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Factors Associated With Mental Health Symptoms During the Covid-19 Pandemic in Hong Kong

Bibliographic Data

ID15516142
AuthorsSheng Zhi Zhao (0000-0003-3024-0956, University of Hong Kong), Tzu Tsun Luk (0000-0002-7056-1976, University of Hong Kong), Yongda Wu (0000-0003-0226-0984, University of Hong Kong), Xin Weng (0000-0002-9564-4284, University of Hong Kong), Janet Yuen Ha Wong (0000-0002-3000-4577, University of Hong Kong), Man Ping Wang (0000-0003-4000-2388, University of Hong Kong, corresponding author), Th Lam (0000-0002-2033-9971, University of Hong Kong), Tai Hing Lam
Year2021
Volume12
Pages617397-617397
Publication date2021-06-07
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.617397
PMID34163379
OpenAlexW3169804922
LanguageEN
Citations received5
References cited36

Background: The COVID-19 pandemic has led to an increasing mental health burden. We examined the factors associated with mental health symptoms in Chinese general adults in Hong Kong. Methods: We conducted a dual-frame (landline and mobile) survey on Chinese adults aged 18 years or older in April 2020. Shortage of preventive materials, perceptions of the outbreak (each item range 1-5), and reduction in income were assessed. Mental health symptoms measured included stress (Perceived Stress Scale-4, range 0-16), anxiety (General Anxiety Disorders-2, range 0-6, cutoff >2), and depressive symptoms (Patient Health Questionnaire-2, range 0-6, cutoff >2). Results were weighted by the general population distribution. Associations were analyzed by multivariable linear (for stress) and logistic (for anxiety and depressive symptoms) regression adjusting for sociodemographic and health-related covariates, including confirmed or in close contacts of confirmed cases, chronic disease, self-rated health, and smoking and alcohol drinking behavior. Results: Of the 1,501 participants (52.5% female, 55.0 aged 30-59 years), the average stress score was 7.20 (SD 2.12). 218 (15.8%) and 206 (14.8%) participants had anxiety and depressive symptoms, respectively. Shortage in facemasks (20.8%), alcohol-based hand sanitizers (13.9%), and cleaning products (7.3%) was reported. Participants generally disagree with the perception of at risk of getting infected in the coming 6 months (mean 2.2, SD 1.1), but tended to agree with the perception of worry that the people around pose a threat to them (mean 3.6, SD 0.9) and the outbreak has greatly affected their daily life (mean 3.7, SD 0.9). 59.3% employed participants had income reduction and 6.2% had become unemployed since the outbreak. Stress, anxiety, and depressive symptoms were more prevalent in those with shortages of preventive materials and negative perceptions of the outbreak (all P P Conclusions: Shortage of preventive materials, negative perceptions, financial loss, and unemployment were prevalent during the outbreak and found in association with higher stress and more anxiety and depressive symptoms. Further research and urgent actions are warranted to relieve stress and promote mental health, targeting the many risk factors identified by our study

Anxiety · Coronavirus disease 2019 (COVID-19 · Disease · Environmental health · Logistic regression · Mental health · Pandemic · Population · Psychiatry · Worry · Clinical Psychology · COVID-19 and Mental Health · COVID-19 Pandemic Impacts · Medicine · Mental Health Treatment and Access · Internal Medicine

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Unique citing works5
Citations per year1,25
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 5

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