Knowledge and Response to the COVID-19 Pandemic in People With Severe Mental Illness in Bangladesh and Pakistan: A Cross-Sectional Survey.
Knowledge and Response to the COVID-19 Pandemic in People With Severe Mental Illness in Bangladesh and Pakistan: A Cross-Sectional Survey.
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DOI：
10.3389/fpsyt.2022.785059
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发表时间：
2022
影响因子：
4.7
通讯作者：
Boehnke JR
中科院分区：
文献类型：
--
作者：
Rajan S;Paton LW;Chowdhury AH;Zavala GA;Aslam F;Huque R;Khalid H;Murthy P;Nizami AT;Prasad Muliyala K;Shiers D;Siddiqi N;Boehnke JR
在大流行期间，患有严重精神疾病(SMI)的人可能面临不成比例的挑战。他们可能无法接收或无法对预防感染或限制其传播的公共卫生信息作出回应。此外，他们可能受到更严重的影响，特别是在低收入和中等收入国家。我们进行了一项电话调查(2020年5月至6月)，抽样调查了1299名SMI患者，他们在大流行之前曾在孟加拉国和巴基斯坦的国家精神卫生机构就诊。我们收集了有关最令人担忧的问题、大流行的社会经济影响、新冠肺炎的知识(症状、预防)和预防相关做法(社会距离、卫生)的信息。我们使用正则化Logistic回归模型探讨了社会人口和健康相关变量对新冠肺炎知识和行为相对水平的预测价值。大众媒体是有关新冠肺炎的主要信息来源。财务、就业和身体健康是最常被提及的问题。总体而言，参与者报告了良好的知识和遵循的建议。在孟加拉国，女性和与健康相关的生活质量水平较高分别预示着较差的知识和较好的知识，而在巴基斯坦，女性预测较好的知识。从电视上接收信息预示着两国都会有更好的知识。在孟加拉国，作为女性，从多个媒体来源获取信息，以及更好的HRQOL预示着更好的做法。在巴基斯坦，对新冠肺炎预防措施的了解越少，实践就越糟糕。我们的论文补充了有关中小企业感染患者及其预防新冠肺炎的知识和行为的文献。我们的结果强调了利用大众和社交媒体传播咨询意见的重要性，可能需要进一步关注知识和实践的性别吸收问题。
People with severe mental illnesses (SMIs) are likely to face disproportionate challenges during a pandemic. They may not receive or be able to respond to public health messages to prevent infection or to limit its spread. Additionally, they may be more severely affected, particularly in low- and middle-income countries. We conducted a telephone survey (May–June 2020) in a sample of 1,299 people with SMI who had attended national mental health institutes in Bangladesh and Pakistan before the pandemic. We collected information on top worries, socioeconomic impact of the pandemic, knowledge of COVID-19 (symptoms, prevention), and prevention-related practices (social distancing, hygiene). We explored the predictive value of socio-demographic and health-related variables for relative levels of COVID-19 knowledge and practice using regularized logistic regression models. Mass media were the major source of information about COVID-19. Finances, employment, and physical health were the most frequently mentioned concerns. Overall, participants reported good knowledge and following advice. In Bangladesh, being female and higher levels of health-related quality of life (HRQoL) predicted poor and better knowledge, respectively, while in Pakistan being female predicted better knowledge. Receiving information from television predicted better knowledge in both countries. In Bangladesh, being female, accessing information from multiple media sources, and better HRQoL predicted better practice. In Pakistan, poorer knowledge of COVID-19 prevention measures predicted poorer practice. Our paper adds to the literature on people living with SMIs and their knowledge and practices relevant to COVID-19 prevention. Our results emphasize the importance of access to mass and social media for the dissemination of advice and that the likely gendered uptake of both knowledge and practice requires further attention.
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