孟加拉国新冠疫情期间有基础疾病人群的经济困难与心理健康状况
Financial hardship and mental health conditions in people with underlying health conditions during the COVID-19 pandemic in Bangladesh.
作者信息
Sujan Md Safaet Hossain, Tasnim Rafia, Islam Md Saiful, Ferdous Most Zannatul, Haghighathoseini Atefehsadat, Koly Kamrun Nahar, Pardhan Shahina
机构信息
Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka-1342, Bangladesh.
Centre for Advanced Research Excellence in Public Health, Savar, Dhaka-1342, Bangladesh.
出版信息
Heliyon. 2022 Sep;8(9):e10499. doi: 10.1016/j.heliyon.2022.e10499. Epub 2022 Aug 31.
BACKGROUND
Financial hardship is a major concern for patients who are suffering from long-term underlying health conditions. It is likely that emergencies such as the COVID-19 pandemic would impose increased financial distress and lead to the development or exacerbation of mental health conditions.
OBJECTIVE
The present study aimed to explore the relationship between financial hardship and mental health conditions (loneliness, anxiety, and depression) among patients with underlying health conditions in Bangladesh.
METHODS
An e-survey based cross-sectional study was conducted among purposively selected 971 patients (50.1% male; mean age = 42.29 [SD = 15.86]) with underlying health conditions between November 2020 and January 2021. Depression, anxiety, and loneliness were measured using the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder (GAD-7), and UCLA loneliness scale, respectively. Multiple logistic regression analyses were performed to determine any associations between financial hardship and mental health conditions (loneliness, anxiety, and depression).
RESULTS
46.2% of participants reported experiencing financial difficulties, and a number of respondents (12.3%) had lost their jobs during the COVID-19 pandemic. The prevalence of anxiety, depression and loneliness were 35.2%, 38.9%, and 47.68%, respectively. In the multiple logistic regression analysis, age, gender, occupation, marital status, monthly income, self-reported health status and financial hardship were significantly associated with mental health conditions.
CONCLUSIONS
Mental health problems were prevalent among people with underlying health conditions and were also associated with financial difficulties. The findings suggest that care facilities should be strengthened by including psychosocial support components delivered with lower costs, particularly for patients with underlying health conditions.
背景
经济困难是患有长期基础健康状况的患者的主要担忧。诸如新冠疫情之类的突发事件很可能会加剧经济困境，并导致心理健康问题的产生或恶化。
目的
本研究旨在探讨孟加拉国患有基础健康状况的患者中经济困难与心理健康状况（孤独感、焦虑和抑郁）之间的关系。
方法
在2020年11月至2021年1月期间，对971名患有基础健康状况的患者（男性占50.1%；平均年龄 = 42.29 [标准差 = 15.86]）进行了一项基于电子调查的横断面研究。分别使用患者健康问卷（PHQ - 9）、广泛性焦虑障碍量表（GAD - 7）和加州大学洛杉矶分校孤独感量表来测量抑郁、焦虑和孤独感。进行了多项逻辑回归分析，以确定经济困难与心理健康状况（孤独感、焦虑和抑郁）之间的任何关联。
结果
46.2%的参与者报告经历了经济困难，并且在新冠疫情期间有一些受访者（12.3%）失去了工作。焦虑、抑郁和孤独感的患病率分别为35.2%、38.9%和47.68%。在多项逻辑回归分析中，年龄、性别、职业、婚姻状况、月收入、自我报告的健康状况和经济困难与心理健康状况显著相关。
结论
心理健康问题在患有基础健康状况的人群中普遍存在，并且也与经济困难有关。研究结果表明，应通过纳入成本较低的社会心理支持成分来加强护理设施，特别是针对患有基础健康状况的患者。
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