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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Veröffentlicht in:Public health (London) 2021-10, Vol.199, p.42-45
Hauptverfasser: 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.
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container_issue
container_start_page 42
container_title Public health (London)
container_volume 199
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.
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals
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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