Flores-Torres Mario H, Murchland Audrey R, Espinosa-Tamez Priscilla, Jaen Jocelyn, Brochier Marion, Bautista-Arredondo Sergio, Lamadrid-Figueroa Héctor, Lajous Martin, Koenen Karestan
Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, United States.
Center for Research on Population Health, National Institute of Public Health, Cuernavaca, Mexico.
Int J Public Health. 2021 Apr 21;66:620825. doi: 10.3389/ijph.2021.620825. eCollection 2021.
To describe the prevalence and correlates of depressive symptoms, generalized anxiety disorder (GAD), and perceived negative mental health impact during the SARS-Cov-2 pandemic in Mexico City and evaluate their association with adherence to stay-at-home directives. Baseline data from a cohort study of 2,016 Mexico City government employees were analyzed using multivariable logistic regression models. Among participants, 17.2% had clinically significant depressive symptoms, 21.6% had probable GAD, and 15.2% reported that the pandemic has had a major impact on their mental health. Factors including the presence of COVID-19 symptoms, self-isolation, and economic difficulties were associated with poor mental health. The presence of depressive symptoms and general anxiety were associated with non-adherence to public health directives, particularly among those who might have experienced these symptoms for the first time during the pandemic. Our study is one of the first to document the population mental health burden during the SARS-CoV-2 pandemic in Mexico and to provide evidence of the potential role of mental health in the adherence to public health measures.
描述墨西哥城在新冠疫情期间抑郁症状、广泛性焦虑障碍（GAD）的患病率及其相关因素，以及感知到的负面心理健康影响，并评估它们与遵守居家指令的关联。使用多变量逻辑回归模型分析了一项针对2016名墨西哥城政府雇员的队列研究的基线数据。在参与者中，17.2%有临床显著的抑郁症状，21.6%可能患有广泛性焦虑障碍，15.2%报告称疫情对其心理健康产生了重大影响。包括出现新冠症状、自我隔离和经济困难等因素与心理健康状况不佳有关。抑郁症状和广泛性焦虑与不遵守公共卫生指令有关，尤其是在那些可能在疫情期间首次出现这些症状的人群中。我们的研究是首批记录墨西哥新冠疫情期间人群心理健康负担，并提供心理健康在遵守公共卫生措施中潜在作用证据的研究之一。
