孟加拉国 COVID-19 大流行的心理影响：横断面调查分析。
Psychological Impact of COVID-19 Pandemic in Bangladesh: Analysis of a Cross-Sectional Survey.
机构信息
Tanvir Abir, PhD, is an Associate Professor; Dewan Muhammad Nur-A Yazdani, MSc, is an Assistant Professor; Md Adnan Rahman, MSc, is a Senior Lecturer; and Md Lutfar Rahman, PhD, is a Professor; all at the College of Business Administration, International University of Business Agriculture and Technology, Dhaka, Bangladesh. Uchechukwu L. Osuagwu, PhD, is a Research Fellow, Translational Health Research Institute, School of Medicine; and Kingsley Emwinyore Agho, PhD, is an Associate Professor of Biostatistics, School of Health Sciences; both at Western Sydney University, Campbelltown, Australia. Nazmul Ahsan Kalimullah, PhD, is Vice-Chancellor and Taha Husain, MSS, is a Lecturer, Department of Gender and Development Studies; both at Begum Rokeya University, Rangpur, Bangladesh. Palash Basak, MSc, is a PhD Researcher, School of Environment and Life Sciences, University of Newcastle, Callaghan, Australia. Piwuna Christopher Goson, MBBS, MSc, is a Reader and Head, Department of Psychiatry, College of Health Science, University of Jos, Plateau State, Nigeria. Abdullah Al Mamun, PhD, is an Associate Professor, Faculty of Business and Management, UCSI University, Kuala Lumpur, Malaysia. P. Yukthamarani Permarupan, PhD, is [title], Faculty of Entrepreneurship and Business, Universiti Malaysia Kelantan, Kota Bharu, Malaysia. Abul Hasnat Milton, PhD, is Chief Executive Officer, Research International, Dhaka, Bangladesh & Epidemiology Resource Centre, NSW, Australia. Uchechukwu L. Osuagwu and Kingsley Emwinyore Agho are also affiliated with the Discipline of Optometry, African Vision Research Institute, Westville Campus, University of KwaZulu-Natal, Durban, South Africa.
出版信息
Health Secur. 2021 Sep-Oct;19(5):468-478. doi: 10.1089/hs.2020.0205. Epub 2021 Aug 3.
The COVID-19 pandemic has generated fear, panic, distress, anxiety, and depression among many people in Bangladesh. In this cross-sectional study, we examined factors associated with different levels of psychological impact as a result of COVID-19 in Bangladesh. From April 1 to 30, 2020, we used a self-administered online questionnaire to collect data from 10,609 respondents. Using the Impact of Event Scale-Revised to assess the psychological impact of the COVID-19 pandemic on respondents, we categorized the levels of impact as normal, mild, moderate, or severe. Ordinal logistic regression was used to examine the associated factors. The prevalence of mild, moderate, and severe psychological impact was 10.2%, 4.8%, and 45.5%, respectively. Multivariate analysis revealed that the odds of reporting normal vs mild, moderate, or severe psychological impact were 5.9 times higher for people living in the Chittagong Division, 1.7 times higher for women with lower education levels, 3.0 times higher among those who were divorced or separated, 1.8 times higher for those working full time, and 2.4 times higher for those living in shared apartments. The odds of reporting a psychological impact were also higher among people who did not enforce protective measures inside the home, those in self-quarantine, those who did not wear face masks, and those who did not comply with World Health Organization precautionary measures. Increased psychological health risks due to COVID-19 were significantly higher among people who experienced chills, headache, cough, breathing difficulties, dizziness, and sore throat before data collection. Our results showed that 1 in 2 respondents experienced a significant psychological impact as a result of the COVID-19 pandemic. Public health researchers should consider these factors when targeting interventions that would have a protective effect on the individual's psychological health during a pandemic or future disease outbreak.
在孟加拉国，COVID-19 大流行给许多人带来了恐惧、恐慌、痛苦、焦虑和抑郁。在这项横断面研究中，我们研究了与 COVID-19 对孟加拉国人造成的不同程度心理影响相关的因素。我们于 2020 年 4 月 1 日至 30 日使用自我管理的在线问卷从 10609 名受访者中收集数据。我们使用修订后的事件影响量表评估 COVID-19 大流行对受访者心理影响的程度，将影响程度分为正常、轻度、中度或重度。我们使用有序逻辑回归来检查相关因素。轻度、中度和重度心理影响的患病率分别为 10.2%、4.8%和 45.5%。多变量分析显示，与报告正常轻度、中度或重度心理影响相比，生活在吉大港分部的人的可能性高 5.9 倍，受教育程度较低的女性的可能性高 1.7 倍，离婚或分居的人的可能性高 3.0 倍，全职工作的人的可能性高 1.8 倍，居住在合住公寓的人的可能性高 2.4 倍。在家中不执行保护措施、自我隔离、不戴口罩和不遵守世界卫生组织预防措施的人的心理影响报告几率也较高。在数据收集之前经历过发冷、头痛、咳嗽、呼吸困难、头晕和喉咙痛的人的 COVID-19 导致的心理健康风险显著更高。我们的结果表明，每 2 名受访者中就有 1 名因 COVID-19 大流行而经历了明显的心理影响。公共卫生研究人员在针对大流行或未来疾病爆发期间对个人心理健康具有保护作用的干预措施时，应考虑这些因素。
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