Depressive and anxiety symptoms and COVID-19-related factors among men and women in Nigeria

被引:20
|
作者
Oginni, Olakunle Ayokunmi [1 ,2 ]
Oloniniyi, Ibidunni Olapeju [1 ,2 ]
Ibigbami, Olanrewaju [1 ,2 ]
Ugo, Victor [3 ]
Amiola, Ayomipo [2 ]
Ogunbajo, Adedotun [4 ]
Esan, Oladoyin [2 ]
Adelola, Aderopo [2 ]
Daropale, Oluwatosin [5 ]
Ebuka, Matthew [2 ]
Mapayi, Boladale [1 ,2 ]
机构
[1] Obafemi Awolowo Univ, Dept Mental Hlth, Ife, Nigeria
[2] Obafemi Awolowo Univ Teaching Hosp Complex, Mental Hlth Unit, Ife, Nigeria
[3] United Global Mental Hlth, London, England
[4] Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA
[5] Joseph Ayo Babalola Univ, Ctr Hlth, Ikeji, Osun, Nigeria
来源
PLOS ONE | 2021年 / 16卷 / 08期
关键词
SEX-DIFFERENCES; DISORDERS; PREVALENCE; HEALTH; EXPERIENCES; IMPACT;
D O I
10.1371/journal.pone.0256690
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Despite the greater adverse economic impacts in low and middle-income (LAMI) compared to high-income countries, fewer studies have investigated the associations between COVID-19-related stressor and mental health in LAMI countries. The objectives of this study were to determine the associations between COVID-19-related stressors and anxiety and depressive symptoms while controlling for known risk and protective factors and to investigate any sex differences. An online survey was carried out to assess sociodemographic, psychosocial (previous mental health conditions, sexual orientation, intimate partner violence and perceived social support) and COVID-19-related variables. Hierarchical linear regression was carried out with anxiety and depressive symptoms as separate outcomes. Of the COVID-19-related factors, testing positive for COVID-19 infection, having COVID-19 symptoms, having other medical conditions, self-isolating due to COVID-19 symptoms, worry about infection, perception of the pandemic as a threat to income and isolation during the lockdown were significantly associated with higher anxiety and depressive symptoms. Of these, worry about infection, isolation during lockdown and disruption due to the pandemic retained independent associations with both outcomes. The variance in anxiety and depressive symptoms explained by COVID-19-related factors was larger in women (11.8%) compared to men (6.1% and 0.8% respectively). COVID-19-related stressors are associated with higher anxiety and depressive symptoms, with these effects being larger in men compared to women. Enhancing social support can be an affordable strategy to mitigate this risk but this needs to be investigated using appropriate designs.
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页数:18
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