关键词: Botswana COVID-19 Depression anxiety predictors

Mesh : Humans Botswana / epidemiology COVID-19 / epidemiology psychology Cross-Sectional Studies Prevalence Male Female Depression / epidemiology Adult Anxiety / epidemiology Middle Aged Risk Factors Young Adult Surveys and Questionnaires

来  源:   DOI:10.11604/pamj.2024.47.152.40908   PDF(Pubmed)

Abstract:
UNASSIGNED: points of entry (POE) staff are particularly prone to depression and anxiety during outbreaks. The study aimed to determine the prevalence and predictors of depression and anxiety among POE staff in Botswana.
UNASSIGNED: this was a cross sectional study at Sir Seretse Khama International Airport (SSKIA) and Tlokweng border from 02/12/2021 to 24/02/2022 during the COVID-19 outbreak. The Patient Health Questionnaire-9 (PHQ-9) and the General Anxiety Disorder-7 item scale (GAD-7) were used to screen for depression and anxiety respectively. Logistic regression was used to determine predictors of depression (PHQ-9≥10) and anxiety (GAD-7 ≥10).
UNASSIGNED: a total of 276 POE workers participated in the study of which 60 (21.7%) had an abnormal PHQ-9 score (had depression). Anxiety levels were abnormal in 31 (11.2%) participants. The predictors of depression were working at SSKIA (Adjusted odds ratio (AOR) 0.22, 95% Confidence interval (CI) 0.08-0.65), age >39 years (AOR 0.15, 95% CI 0.03-0.68), having a diploma (AOR 0.27, 95% CI 0.008-0.89), having a degree or higher (AOR 0.23, 95% CI 0.07-0.80), history of asthma (AOR 4.43, 95% CI 1.17-16.72), experience of stigma and discrimination (AOR 2.93, 95% CI 1.01-8.55) and having older people (>65 years) in the household (AOR 4.61, 95% CI 1.64-12.99). The predictors of anxiety were having chronic medical conditions (AOR 5.76, 95% CI 1.34-24.78) and experience of stigma and discrimination (AOR 6.82, 95% CI 1.42-32.46).
UNASSIGNED: depression and anxiety were detected in a significant number of participants. Multiple risk factors were identified. Public health interventions should target these risk factors.
摘要:
入境点(POE)工作人员在爆发期间特别容易出现抑郁和焦虑。该研究旨在确定博茨瓦纳POE员工中抑郁和焦虑的患病率和预测因素。
这是在2021年2月12日至2022年2月2日COVID-19爆发期间在塞雷兹·卡马国际机场(SSKIA)和Tlokweng边境进行的一项横断面研究。采用患者健康问卷-9(PHQ-9)和一般焦虑障碍-7项目量表(GAD-7)分别筛查抑郁和焦虑。使用Logistic回归确定抑郁(PHQ-9≥10)和焦虑(GAD-7≥10)的预测因子。
共有276名POE工作者参加了这项研究,其中60名(21.7%)的PHQ-9评分异常(患有抑郁症)。31名(11.2%)参与者的焦虑水平异常。抑郁症的预测因素在SSKIA(调整后优势比(AOR)0.22,95%置信区间(CI)0.08-0.65),年龄>39岁(AOR0.15,95%CI0.03-0.68),拥有文凭(AOR0.27,95%CI0.008-0.89),度或更高(AOR0.23,95%CI0.07-0.80),哮喘病史(AOR4.43,95%CI1.17-16.72),有污名和歧视的经历(AOR2.93,95%CI1.01-8.55)和家庭中有老年人(>65岁)(AOR4.61,95%CI1.64-12.99)。焦虑的预测因素是患有慢性疾病(AOR5.76,95%CI1.34-24.78)和污名和歧视(AOR6.82,95%CI1.42-32.46)。
在大量参与者中检测到抑郁和焦虑。确定了多个危险因素。公共卫生干预措施应针对这些危险因素。
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