Psychosocial and Socio-Economic Crisis in Bangladesh Due to COVID-19 Pandemic: A Perception-Based Assessment
Psychosocial and Socio-Economic Crisis in Bangladesh Due to COVID-19 Pandemic: A Perception-Based Assessment
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DOI：
10.3389/fpubh.2020.00341
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发表时间：
2020-06-26
影响因子：
5.2
通讯作者：
Rahman, Md Mostafizur
中科院分区：
文献类型：
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作者：
Bodrud-Doza, Md;Shammi, Mashura;Rahman, Md Mostafizur
背景资料：COVID-19大流行的蔓延、部分封锁、疾病强度、医疗系统治理薄弱、医疗设施不足、缺乏意识以及大众媒体分享错误信息，导致人们经历恐惧和焦虑。本研究旨在进行基于感知的分析，以了解人们的心理社会和社会经济危机，以及可能的环境危机，在新冠肺炎疫情在孟加拉国。方法：基于感知的问卷调查是在网上发布的孟加拉国公民的18岁和/或以上。样本量为1，066人。通过一组统计技术（包括主成分和层次聚类分析）对数据集进行分析。结果：对COVID-19爆发的恐惧与该国挣扎的医疗系统之间存在显著正相关（p <0. 05）。此外，孟加拉国脆弱的卫生系统与政府应对大流行病的能力之间存在负相关（p < 0.05），揭示了卫生系统的管理不善。关闭和社交距离与担心失去自己或家庭成员生命的正相关，受缺乏医疗保健治疗的影响（p < 0.05），表明由于关闭正常活动的决定，人们可能会经历精神和经济压力。然而，关闭的社会经济影响与穷人的痛苦、基本必需品价格上涨、正规教育受阻（p < 0.05）以及严重的社会经济和健康危机的可能性之间的正相关关系将加剧。此外，在COVID-19期间/之后，可能会发生气候变化引起的灾害和登革热等传染病，这将造成严重的粮食不安全（p < 0.01）和进一步的医疗危机。孟加拉国因COVID-19大流行而实施的部分封锁增加了社区传播，并加剧了医疗危机、经济负担，尽管工业恢复了生产，但国内生产总值仍有所损失。在社会上，由于生命和生计的丧失，它在人们中间造成了社会心理和社会经济不安全。政府应采取适当的包容性措施，对公众进行风险评估、沟通和金融刺激，以减轻他们的恐惧和焦虑，并采取适当行动促进心理健康和福祉。
Background: The spread of the COVID-19 pandemic, the partial lockdown, the disease intensity, weak governance in the healthcare system, insufficient medical facilities, unawareness, and the sharing of misinformation in the mass media has led to people experiencing fear and anxiety. The present study intended to conduct a perception-based analysis to get an idea of people's psychosocial and socio-economic crisis, and the possible environmental crisis, amidst the COVID-19 pandemic in Bangladesh.Methods: A perception-based questionnaire was put online for Bangladeshi citizens of 18 years and/or older. The sample size was 1,066 respondents. Datasets were analyzed through a set of statistical techniques including principal component and hierarchical cluster analysis.Results: There was a positive significant association between fear of the COVID-19 outbreak with the struggling healthcare system (p < 0.05) of the country. Also, there was a negative association between the fragile health system of Bangladesh and the government's ability to deal with the pandemic (p < 0.05), revealing the poor governance in the healthcare system. A positive association of shutdown and social distancing with the fear of losing one's own or a family members' life, influenced by a lack of healthcare treatment (p < 0.05), reveals that, due to the decision of shutting down normal activities, people may be experiencing mental and economic stress. However, a positive association of the socio-economic impact of the shutdown with poor people's suffering, the price hike of basic essentials, the hindering of formal education (p < 0.05), and the possibility of a severe socio-economic and health crisis will be aggravated. Moreover, there is a possibility of a climate change-induced disaster and infectious diseases like dengue during/after the COVID-19 situation, which will create severe food insecurity (p < 0.01) and a further healthcare crisis.Conclusions: The partial lockdown in Bangladesh due to the COVID-19 pandemic increased community transmission and worsened the healthcare crisis, economic burden, and loss of GDP despite the resuming of industrial operations. In society, it has created psychosocial and socio-economic insecurity among people due to the loss of lives and livelihoods. The government should take proper inclusive steps for risk assessment, communications, and financial stimulus toward the public to alleviate their fear and anxiety, and to take proper action to boost mental health and well-being.