孟加拉国新冠疫情期间残疾人的心理健康状况
Mental health of persons with disabilities during the COVID-19 pandemic in Bangladesh.
作者信息
Faruk Md Omar, Siddik Md Abu Bakkar, Chowdhury Kamal Uddin Ahmed, Bari Nazmul, Hossain Shafayet, Noor Sumaiya, Alam Mohammad Rezaul, Akter Taslima, Adams Ben, Thikeo Manivone, Rahman Mohammad Meshbahur
机构信息
Centre for Disability in Development, Savar, Dhaka, Bangladesh.
Department of Clinical Psychology, University of Dhaka, Dhaka, Bangladesh.
出版信息
PLoS One. 2025 Apr 29;20(4):e0322218. doi: 10.1371/journal.pone.0322218. eCollection 2025.
BACKGROUND
The COVID-19 pandemic has impacted the mental health of people across the world, including those with disabilities in Bangladesh. However, very little research exists that has explored the mental health problems experienced by persons with disabilities in rural and urban areas of Bangladesh. This study aimed to investigate the prevalence and associated factors of common mental health problems in persons with disabilities in rural and urban areas of Bangladesh.
METHODS
A cross-sectional survey using the Bangla Depression Anxiety Stress Scale-21 (BDASS-21) with sociodemographic was conducted among 950 participants with varying types of disabilities in Dhaka, Narayanganj, and Gazipur. Descriptive and inferential statistical analyses were used to measure the effects.
RESULTS
The prevalence of moderate to extremely severe depression, anxiety, and stress among participants was 67.6%, 72.6%, and 49.5%, respectively. Urban participants exhibited significantly higher levels of depression (76.6% in Dhaka), anxiety (86.1% in Dhaka), and stress (32.1% in Dhaka) compared to their rural counterparts (depression: 86.16%, anxiety: 91.07%, stress: 97.77% in Gazipur). Gender differences were observed in anxiety, with females reporting higher anxiety levels than males (p<0.05). Age and geographical location were significantly associated with stress (p<0.042 and p<0.001, respectively), with those reporting higher anxiety also experiencing greater stress (p<0.001). Specific disabilities, such as visual disabilities, were linked to higher stress levels, while depression and anxiety did not show significant associations with demographic factors or disability type.
CONCLUSION
Results highlight the prevalence of common mental health problems among persons with disabilities in Bangladesh. The findings can contribute to the development of appropriate public health intervention plans taking into consideration persons with disabilities, especially during emergencies.
背景
新冠疫情影响了世界各地人们的心理健康，包括孟加拉国的残疾人。然而，很少有研究探讨孟加拉国城乡地区残疾人所经历的心理健康问题。本研究旨在调查孟加拉国城乡地区残疾人常见心理健康问题的患病率及相关因素。
方法
在达卡、纳拉扬甘杰和加济布尔对950名不同类型残疾的参与者进行了一项横断面调查，使用孟加拉语抑郁焦虑压力量表-21（BDASS-21）并结合社会人口统计学信息。采用描述性和推断性统计分析来衡量影响。
结果
参与者中中度至极其严重的抑郁、焦虑和压力患病率分别为67.6%、72.6%和49.5%。与农村参与者相比，城市参与者的抑郁（达卡为76.6%）、焦虑（达卡为86.1%）和压力（达卡为32.1%）水平显著更高（加济布尔的抑郁为86.16%，焦虑为91.07%，压力为97.77%）。在焦虑方面观察到性别差异，女性报告的焦虑水平高于男性（p<0.05）。年龄和地理位置与压力显著相关（分别为p<0.042和p<0.001），报告焦虑程度较高的人也经历更大的压力（p<0.001）。特定残疾，如视力残疾，与更高的压力水平相关，而抑郁和焦虑与人口统计学因素或残疾类型没有显著关联。
结论
结果突出了孟加拉国残疾人中常见心理健康问题的患病率。这些发现有助于制定适当的公共卫生干预计划，尤其是在紧急情况下，要考虑到残疾人。
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