Prevalence and correlates of depression during the COVID-19 pandemic and the major role of stigmatization in low- and middle-income countries: A multinational cross-sectional study.

Prevalence and correlates of depression during the COVID-19 pandemic and the major role of stigmatization in low- and middle-income countries: A multinational cross-sectional study.
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DOI:
10.1016/j.psychres.2021.113714
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发表时间:
2021-03
影响因子:
11.3
通讯作者:
Rousseau C
Rousseau C
中科院分区:
医学2区
文献类型:
--
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

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目前,关于COVID-19大流行对低收入和中等收入国家(LMIC)心理健康影响的数据很少。本研究旨在从四个中低收入国家的样本中,检查大流行期间抑郁症的合并和单独患病率和决定因素。从刚果民主共和国(DRC)、海地、卢旺达和多哥招募了参与者(N= 1267,40.9%为女性)。他们完成了一项关于社会人口统计学、与COVID-19相关的暴露和污名化、霍普金斯症状自评量表抑郁子量表和Connor-Davidson复原力量表-2的在线横断面调查。抑郁症状的合并患病率为24.3%(95%CI:22.08-26.79%),各国之间存在显著差异。在汇总数据中,年龄较小、性别(女性)、与COVIID-19相关的高水平暴露和污名化以及韧性与抑郁症相关。在国家一级存在着很大的差异。在这四个国家中,污名化(但不包括接触COVID-19和恢复能力)是一个强有力的预测因素。低收入国家的抑郁症状患病率与中国和大多数高收入国家在大流行期间报告的情况相似。研究结果强调,需要在流行病期间实施非恐惧教育计划,以减少污名化。
Currently, there is little data on the mental health consequences of the COVID-19 pandemic in low- and middle-income countries (LMICs). This study aims to examine the pooled and separate prevalence and determinants of depression during the pandemic in samples from four LMICs. Participants (N= 1267, 40.9% women) were recruited from the Democratic Republic of the Congo (DRC), Haiti, Rwanda, and Togo. They completed an online cross-sectional survey on sociodemographics, exposure and stigmatization related to COVID-19, the Hopkins Symptom Checklist depression subscale, and the Connor-Davidson Resilience Scale-2. The pooled prevalence for depression symptoms was 24.3% (95% CI: 22.08-26.79%), with significant differences across countries. Younger age, gender (women), and high levels of exposure and stigmatization related to COVIID-19, and resilience were associated with depression in the pooled data. There were significant variations at the country level. Stigmatization (but not exposure to COVID-19 and resilience) was a strong predictor among the four countries. The prevalence of depression symptoms in the LMICs are similar to those reported in China and in most high-income countries during the pandemic. The findings emphasize the need for implementing non-fear-based education programs during epidemics to reduce stigmatization.
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