COVID 19 pandemic: Mental health challenges of internal migrant workers of India
COVID 19 pandemic: Mental health challenges of internal migrant workers of India
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DOI：
10.1016/j.ajp.2020.102254
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发表时间：
2020-12-01
影响因子：
9.5
通讯作者：
Choudhari, Ranjana
中科院分区：
文献类型：
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作者：
Choudhari, Ranjana
COVID- 19是一种生物医学疾病，随着快速蔓延的大流行，对身体和精神健康造成严重影响。由于COVID-19危机和随之而来的不利职业情景的双重打击，国内农民工职业群体是最脆弱但被忽视的群体之一，容易产生心理不良影响。这些因素的排列和组合，即对新病毒感染的易感性，潜在的感染传播媒介，预先存在的身体疾病，如职业性肺尘埃沉着病、肺结核、艾滋病毒感染、预先存在的心理疾病、不利的心理社会因素，如危机期间缺乏家庭支持和照顾，他们在COVID 19危机期间遵守人身安全规则和法规的局限性、社会排斥以及无法及时获得精神科服务;所有这些都导致内部农民工遭受创伤前后的心理困扰。除此之外，由于失去工作，缺乏或暂停与职业安全和健康有关的基本法律以及相关的职业危害，使这一职业群体非常容易患上心理疾病。我们试图提请精神卫生专业人员，全科医生和职业卫生政策制定者注意各种，从职业健康的角度，分析国内移徙工人心理不良影响发展的相互关联和相互依存的诱发因素和原因，以及解决这一问题所需的干预措施。
COVID- 19, a biomedical disease has serious physical and tremendous mental health implications as the rapidly spreading pandemic. One of the most vulnerable, but neglected, an occupational community of internal migrant workers is prone for development of psychological ill-effects due to double whammy impact of COVID-19 crisis and concomitant adverse occupational scenario.Permutations and combinations of the factors viz susceptibility for new viral infections, potential to act as vectors of transmission of infection, high prevalence of pre-existing physical health morbidities such as occupational pneumoconiosis, tuberculosis, HIV infections, pre-existing psychological morbidities, adverse psycho social factors like absence of family support and caretaker during the crisis, their limitations to follow the rules and regulations of personal safety during the COVID 19 crisis, social exclusion, and inability to timely access the psychiatric services; all give rise to the peri-traumatic psychological distress to internal migrant workers. Superadded, is the blow of financial constraints due to loss of work, absence or suspension of occupational safety and health-related basic laws with associated occupational hazards, which make this occupational group highly vulnerable for the development of psychological illnesses.We attempt to draw the attention of mental health professionals, general medical practitioners and occupational health policymakers to the various, interrelated and interdependent predisposing and causative factors for the development of psychological ill-effects amongst internal migrant workers with the interventions needed to address it, from an occupational health perspective angle.