Departament de Medicina, Facultat de Medicina i Ciències de la Salut-Campus Clínic, Universitat de Barcelona, 08036 Barcelona, Spain.
Centre for Biomedical Research on Mental Health (CIBERSAM), 28029 Madrid, Spain.
Int J Environ Res Public Health. 2022 Nov 24;19(23):15646. doi: 10.3390/ijerph192315646.
Migrants are likely to experience mental health conditions, being one of the most vulnerable groups during the COVID-19 pandemic. The present study aims to: (1) estimate the prevalence of depressive and anxious symptoms and (2) examine the impact of risk and protective factors on this symptomatology. A sample of 129 migrants living in Spain during the COVID-19 pandemic completed an anonymous online survey, including information on sociodemographic and individual characteristics, migration, basic needs, social environment and perceived health domains. Multiple Poisson regression models analysed the effects of risk and protective factors on depression and anxiety symptoms. The prevalence of depressive and anxiety symptoms was 22.3% and 21.4%, respectively. Risk factors such as living in a rented house and previous mental health conditions were associated with higher depression symptoms, whereas unemployment was related to anxiety symptoms. Conversely, older age, better self-esteem, and higher levels of social support were associated with fewer depression symptoms. Older age and better quality of life were related to fewer anxiety symptoms. These findings addressing risk and protective factors (e.g., social support, self-esteem) help to design culturally effective programs, particularly in migrants with pre-existing mental health conditions, adjusting the organisation of mental healthcare services in difficult times in Spain.
移民可能会经历心理健康问题,是 COVID-19 大流行期间最脆弱的群体之一。本研究旨在:(1) 估计抑郁和焦虑症状的患病率;(2) 研究风险和保护因素对这种症状的影响。在 COVID-19 大流行期间居住在西班牙的 129 名移民完成了一项匿名在线调查,包括社会人口学和个人特征、移民、基本需求、社会环境和感知健康领域的信息。多泊松回归模型分析了风险和保护因素对抑郁和焦虑症状的影响。抑郁和焦虑症状的患病率分别为 22.3%和 21.4%。生活在出租屋和以前有心理健康问题等风险因素与更高的抑郁症状有关,而失业与焦虑症状有关。相反,年龄较大、自尊心较强和社会支持水平较高与较少的抑郁症状有关。年龄较大和更好的生活质量与较少的焦虑症状有关。这些针对风险和保护因素(例如,社会支持、自尊心)的发现有助于设计文化上有效的计划,特别是在有先前心理健康问题的移民中,调整西班牙困难时期的精神保健服务的组织。