Psychological distress, low-income, and socio-economic vulnerability in the COVID-19 pandemic
Although literature broadly reports the impact of COVID-19 on global mental health, little is known about the extent of its deleterious impact on the most vulnerable individuals. The present study aimed to evaluate the level of psychological distress of adult's residents of two urban shantytown...
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creator | Santana, C.L.A. Manfrinato, C.V. Souza, P.R.P. Marino, A. Condé, V.F. Stedefeldt, E. Tomita, L.Y. do Carmo Franco, M. |
description | Although literature broadly reports the impact of COVID-19 on global mental health, little is known about the extent of its deleterious impact on the most vulnerable individuals. The present study aimed to evaluate the level of psychological distress of adult's residents of two urban shantytown communities located in São Paulo city, Brazil.
This was a cross-sectional study.
An online questionnaire was divided into four sections: (1) informed consent, (2) socio-economic data, (3) 12-item general health questionnaire, and (4) Brazilian food insecurity scale was applied.
Of the 495 family headship (448 females and 47 males), the mean age was 36.1 years, 85% have an indication of psychological distress, 61.4% had a monthly income less than or equal to $70, and the incidence of households experiencing moderate or severe food insecurity was 40%. Multivariate logistic regression revealed that respondents who experienced moderate or severe food insecurity (odds ratio [OR] = 2.701, confidence interval [CI] 95% = 1.265–5.769; P = 0.010) and lower monthly income (OR = 2.031, CI 95% = 1.056–3.908; P = 0.034) had a higher risk of psychological distress. On the other hand, having an employment is a protective factor against the stressful situations caused by COVID-19 pandemic (P = 0.029).
The present study identified low-income younger women residents of urban slums who suffer from food insecurity as high-risk groups to have psychological distress. Our findings are of particular importance because they showed the intersection of vulnerabilities during the COVID-19 outbreak. |
doi_str_mv | 10.1016/j.puhe.2021.08.016 |
format | Article |
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This was a cross-sectional study.
An online questionnaire was divided into four sections: (1) informed consent, (2) socio-economic data, (3) 12-item general health questionnaire, and (4) Brazilian food insecurity scale was applied.
Of the 495 family headship (448 females and 47 males), the mean age was 36.1 years, 85% have an indication of psychological distress, 61.4% had a monthly income less than or equal to $70, and the incidence of households experiencing moderate or severe food insecurity was 40%. Multivariate logistic regression revealed that respondents who experienced moderate or severe food insecurity (odds ratio [OR] = 2.701, confidence interval [CI] 95% = 1.265–5.769; P = 0.010) and lower monthly income (OR = 2.031, CI 95% = 1.056–3.908; P = 0.034) had a higher risk of psychological distress. On the other hand, having an employment is a protective factor against the stressful situations caused by COVID-19 pandemic (P = 0.029).
The present study identified low-income younger women residents of urban slums who suffer from food insecurity as high-risk groups to have psychological distress. Our findings are of particular importance because they showed the intersection of vulnerabilities during the COVID-19 outbreak.</description><identifier>ISSN: 0033-3506</identifier><identifier>EISSN: 1476-5616</identifier><identifier>DOI: 10.1016/j.puhe.2021.08.016</identifier><identifier>PMID: 34537575</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adult ; Brazil - epidemiology ; Confidence intervals ; Coronaviruses ; COVID-19 ; Cross-Sectional Studies ; Economics ; Employment ; Female ; Food ; Food insecurity ; Food security ; Headship ; Healthy food ; High risk ; Households ; Humans ; Income ; Informed consent ; Insecurity ; Low income groups ; Male ; Males ; Mental health ; Original Research ; Pandemics ; Poverty Areas ; Psychological Distress ; Psychological stress ; Questionnaires ; Risk groups ; SARS-CoV-2 ; Shanty towns ; Slums ; Socio-economic vulnerability ; Socioeconomic factors ; Socioeconomics ; Statistical analysis ; Stress, Psychological - epidemiology ; Urban slum ; Vulnerability ; Young women</subject><ispartof>Public health (London), 2021-10, Vol.199, p.42-45</ispartof><rights>2021 The Royal Society for Public Health</rights><rights>Copyright © 2021 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Oct 2021</rights><rights>2021 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved. 2021 The Royal Society for Public Health</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-9bec95ac25e7f26300e190c703a9987219146a89645e6e87875ea87e543841153</citedby><cites>FETCH-LOGICAL-c483t-9bec95ac25e7f26300e190c703a9987219146a89645e6e87875ea87e543841153</cites><orcidid>0000-0002-6843-1929 ; 0000-0002-9652-038X ; 0000-0003-0604-7689 ; 0000-0001-8754-290X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0033350621003437$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,30976,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34537575$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Santana, C.L.A.</creatorcontrib><creatorcontrib>Manfrinato, C.V.</creatorcontrib><creatorcontrib>Souza, P.R.P.</creatorcontrib><creatorcontrib>Marino, A.</creatorcontrib><creatorcontrib>Condé, V.F.</creatorcontrib><creatorcontrib>Stedefeldt, E.</creatorcontrib><creatorcontrib>Tomita, L.Y.</creatorcontrib><creatorcontrib>do Carmo Franco, M.</creatorcontrib><title>Psychological distress, low-income, and socio-economic vulnerability in the COVID-19 pandemic</title><title>Public health (London)</title><addtitle>Public Health</addtitle><description>Although literature broadly reports the impact of COVID-19 on global mental health, little is known about the extent of its deleterious impact on the most vulnerable individuals. The present study aimed to evaluate the level of psychological distress of adult's residents of two urban shantytown communities located in São Paulo city, Brazil.
