Barbosa Adriano Pires, Batista Marília Jesus
Faculdade de Medicina de Jundiaí, 250, Francisco Teles St., Vila Arens II, Jundiaí 13202-550, Brazil.
Int J Environ Res Public Health. 2025 Aug 19;22(8):1293. doi: 10.3390/ijerph22081293.
The COVID-19 pandemic impacted mental health. This cross-sectional study analyzed the perception of concern related to the pandemic in Jundiaí-SP, June 2020. Participants consisted of residents of households selected by probability sampling and individuals with respiratory symptoms who sought Basic Health Units (UBS). The participants underwent rapid testing for SARS-CoV-2 and answered a questionnaire. The outcome was the perception of concern about pandemic and the independent variables were socioeconomic characteristics, behavioral variables, signs and symptoms, and rapid test results. Bivariate analysis was performed and variables with < 0.20 were included in a binary logistic regression model ( < 0.05) using SPSS 20.0. A total of 2432 individuals participated in the study, including 1181 from UBS and 1251 from households. Females (OR: 1.42; CI: 1.18-1.71), black and mixed race participants (OR: 1.40; CI: 1.15-1.71), participants with an income up to 3 minimum wages (MW) (up to 1 MW: OR: 2.58; CI: 1.80-3.70; 1 to 3 MW: OR: 1.64; CI: 1.35-1.98), and younger participants (18-39 years: OR: 3.07; CI: 2.39-3.94; 40-59 years: OR: 2.42; CI: 1.89-3.10) were more concerned. Greater concern was perceived by more vulnerable individuals, regardless of testing positive for COVID-19 which is important to subsidize public mental health policies and crisis interventions, focusing on reducing race, gender and socioeconomic inequalities.
新冠疫情对心理健康产生了影响。这项横断面研究分析了2020年6月在巴西圣保罗州容迪亚伊市居民对该疫情的担忧认知情况。参与者包括通过概率抽样选取的家庭居民以及有呼吸道症状并前往基本卫生单位（UBS）就诊的个人。参与者接受了新冠病毒快速检测并回答了一份问卷。研究结果是对疫情的担忧认知，自变量包括社会经济特征、行为变量、体征和症状以及快速检测结果。采用SPSS 20.0进行双变量分析，并将p<0.20的变量纳入二元逻辑回归模型（p<0.05）。共有2432人参与了该研究，其中1181人来自基本卫生单位，1251人来自家庭。女性（比值比：1.42；置信区间：1.18 - 1.71）、黑人和混血种族参与者（比值比：1.40；置信区间：1.15 - 1.71）、收入至多为3个最低工资（MW）的参与者（至多1个MW：比值比：2.58；置信区间：1.80 - 3.70；1至3个MW：比值比：1.64；置信区间：1.35 - 1.98）以及较年轻的参与者（18 - 39岁：比值比：3.07；置信区间：2.39 - 3.94；40 - 59岁：比值比：2.42；置信区间：1.89 - 3.10）更为担忧。更易受影响的个体表现出更大的担忧，无论其新冠病毒检测是否呈阳性，这对于为公共心理健康政策和危机干预提供依据非常重要，应着重减少种族、性别和社会经济不平等。
