Sing Joo Gan, Owen Devan Daniel Mahalingam, Shao Qi Chuah, Patil Sapna Shridhar
School of Medicine, Faculty of Health and Medical Sciences, Taylor's University, Subang Jaya, Selangor, 47500, Malaysia.
F1000Res. 2021 Jul 29;10:693. doi: 10.12688/f1000research.51924.1. eCollection 2021.
In Malaysia, B40 communities are those with a median monthly household earning of under RM 3166. With the prolonged COVID-19 pandemic and the resulting lockdown, the livelihoods of those in these areas has been severely impacted. This has increased their vulnerability to psychological afflictions and has led to a poorer perception of their quality of life (QoL) in comparison to the rest of the population. We investigated the association between perceived levels of depression, anxiety and stress and their impact on quality of life (QoL) among B40 residents in a low-cost urban housing area in Kuala Lumpur, Malaysia. A cross-sectional study was conducted between July 2020 and February 2021 in the Seri Pantai housing settlement. The validated Malay versions of the depression, anxiety, and stress scale-21 (DASS-21) and the World Health Organization Quality of Life, brief (WHOQOL-BREF) were distributed to the participants using Google forms. The statistical significance of the association between subscales of depression, anxiety, stress and QoL domains were assessed using the Pearson's correlation test. Of the 180 participants, the majority were Malays (87.2%) and females (82.2%). The average scores were the highest for stress (5.66 ± 4.59) and the score in the environment domain of QoL (59.27 ± 17.23) was the lowest. A statistically significant negative correlation was found between the subscales of DASS-21 and the four domains of the QoL, with the social relationships and psychological domains showing a highly significant association (p < 0.001). The strongest correlation was observed between the psychological domain and depression (r= -.520) followed by psychological domain and stress (r= -.496). The strongest correlation was observed between psychological domain and depression. This suggests a need to address potential devastating mental health consequences of the COVID-19 pandemic and its effect on the QoL of residents in B40 communities.
在马来西亚，B40群体是指家庭月收入中位数低于3166令吉的人群。随着新冠疫情的持续以及随之而来的封锁措施，这些地区人们的生计受到了严重影响。这增加了他们患心理疾病的易感性，与其他人群相比，他们对生活质量（QoL）的感知也更差。我们调查了马来西亚吉隆坡一个低成本城市住宅区中B40居民的抑郁、焦虑和压力感知水平与它们对生活质量（QoL）的影响之间的关联。2020年7月至2021年2月期间，在斯里潘泰住宅区开展了一项横断面研究。使用谷歌表单向参与者发放了经过验证的马来语版抑郁、焦虑和压力量表-21（DASS-21）以及世界卫生组织生活质量简表（WHOQOL-BREF）。使用皮尔逊相关检验评估抑郁、焦虑、压力分量表与生活质量领域之间关联的统计学显著性。在180名参与者中，大多数是马来人（87.2%）和女性（82.2%）。压力平均得分最高（5.66±4.59），生活质量环境领域得分最低（59.27±17.23）。发现DASS-21分量表与生活质量的四个领域之间存在统计学显著的负相关，其中社会关系和心理领域显示出高度显著的关联（p<0.001）。在心理领域与抑郁之间观察到最强的相关性（r = -0.520），其次是心理领域与压力之间的相关性（r = -0.496）。在心理领域与抑郁之间观察到最强的相关性。这表明有必要应对新冠疫情可能带来的毁灭性心理健康后果及其对B40社区居民生活质量的影响。
