Prevalence and risk factors of depression symptoms among rural and urban populations affected by Ebola virus disease in the Democratic Republic of the Congo: a representative cross-sectional study.
Prevalence and risk factors of depression symptoms among rural and urban populations affected by Ebola virus disease in the Democratic Republic of the Congo: a representative cross-sectional study.
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DOI：
10.1136/bmjopen-2021-053375
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发表时间：
2022-01-11
期刊：
影响因子：
2.9
通讯作者：
Guerrier M
中科院分区：
文献类型：
--
作者：
Cénat JM;Noorishad PG;Dalexis RD;Rousseau C;Derivois D;Kokou-Kpolou CK;Bukaka J;Balayulu-Makila O;Guerrier M
与埃博拉病毒病 (EVD) 相关的高死亡率、焦虑和痛苦是受影响社区情绪障碍的危险因素。本研究旨在记录埃博拉病毒病患者代表性样本中与抑郁症状相关的患病率和危险因素。横断面研究。本研究是在刚果民主共和国（刚果民主共和国）赤道省第九次埃博拉病毒病疫情结束后7个月（2019年3月11日至2019年4月23日）进行的。受刚果民主共和国第九次疫情影响的卫生区的 1614 名成年人（50%为女性，Mage=34.05；SD=12.55）的大型人口样本。参与者完成了评估埃博拉病毒病暴露水平、与埃博拉病毒病相关的耻辱和抑郁症状的调查问卷。通过逻辑回归分析与社会人口统计数据、埃博拉病毒病暴露水平和污名化相关的OR。总体而言，居住在受埃博拉病毒病影响地区的人中有 62.03%（95% CI 59.66% 至 64.40%）被归类为患有严重抑郁症状。多变量逻辑回归分析显示，接触埃博拉病毒病的两个较高得分类别的成年人出现严重抑郁症状的风险是其两倍（分别为 OR 1.94（95% CI 1.22 至 3.09）；OR 2.34（95% CI 1.26 至 4.34））。处于两个较高污名类别的个体面临的风险是其两到四倍（分别为 OR 2.42（95% CI 1.53 至 3.83）；OR 4.73（95% CI 2.34 至 9.56））。生活在农村地区（OR 0.19（95% CI 0.09 至 0.38））和失业（OR 0.68（95% CI 0.50 至 0.93））会增加出现严重抑郁症状的可能性。结果表明，埃博拉病毒病影响人群的抑郁症状是一个重大的公共卫生问题，必须通过适应文化的心理健康计划来解决。
High mortality rates, anxiety and distress associated with Ebola virus disease (EVD) are risk factors for mood disorders in affected communities. This study aims to document the prevalence and risk factors associated with depressive symptoms among a representative sample of individuals affected by EVD. Cross-sectional study. The current study was conducted 7 months (March 11, 2019 to April 23, 2019) after the end of the ninth outbreak of EVD in the province of Equateur in the Democratic Republic of the Congo (DRC). A large population-based sample of 1614 adults (50% women, Mage=34.05; SD=12.55) in health zones affected by the ninth outbreak in DRC. Participants completed questionnaires assessing EVD exposure level, stigmatisation related to EVD and depressive symptoms. The ORs associated with sociodemographic data, EVD exposure level and stigmatisation were analysed through logistic regressions. Overall, 62.03% (95% CI 59.66% to 64.40%) of individuals living in areas affected by EVD were categorised as having severe depressive symptoms. The multivariable logistic regression analyses showed that adults in the two higher score categories of exposure to EVD were at two times higher risk of developing severe depressive symptoms (respectively, OR 1.94 (95% CI 1.22 to 3.09); OR 2.34 (95% CI 1.26 to 4.34)). Individuals in the two higher categories of stigmatisation were two to four times more at risk (respectively, OR 2.42 (95% CI 1.53 to 3.83); OR 4.73 (95% CI 2.34 to 9.56)). Living in rural areas (OR 0.19 (95% CI 0.09 to 0.38)) and being unemployed (OR 0.68 (95% CI 0.50 to 0.93)) increased the likelihood of having severe depressive symptoms. Results indicate that depressive symptoms in EVD affected populations is a major public health problem that must be addressed through culturally adapted mental health programs.
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DOI：
10.15585/mmwr.mm6641a4
发表时间：
2017-10-20
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Jalloh MF;Robinson SJ;Corker J;Li W;Irwin K;Barry AM;Ntuba PN;Diallo AA;Jalloh MB;Nyuma J;Sellu M;VanSteelandt A;Ramsden M;Tracy L;Raghunathan PL;Redd JT;Martel L;Marston B;Bunnell R
通讯作者：
Bunnell R
影响因子：
4.4
作者：
Kaputu-Kalala-Malu C;Musalu EM;Walker T;Ntumba-Tshitenge O;Ahuka-Mundeke S
通讯作者：
Ahuka-Mundeke S
影响因子：
11.3
作者：
Cénat JM;Noorishad PG;Kokou-Kpolou CK;Dalexis RD;Hajizadeh S;Guerrier M;Clorméus LA;Bukaka J;Birangui JP;Adansikou K;Ndengeyingoma A;Sezibera V;Derivois D;Rousseau C
通讯作者：
Rousseau C
影响因子：
6.6
作者：
Cenat, Jude Mary;Derivois, Daniel
通讯作者：
Derivois, Daniel
影响因子：
6.6
作者：
Cenat, Jude Mary;Kokou-Kpolou, Cyrille Kossigan;Guerrier, Mireille
通讯作者：
Guerrier, Mireille