This was a cross-sectional study.
An online questionnaire was divided into four sections: (1) informed consent, (2) socio-economic data, (3) 12-item general health questionnaire, and (4) Brazilian food insecurity scale was applied.
Of the 495 family headship (448 females and 47 males), the mean age was 36.1 years, 85% have an indication of psychological distress, 61.4% had a monthly income less than or equal to $70, and the incidence of households experiencing moderate or severe food insecurity was 40%. Multivariate logistic regression revealed that respondents who experienced moderate or severe food insecurity (odds ratio [OR] = 2.701, confidence interval [CI] 95% = 1.265–5.769; P = 0.010) and lower monthly income (OR = 2.031, CI 95% = 1.056–3.908; P = 0.034) had a higher risk of psychological distress. On the other hand, having an employment is a protective factor against the stressful situations caused by COVID-19 pandemic (P = 0.029).
The present study identified low-income younger women residents of urban slums who suffer from food insecurity as high-risk groups to have psychological distress. Our findings are of particular importance because they showed the intersection of vulnerabilities during the COVID-19 outbreak.</description><subject>Adult</subject><subject>Brazil - epidemiology</subject><subject>Confidence intervals</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Cross-Sectional Studies</subject><subject>Economics</subject><subject>Employment</subject><subject>Female</subject><subject>Food</subject><subject>Food insecurity</subject><subject>Food security</subject><subject>Headship</subject><subject>Healthy food</subject><subject>High risk</subject><subject>Households</subject><subject>Humans</subject><subject>Income</subject><subject>Informed consent</subject><subject>Insecurity</subject><subject>Low income groups</subject><subject>Male</subject><subject>Males</subject><subject>Mental health</subject><subject>Original Research</subject><subject>Pandemics</subject><subject>Poverty Areas</subject><subject>Psychological Distress</subject><subject>Psychological stress</subject><subject>Questionnaires</subject><subject>Risk groups</subject><subject>SARS-CoV-2</subject><subject>Shanty towns</subject><subject>Slums</subject><subject>Socio-economic vulnerability</subject><subject>Socioeconomic factors</subject><subject>Socioeconomics</subject><subject>Statistical analysis</subject><subject>Stress, Psychological - epidemiology</subject><subject>Urban slum</subject><subject>Vulnerability</subject><subject>Young women</subject><issn>0033-3506</issn><issn>1476-5616</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kc2KFDEUhYMoTjv6Ai6kwI2LqfKmUvkDEaT9GxgYF-pOQjp1ezpNVdImVS399qbtcVAXrgI33znk5iPkKYWGAhUvt81u3mDTQksbUE0Z3SML2klRc0HFfbIAYKxmHMQZeZTzFgBayfhDcsY6ziSXfEG-fcoHt4lDvPHODlXv85Qw54tqiD9qH1wc8aKyoa9ydD7W6GKIo3fVfh4CJrvyg58OlQ_VtMFqef318m1NdbUrCSzYY_JgbYeMT27Pc_Ll_bvPy4_11fWHy-Wbq9p1ik21XqHT3LqWo1y3ggEg1eAkMKu1ki3VtBNWadFxFKikkhytksg7pjpKOTsnr0-9u3k1Yu8wTMkOZpf8aNPBROvN3zfBb8xN3BvFNDABpeDFbUGK32fMkxl9djgMNmCcs2m57GTH6C_0-T_oNs4plPVMK4oKkFrrQrUnyqWYc8L13WMomKM9szVHe-Zoz4AyZVRCz_5c4y7yW1cBXp0ALJ-595hMdh6Dw94ndJPpo_9f_09p4qpw</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Santana, C.L.A.</creator><creator>Manfrinato, C.V.</creator><creator>Souza, P.R.P.</creator><creator>Marino, A.</creator><creator>Condé, V.F.</creator><creator>Stedefeldt, E.</creator><creator>Tomita, L.Y.</creator><creator>do Carmo Franco, M.</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><general>The Royal Society for Public Health. Published by Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>ASE</scope><scope>C1K</scope><scope>FPQ</scope><scope>H94</scope><scope>K6X</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6843-1929</orcidid><orcidid>https://orcid.org/0000-0002-9652-038X</orcidid><orcidid>https://orcid.org/0000-0003-0604-7689</orcidid><orcidid>https://orcid.org/0000-0001-8754-290X</orcidid></search><sort><creationdate>20211001</creationdate><title>Psychological distress, low-income, and socio-economic vulnerability in the COVID-19 pandemic</title><author>Santana, C.L.A. ; Manfrinato, C.V. ; Souza, P.R.P. ; Marino, A. ; Condé, V.F. ; Stedefeldt, E. ; Tomita, L.Y. ; do Carmo Franco, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-9bec95ac25e7f26300e190c703a9987219146a89645e6e87875ea87e543841153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Brazil - epidemiology</topic><topic>Confidence intervals</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Cross-Sectional Studies</topic><topic>Economics</topic><topic>Employment</topic><topic>Female</topic><topic>Food</topic><topic>Food insecurity</topic><topic>Food security</topic><topic>Headship</topic><topic>Healthy