Prevalence and Associated Factors of the Severity of Depression, Anxiety and Stress Among Low-Income Community-Dwelling Adults in Kuala Lumpur, Malaysia

Bibliographic Data

ID8905565
AuthorsHalyna Lugova (0000-0001-8052-0580, National Defence University of Malaysia, corresponding author), Jo Ann Andoy-Galvan (0000-0003-2859-9257, Taylor's University), Sapna Shridhar Patil (0000-0002-5401-2678, Taylor's University), Yin How Wong (0000-0003-2421-4735, Taylor's University), Gul Baloch (Taylor's University), Gul M Baloch, Adlina Suleiman (0000-0003-1878-9022, National Defence University of Malaysia), Rusli Bin Nordin (0000-0003-1878-3501, Taylor's University), Karuthan Chinna (0000-0002-2035-344X, Taylor's University)
Year2021
Volume57
Issue8
Pages1489-1498
Publication date2021-01-08
Open AccessYes
TypeARTICLE
VenueCommunity Mental Health Journal (JOURNAL)
Journal identifiersISSN: 0010-3853 • E-ISSN: 1573-2789
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10597-020-00765-7
PMID33417170
OpenAlexW3120941102
LanguageEN
Citations received3
References cited28

Growing prevalence of mental illnesses and the role they play in the global disease burden is an emerging public health issue. The prevalence of depression and anxiety is on the rise in Malaysia. Low-income urban communities are among the key affected populations with regards to mental health problems. This cross-sectional study was aimed to determine the prevalence and severity of depression, anxiety and stress, and their associated factors among adults in the low-income community of Kuala Lumpur, Malaysia. A total of 248 participants aged 18-60 years old were recruited. Data were collected via face-to-face interviews using the Depression, Anxiety and Stress Scale-21 Items (DASS-21). Chi-squared test was used to examine the association between the variables. Multiple ordinal regression model was introduced to identify the predictors of depression, anxiety and stress. The proportions of participants with depression, anxiety and stress were 24.2% (95% CI: 19.6-30.4), 36.3% (95% CI: 29.9-43.0), and 20.6% (95% CI: 15.4-26.5), respectively. There was a statistically significant association of ethnicity (p = 0.002) and age (p = 0.014) with the severity of depression, ethnicity (p = 0.001) and age (p = 0.024) with the severity of anxiety, and ethnicity (p < 0.001) and marital status (p = 0.006) with the severity of stress. In a multivariable analysis, only non-Malay ethnicity was an independent predictor of the severity of depression [OR = 2.43, 95% CI (1.25, 4.72), p = 0.009], anxiety [OR = 2.55, 95% CI (1.41, 4.62), p = 0.002] and stress [OR = 4.28, 95% CI (2.06, 8.89), p = <0.001]. Mental health interventions should target low-income communities to address social inequalities of mental health within economically disadvantaged populations

Anxiety · Cross-sectional study · Depression (economics · Environmental health · Ethnic group · Malay · Marital status · Mental health · Population · Psychiatry · Public health · Clinical Psychology · Demography · Health disparities and outcomes · Medicine · Mental Health Treatment and Access · Psychological Well-being and Life Satisfaction

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