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智利人群在新冠疫情第一阶段心理困扰的相关因素

Factors Related to Psychological Distress during the First Stage of the COVID-19 Pandemic on the Chilean Population.

作者信息

Ruiz-Frutos Carlos, Delgado-García Diemen, Ortega-Moreno Mónica, Duclos-Bastías Daniel, Escobar-Gómez Dánica, García-Iglesias Juan Jesús, Gómez-Salgado Juan

机构信息

Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, 21007 Huelva, Spain.

Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil 092301, Ecuador.

出版信息

J Clin Med. 2021 Oct 31;10(21):5137. doi: 10.3390/jcm10215137.

Abstract

The health effects of COVID-19 continue to raise doubts today. In some areas, such as mental health, these doubts have scarcely been addressed. The present study analyses the effects on psychological distress during the first phase of the pandemic in Chile. A cross-sectional descriptive study was performed by using a questionnaire validated in Spain and adapted for Chile. Between 22 April and 16 December 2020, 3227 questionnaires were collected from the 16 regions of Chile, using non-probabilistic snowball sampling. Bivariate analysis and binary logistic regression were performed. The variables that could predict psychological distress during the COVID-19 pandemic in Chile were: having a poor self-perception of health OR = 4.038, 95% CI = (2.831, 5.758); being younger than 29 OR = 2.287, 95% CI = (1.893, 2.762); having diarrhea OR = 2.093, 95% CI = (1.414, 3.098); having headache OR = 2.019, 95% CI = (1.662, 2.453); being a woman OR = 1.638, 95% CI = (1.363, 1.967); having muscle pain OR = 1.439, 95% CI = (1.114, 1.859); and having had casual contact with an infected person OR = 1.410, 95% CI = (1.138, 1.747). In Chile, with a better social, economic, cultural, and health environment compared to neighboring countries, there has been a high percentage of psychological distress. It is time to prioritize measures to safeguard the mental health of Chileans, especially focused on the most vulnerable population according to our results, i.e., young women with poorer health status.

摘要

新冠疫情对健康的影响至今仍存疑问。在某些领域,如心理健康方面,这些疑问几乎未得到解决。本研究分析了智利疫情第一阶段对心理困扰的影响。采用在西班牙验证并适用于智利的问卷进行横断面描述性研究。2020年4月22日至12月16日期间,使用非概率雪球抽样从智利16个地区收集了3227份问卷。进行了双变量分析和二元逻辑回归。在智利,可预测新冠疫情期间心理困扰的变量有:对健康的自我认知较差(比值比[OR]=4.038,95%置信区间[CI]=(2.831, 5.758));年龄小于29岁(OR=2.287,95%CI=(1.893, 2.762));腹泻(OR=2.093,95%CI=(1.414, 3.098));头痛(OR=2.019,95%CI=(1.662, 2.453));女性(OR=1.638,95%CI=(1.363, 1.967));肌肉疼痛(OR=1.439,95%CI=(1.114, 1.859));以及与感染者有过偶然接触(OR=1.410,95%CI=(1.138, 1.747))。与邻国相比,智利拥有更好的社会、经济、文化和健康环境,但心理困扰的比例依然很高。现在是时候优先采取措施保障智利人的心理健康了,尤其应根据我们的研究结果,关注最脆弱人群,即健康状况较差的年轻女性。

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