food</topic><topic>High risk</topic><topic>Households</topic><topic>Humans</topic><topic>Income</topic><topic>Informed consent</topic><topic>Insecurity</topic><topic>Low income groups</topic><topic>Male</topic><topic>Males</topic><topic>Mental health</topic><topic>Original Research</topic><topic>Pandemics</topic><topic>Poverty Areas</topic><topic>Psychological Distress</topic><topic>Psychological stress</topic><topic>Questionnaires</topic><topic>Risk groups</topic><topic>SARS-CoV-2</topic><topic>Shanty towns</topic><topic>Slums</topic><topic>Socio-economic vulnerability</topic><topic>Socioeconomic factors</topic><topic>Socioeconomics</topic><topic>Statistical analysis</topic><topic>Stress, Psychological - epidemiology</topic><topic>Urban slum</topic><topic>Vulnerability</topic><topic>Young women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Santana, C.L.A.</creatorcontrib><creatorcontrib>Manfrinato, C.V.</creatorcontrib><creatorcontrib>Souza, P.R.P.</creatorcontrib><creatorcontrib>Marino, A.</creatorcontrib><creatorcontrib>Condé, V.F.</creatorcontrib><creatorcontrib>Stedefeldt, E.</creatorcontrib><creatorcontrib>Tomita, L.Y.</creatorcontrib><creatorcontrib>do Carmo Franco, M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>British Nursing Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>British Nursing Index</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Public health (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Santana, C.L.A.</au><au>Manfrinato, C.V.</au><au>Souza, P.R.P.</au><au>Marino, A.</au><au>Condé, V.F.</au><au>Stedefeldt, E.</au><au>Tomita, L.Y.</au><au>do Carmo Franco, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychological distress, low-income, and socio-economic vulnerability in the COVID-19 pandemic</atitle><jtitle>Public health (London)</jtitle><addtitle>Public Health</addtitle><date>2021-10-01</date><risdate>2021</risdate><volume>199</volume><spage>42</spage><epage>45</epage><pages>42-45</pages><issn>0033-3506</issn><eissn>1476-5616</eissn><abstract>Although literature broadly reports the impact of COVID-19 on global mental health, little is known about the extent of its deleterious impact on the most vulnerable individuals. The present study aimed to evaluate the level of psychological distress of adult's residents of two urban shantytown communities located in São Paulo city, Brazil.
This was a cross-sectional study.
An online questionnaire was divided into four sections: (1) informed consent, (2) socio-economic data, (3) 12-item general health questionnaire, and (4) Brazilian food insecurity scale was applied.
Of the 495 family headship (448 females and 47 males), the mean age was 36.1 years, 85% have an indication of psychological distress, 61.4% had a monthly income less than or equal to $70, and the incidence of households experiencing moderate or severe food insecurity was 40%. Multivariate logistic regression revealed that respondents who experienced moderate or severe food insecurity (odds ratio [OR] = 2.701, confidence interval [CI] 95% = 1.265–5.769; P = 0.010) and lower monthly income (OR = 2.031, CI 95% = 1.056–3.908; P = 0.034) had a higher risk of psychological distress. On the other hand, having an employment is a protective factor against the stressful situations caused by COVID-19 pandemic (P = 0.029).
The present study identified low-income younger women residents of urban slums who suffer from food insecurity as high-risk groups to have psychological distress. Our findings are of particular importance because they showed the intersection of vulnerabilities during the COVID-19 outbreak.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>34537575</pmid><doi>10.1016/j.puhe.2021.08.016</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-6843-1929</orcidid><orcidid>https://orcid.org/0000-0002-9652-038X</orcidid><orcidid>https://orcid.org/0000-0003-0604-7689</orcidid><orcidid>https://orcid.org/0000-0001-8754-290X</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adult Brazil - epidemiology Confidence intervals Coronaviruses COVID-19 Cross-Sectional Studies Economics Employment Female Food Food insecurity Food security Headship Healthy food High risk Households Humans Income Informed consent Insecurity Low income groups Male Males Mental health Original Research Pandemics Poverty Areas Psychological Distress Psychological stress Questionnaires Risk groups SARS-CoV-2 Shanty towns Slums Socio-economic vulnerability Socioeconomic factors Socioeconomics Statistical analysis Stress, Psychological - epidemiology Urban slum Vulnerability Young women |
title | Psychological distress, low-income, and socio-economic vulnerability in the COVID-19 pandemic |
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