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孟加拉国因 COVID-19 大流行而导致的心理社会和社会经济危机:基于认知的评估。

Psychosocial and Socio-Economic Crisis in Bangladesh Due to COVID-19 Pandemic: A Perception-Based Assessment.

机构信息

Climate Change Programme, BRAC, Dhaka, Bangladesh.

Department of Environmental Sciences, Jahangirnagar University, Dhaka, Bangladesh.

出版信息

Front Public Health. 2020 Jun 26;8:341. doi: 10.3389/fpubh.2020.00341. eCollection 2020.

Abstract

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. 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. There was a positive significant association between fear of the COVID-19 outbreak with the struggling healthcare system ( < 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 ( < 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 ( < 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 ( < 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 ( < 0.01) and a further healthcare crisis. 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.

摘要

由于 COVID-19 大流行的传播、部分封锁、疾病的严重程度、医疗保健系统的薄弱治理、医疗设施不足、缺乏认识以及大众媒体中错误信息的传播,人们经历了恐惧和焦虑。本研究旨在进行基于感知的分析,以了解 COVID-19 大流行期间孟加拉国人民的心理社会和社会经济危机,以及可能的环境危机。针对 18 岁及以上的孟加拉国公民,我们在网上发布了一份基于感知的问卷。样本量为 1066 名受访者。通过一组统计技术(包括主成分和层次聚类分析)对数据集进行了分析。

人们对 COVID-19 爆发的恐惧与该国艰难的医疗保健系统(<0.05)之间存在正相关关系。此外,孟加拉国脆弱的卫生系统与政府应对疫情的能力之间存在负相关关系(<0.05),这揭示了医疗保健系统治理不善。由于关闭和社会隔离,缺乏医疗保健治疗可能会导致人们担心自己或家人的生命受到威胁(<0.05),因此关闭和社会隔离与对失去生命的恐惧之间存在正相关关系,这表明由于关闭正常活动的决定,人们可能正在经历精神和经济压力。然而,由于关闭对贫困人口的影响、基本必需品价格上涨、正规教育受阻(<0.05),以及可能发生严重的社会经济和健康危机,社会经济影响与贫困人口的苦难之间存在正相关关系。此外,在 COVID-19 期间/之后,气候变化引发的灾害和登革热等传染病可能会造成严重的粮食不安全(<0.01)和进一步的医疗保健危机。由于 COVID-19 大流行,孟加拉国实行了部分封锁,导致社区传播增加,医疗保健危机、经济负担和 GDP 损失恶化,尽管工业运营已经恢复。在社会中,由于生命和生计的丧失,人们产生了心理社会和社会经济的不安全感。政府应该采取适当的包容措施,对公众进行风险评估、沟通和财政刺激,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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ad6/7333562/a31f8d2a59b1/fpubh-08-00341-g0001.jpg

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