非洲在新冠大流行期间普通人群中的焦虑和抑郁发生率：系统回顾和荟萃分析。
Prevalence of Anxiety and Depression Among the General Population in Africa During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.
机构信息
Centre for Eye and Vision Research Limited, Hong Kong, Hong Kong SAR, China.
Department of Physiotherapy, Yobe State University Teaching Hospital, Damaturu, Nigeria.
出版信息
Front Public Health. 2022 May 17;10:814981. doi: 10.3389/fpubh.2022.814981. eCollection 2022.
BACKGROUND
Medical and socio-economic uncertainties surrounding the COVID-19 pandemic have had a substantial impact on mental health. This study aimed to systematically review the existing literature reporting the prevalence of anxiety and depression among the general populace in Africa during the COVID-19 pandemic and examine associated risk factors.
METHODS
A systematic search of the following databases African Journal Online, CINAHL, PubMed, Scopus, and Web of Science was conducted from database inception until 30th September 2021. Studies reporting the prevalence of anxiety and/or depression among the general populace in African settings were considered for inclusion. The methodological quality of included studies was assessed using the Agency for Healthcare Research and Quality (AHRQ). Meta-analyses on prevalence rates were conducted using Comprehensive Meta-analysis software.
RESULTS
Seventy-eight primary studies (62,380 participants) were identified from 2,325 studies via electronic and manual searches. Pooled prevalence rates for anxiety (47%, 95% CI: 40-54%, = 99.19%) and depression (48%, 95% CI: 39-57%, = 99.45%) were reported across Africa during the COVID-19 pandemic. Sex (female) and history of existing medical/chronic conditions were identified as major risk factors for anxiety and depression.
CONCLUSIONS
The evidence put forth in this synthesis demonstrates the substantial impact of the pandemic on the pervasiveness of these psychological symptoms among the general population. Governments and stakeholders across continental Africa should therefore prioritize the allocation of available resources to institute educational programs and other intervention strategies for preventing and ameliorating universal distress and promoting psychological wellbeing.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021228023, PROSPERO CRD42021228023.
背景
COVID-19 大流行带来的医学和社会经济不确定性对心理健康产生了重大影响。本研究旨在系统回顾现有文献，报告 COVID-19 大流行期间非洲普通人群中焦虑和抑郁的患病率，并探讨相关的危险因素。
方法
从数据库建立到 2021 年 9 月 30 日，对以下数据库进行了系统检索：非洲在线期刊、CINAHL、PubMed、Scopus 和 Web of Science。纳入报告非洲人群中焦虑和/或抑郁患病率的研究。使用美国医疗保健研究与质量局（AHRQ）评估纳入研究的方法学质量。使用 Comprehensive Meta-analysis 软件对患病率进行荟萃分析。
结果
通过电子和手动搜索从 2325 项研究中确定了 78 项主要研究（62380 名参与者）。在 COVID-19 大流行期间，整个非洲报告的焦虑症（47%，95%CI：40-54%， = 99.19%）和抑郁症（48%，95%CI：39-57%， = 99.45%）的总体患病率。性别（女性）和既往存在的医疗/慢性疾病史被确定为焦虑和抑郁的主要危险因素。
结论
本综合研究提供的证据表明，大流行对普通人群中这些心理症状的普遍程度产生了重大影响。因此，非洲大陆各国政府和利益相关者应优先分配可用资源，制定教育计划和其他干预策略，以预防和减轻普遍的痛苦，促进心理健康。
系统评价注册
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021228023，PROSPERO CRD42021228023。
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