COVID-19 大流行期间失业与心理健康结果之间的关系以及粮食不安全在这种关系中的中介作用

Fernanda de Oliveira Meller, M. R. Quadra, Leonardo Pozza dos Santos, S. Dumith, Fernanda Daminelli Eugênio, Tamara Justin da Silva, João Vitor Santana Mendes, A. A. Schäfer
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摘要

摘要:本研究旨在评估就业状况与心理健康之间的关系,并将粮食不安全作为这种关系的中介因素。在 COVID-19 爆发期间,研究人员在巴西南部的两个城市对成年人(≥ 18 岁且小于 60 岁)进行了一项基于人口的横断面研究。就业状况分为工作、不工作和失业。评估的心理健康结果包括抑郁症状、感知压力和悲伤情绪。粮食不安全状况通过巴西粮食不安全状况量表的简易版来确定。使用泊松回归进行了调整分析,以评估就业状况与心理健康之间的关联。为了研究就业状况对心理健康结果的直接和间接影响,还进行了中介分析。共对 1,492 名成年人进行了分析。没有工作的人感到压力和悲伤的几率分别比没有工作的人高出 53% 和 74%。在大流行期间被解雇会使抑郁症状、感知到的压力和悲伤的几率分别增加 68%、123% 和 128%。中介分析表明,粮食不安全是就业状况与抑郁症状和悲伤情绪之间关系的重要中介,但不是压力感知的重要中介。这些结果的复杂性凸显了心理健康结果所涉及的经济和营养问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between job lost and mental health outcomes during the COVID-19 pandemic and the role of food insecurity as mediator of this relationship
Abstract: This study aimed to evaluate the association between employment status and mental health, considering food insecurity as a mediator of this relation. A cross-sectional population-based study was conducted with adults (≥ 18 and < 60 years) during the COVID-19 outbreak in two cities from Southern Brazil. Employment status was categorized into working, not working, and lost job. The mental health outcomes evaluated were depressive symptoms, perceived stress, and sadness. Food insecurity was identified by the short-form version of the Brazilian Food Insecurity Scale. Adjusted analyses using Poisson regression were performed to assess the association between employment status and mental health. Mediation analysis was performed to investigate the direct and indirect effects of employment status on mental health outcomes. In total, 1,492 adults were analyzed. The not working status was associated with 53% and 74% higher odds of perceived stress and of sadness, respectively. Being dismissed during the pandemic increased the odds of depressive symptoms, perceived stress, and sadness by 68%, 123%, and 128%, respectively. Mediation analyses showed that food insecurity was an important mediator of the association between employment status and depressive symptoms and sadness, but not of perceived stress. The complexity of these results highlights economic and nutritional aspects involved in mental health outcomes.
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