The George Institute for Global Health, India.
Department of psychiatry, All India Institute of Medical Sciences, Ansari Nagar, Ansari Nagar East, New Delhi, 110029, India.
Asian J Psychiatr. 2022 Aug;74:103194. doi: 10.1016/j.ajp.2022.103194. Epub 2022 Jun 21.
We report findings from a survey on the mental health impact of COVID-19 factoring environmental adversities among older adolescents (15-19 years) living in urban slums in India.
We report survey results of 3490 older adolescents. Patient Health Questionnaire-9 was used to assess depression, slum adversity questionnaire for slum conditions, and for COVID-19 infection we recorded self-reported positivity status. Sociodemographic details were also collected. Additional sub-group analyses of sample who had depression and tested positive for COVID-19 infection was conducted. We used univariate and multivariate logistic regression models to identify factors and COVID-19 infection that were associated with depression.
Adolescents with adversities were three times more likely to report depression. Adolescents who reported COVID-19 infection were about two times more likely to have depression. Sub-group analyses showed that adolescents having experienced adversities and girls were more likely to report depression following COVID-19 infection.
There is a need for an intersectional research framework that incorporates stress arising out of a pandemic, social disadvantage, and systemic inequities. Such a framework will help to assess mental health issues of developmentally vulnerable groups residing in disadvantageous conditions.
我们报告了一项调查的结果，该调查研究了 COVID-19 对生活在印度城市贫民窟的青少年（15-19 岁）心理健康的影响，并考虑了环境逆境因素。
我们报告了 3490 名青少年的调查结果。使用患者健康问卷-9 评估抑郁情况，使用贫民窟逆境问卷评估贫民窟条件，记录自我报告的 COVID-19 感染阳性状态。还收集了社会人口统计学细节。对患有抑郁和 COVID-19 感染阳性的样本进行了额外的亚组分析。我们使用单变量和多变量逻辑回归模型来确定与抑郁相关的因素和 COVID-19 感染。
经历逆境的青少年报告抑郁的可能性是没有经历逆境的青少年的三倍。报告 COVID-19 感染的青少年出现抑郁的可能性是没有感染的青少年的两倍。亚组分析表明，经历逆境和女孩在 COVID-19 感染后更有可能报告抑郁。
需要一个交叉研究框架，将大流行引起的压力、社会劣势和系统性不平等纳入其中。这样的框架将有助于评估居住在不利条件下的处于发展劣势的群体的心理健康问题。
