Paulista School of Nursing, Federal University of São Paulo, São Paulo, Brazil.
Preventive Medicine Department, Federal University of São Paulo, São Paulo, Brazil.
Public Health. 2021 Oct;199:42-45. doi: 10.1016/j.puhe.2021.08.016. Epub 2021 Aug 27.
Although literature broadly reports the impact of COVID-19 on global mental health, little is known about the extent of its deleterious impact on the most vulnerable individuals. The present study aimed to evaluate the level of psychological distress of adult's residents of two urban shantytown communities located in São Paulo city, Brazil.
This was a cross-sectional study.
An online questionnaire was divided into four sections: (1) informed consent, (2) socio-economic data, (3) 12-item general health questionnaire, and (4) Brazilian food insecurity scale was applied.
Of the 495 family headship (448 females and 47 males), the mean age was 36.1 years, 85% have an indication of psychological distress, 61.4% had a monthly income less than or equal to $70, and the incidence of households experiencing moderate or severe food insecurity was 40%. Multivariate logistic regression revealed that respondents who experienced moderate or severe food insecurity (odds ratio [OR] = 2.701, confidence interval [CI] 95% = 1.265-5.769; P = 0.010) and lower monthly income (OR = 2.031, CI 95% = 1.056-3.908; P = 0.034) had a higher risk of psychological distress. On the other hand, having an employment is a protective factor against the stressful situations caused by COVID-19 pandemic (P = 0.029).
The present study identified low-income younger women residents of urban slums who suffer from food insecurity as high-risk groups to have psychological distress. Our findings are of particular importance because they showed the intersection of vulnerabilities during the COVID-19 outbreak.
尽管文献广泛报道了 COVID-19 对全球心理健康的影响，但对于其对最脆弱人群的有害影响程度知之甚少。本研究旨在评估巴西圣保罗市两个城市棚户区成年居民的心理困扰程度。
这是一项横断面研究。
在线问卷分为四个部分：（1）知情同意书，（2）社会经济数据，（3）12 项一般健康问卷，（4）巴西粮食不安全量表。
在 495 名户主（448 名女性和 47 名男性）中，平均年龄为 36.1 岁，85%有心理困扰的迹象，61.4%的人月收入低于或等于 70 美元，40%的家庭经历中度或重度粮食不安全。多变量逻辑回归显示，经历中度或重度粮食不安全的受访者（比值比 [OR] = 2.701，95%置信区间 [CI] = 1.265-5.769；P = 0.010）和较低的月收入（OR = 2.031，CI 95% = 1.056-3.908；P = 0.034）的人心理困扰的风险更高。另一方面，有就业是对 COVID-19 大流行造成的紧张局势的保护因素（P = 0.029）。
本研究确定了收入较低的年轻城市棚户区女性居民，他们面临粮食不安全问题，属于高风险群体，易出现心理困扰。我们的研究结果尤为重要，因为它们显示了 COVID-19 爆发期间脆弱性的交叉。
