Jia Dongming, Li Hai, Xu Yuming
The Affiliated Hospital of Hangzhou Normal University, Hangzhou, China.
Zhejiang Police Vocational College, Hangzhou, China.
Front Psychiatry. 2021 Aug 18;12:697508. doi: 10.3389/fpsyt.2021.697508. eCollection 2021.
At present, the COVID-19 pandemic remains the most pressing global health issue. Given the significant amount of public awareness, the infection rate and rehabilitation efforts are governed not only by the compliance of transmission mitigation strategies but also by the understanding of coexisting diseases and COVID-19 in patients with chronic infectious diseases. The main goal of this study was to evaluate the differences in demographics, as well as awareness, risk perception, and emotional reactions, among imprisoned drug addicts with and without tuberculosis (TB) regarding their perceptions of and feelings toward the COVID-19 pandemic. The secondary goal of the study was also to measure how the psychological health and nutritional indices of the drug addicts with TB changed during their ongoing rehabilitation. A total of 265 male drug addicts, 45 of which were positive for TB and another 220 who were negative, were selected as subjects from a mandatory detoxification and rehabilitation center (MDRC). Data were collected through a combination of questionnaires (questions regarding COVID-19 awareness, emotional knowledge and responses, and SCL-90 tests), anthropometric examination, and laboratory blood tests, with which inferential and descriptive statistical analyses were performed. During a period of 1 week in early 2021, the differences in the accuracy of the responses from the questions probing the awareness of COVID-19 symptoms, transmission, susceptible populations, what kind of mask should be worn, and preventive measures between TB addicts to non-TB addicts were 11.11 vs. 60.45%, 57.78 vs. 77.27%, 66.67 vs. 78.64%, 97.98 vs. 97.73%, and 93.33 vs. 65.91%, respectively. In the risk perception and emotional reaction sections of the questionnaire, there was a significant difference in the responses to "What you were more worried about was?" ( < 0.001) and "Alteration in your mood since the outbreak?" ( = 0.002) between the two cohorts. In the section assessing the 10 dimensions of the SCL-90 scale, there were significant differences between the TB addicts and the Chinese norm. In addition, the BMI (21.06 ± 2.65 kg/m) and total serum protein (77.14 ± 6.12 g/L) levels of the TB addicts were normal, but the serum hemoglobin (117.02 ± 4.97 g/L) and albumin (42.08 ± 1.81 g/L) levels were significantly lower in the TB addicts compared to the norm ( < 0.001). The COVID-19 pandemic we are facing is both an epidemiologic and a psychological crisis. However, while the COVID-19 epidemic will eventually disappear (or become manageable, similar to the flu), the TB epidemic may still persist. To avoid the deleterious consequences of multiple simultaneous epidemics, complementary response measures to COVID-19 and TB can help curb the exacerbation of both situations and, therefore, save lives. Imprisoned drug addicts, especially those with TB, can master relevant knowledge on COVID-19.
目前，新冠疫情仍然是最紧迫的全球卫生问题。鉴于公众的高度关注，感染率和康复工作不仅取决于传播缓解策略的遵守情况，还取决于对慢性传染病患者中共存疾病和新冠病毒的了解。本研究的主要目的是评估患有和未患有结核病（TB）的被监禁吸毒者在对新冠疫情的认知和感受方面，在人口统计学、认知、风险感知和情绪反应上的差异。该研究的次要目的还包括衡量患有结核病的吸毒者在康复过程中心理健康和营养指标的变化。从一个强制戒毒和康复中心（MDRC）选取了265名男性吸毒者作为研究对象，其中45人结核病检测呈阳性，另外220人呈阴性。通过问卷调查（关于新冠认知、情绪知识和反应以及SCL - 90测试的问题）、人体测量检查和实验室血液检测相结合的方式收集数据，并进行了推断性和描述性统计分析。在2021年初的1周时间里，结核病吸毒者和非结核病吸毒者在关于新冠症状、传播、易感人群、应佩戴何种口罩以及预防措施等问题的回答准确性上的差异分别为11.11%对60.45%、57.78%对77.27%、66.67%对78.64%、97.98%对97.73%以及93.33%对65.91%。在问卷的风险感知和情绪反应部分，两组在“你更担心的是？”（<0.001）和“疫情爆发以来你的情绪变化？”（=0.002）的回答上存在显著差异。在评估SCL - 90量表10个维度的部分，结核病吸毒者与中国常模之间存在显著差异。此外，结核病吸毒者身体质量指数（BMI）（21.06±2.65kg/m²）和总血清蛋白（77.14±6.12g/L）水平正常，但与常模相比，结核病吸毒者的血清血红蛋白（117.02±4. .97g/L）和白蛋白（42.08±1.81g/L）水平显著较低（<0.001）。我们正在面临的新冠疫情既是一场流行病学危机，也是一场心理危机。然而，虽然新冠疫情最终将会消失（或变得可控，类似于流感），但结核病疫情可能仍会持续。为避免多种疫情同时爆发带来的有害后果，针对新冠和结核病的互补应对措施有助于遏制两种情况的恶化，从而拯救生命。被监禁的吸毒者，尤其是那些患有结核病的人，可以掌握有关新冠的相关知识。
