blueml, Victor
通讯作者：
Blueml, Victor