| Author | De Boni, Raquel B. | |
| Author | Balanzá-Martínez, Vicent | |
| Author | Mota, Jurema Corrêa da | |
| Author | Cardoso, Taiane de Azevedo | |
| Author | Ballester, Pedro Lemos | |
| Author | Atienza-Carbonell, Beatriz | |
| Author | Bastos, Francisco Inácio Pinkusfeld Monteiro | |
| Author | Kapczinski, Flavio Pereira | |
| Access date | 2020-12-17T18:52:47Z | |
| Available date | 2020-12-17T18:52:47Z | |
| Document date | 2020 | |
| Citation | DE BONI, Raquel Brandini et al. Depression, anxiety, and lifestyle among essential workers: a web survey from Brazil and Spain during the COVID-19 pandemic. Journal of Medical Internet Research, v. 22, n. 10, p. 1-16, Oct. 2020. | en_US |
| ISSN | 1438-8871 | |
| URI | https://www.arca.fiocruz.br/handle/icict/45005 | |
| Description | This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included. - Link para o artigo publicado: https://www.jmir.org/2020/10/e22835/ | en_US |
| Language | eng | en_US |
| Publisher | JMIR Publications | en_US |
| Rights | open access | en_US |
| Title | Depression, anxiety, and lifestyle among essential workers: a web survey from Brazil and Spain during the COVID-19 pandemic | en_US |
| Type | Article | en_US |
| DOI | 10.2196/22835 | |
| Abstract | Background: Essential workers have been shown to present a higher prevalence of positive screenings for anxiety and depression during the COVID-19 pandemic. Individuals from countries with socioeconomic inequalities may be at increased risk for mental health disorders. Objective: We aimed to assess the prevalence and predictors of depression, anxiety, and their comorbidity among essential workers in Brazil and Spain during the COVID-19 pandemic. Methods: A web survey was conducted between April and May 2020 in both countries. The main outcome was a positive screening for depression only, anxiety only, or both. Lifestyle was measured using a lifestyle multidimensional scale adapted for the COVID-19 pandemic (Short Multidimensional Inventory Lifestyle Evaluation–Confinement). A multinomial logistic regression model was performed to evaluate the factors associated with depression, anxiety, and the presence of both conditions. Results: From the 22,786 individuals included in the web survey, 3745 self-reported to be essential workers. Overall, 8.3% (n=311), 11.6% (n=434), and 27.4% (n=1027) presented positive screenings for depression, anxiety, and both, respectively. After adjusting for confounding factors, the multinomial model showed that an unhealthy lifestyle increased the likelihood of depression (adjusted odds ratio [AOR] 4.00, 95% CI 2.72-5.87), anxiety (AOR 2.39, 95% CI 1.80-3.20), and both anxiety and depression (AOR 8.30, 95% CI 5.90-11.7). Living in Brazil was associated with increased odds of depression (AOR 2.89, 95% CI 2.07-4.06), anxiety (AOR 2.81, 95%CI 2.11-3.74), and both conditions (AOR 5.99, 95% CI 4.53-7.91). Conclusions: Interventions addressing lifestyle may be useful in dealing with symptoms of common mental disorders during the strain imposed among essential workers by the COVID-19 pandemic. Essential workers who live in middle-income countries with higher rates of inequality may face additional challenges. Ensuring equitable treatment and support may be an important challenge ahead, considering the possible syndemic effect of the social determinants of health. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Universidad de Valencia. Facultad de Medicina y Odontología. Departamento de Medicina. Valencia, España. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | McMaster University. Department of Psychiatry and Behavioural Neurosciences. Hamilton, Ontario, Canada. | en_US |
| Affilliation | McMaster University. Neuroscience Graduate Program. Hamilton, Ontario, Canada. | en_US |
| Affilliation | Universidad de Valencia. Facultad de Medicina y Odontología. Valencia, España. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | McMaster University. Department of Psychiatry and Behavioural Neurosciences. Hamilton, Ontario, Canada / Hospital de Clínicas de Porto Alegre. Laboratório de Psiquiatria Molecular. Porto Alegre, RS, Brasil / Instituto Nacional de Ciência e Tecnologia Translacional em Medicina. Porto Alegre, RS, Brasil. | en_US |
| Subject | COVID-19 | en_US |
| Subject | Depression | en_US |
| Subject | Anxiety | en_US |
| Subject | Lifestyle | en_US |
| Subject | Brazil | en_US |
| Subject | Spain | en_US |
| e-ISSN | 1438-8871 | |
