Factors associated with COVID-19 pandemic induced post-traumatic stress symptoms among adults living with and without HIV in Nigeria: a cross-sectional study

BMC Psychiatry

Olanrewaju Ibigbami¹  Mir Faeq Ali Quadri²  Muhammad Abrar Yousaf²  Annie Lu Nguyen²  Zumama Khalid²  Passent Ellakany²  Folake Barakat Lawal²  Abeedah Tu-Allah Khan²  Jorma I. Virtanen²  Giuliana Florencia Abeldaño²  Joseph Chukwudi Okeibunor²  Bamidele Emmanuel Osamika²  Maha ElTantawi²  Balgis Gaffar²  Mark Roque²  Ala’a B. Al-Tammemi²  Ntombifuthi P. Nzimande²  Anas Shamala²  Roberto Ariel Abeldaño Zuñiga²  Martin Amogre Ayanore²  Nuraldeen Maher Al-Khanati²  Mohammed Jafer²  Eshrat Ara²  Ifeoma Idigbe²  Joanne Lusher²  Anthonia Omotola Ishabiyi²  Morenike Oluwatoyin Folayan²  Bamidele Olubukola Popoola² 

[1] Department of Mental Health, Obafemi Awolowo University;Mental Health and Wellness Study Group;

关键词: HIV;    PTSD;    Nigeria;    COVID-19;    SARS-COV-2;    Mental health disorder;   

DOI  :  10.1186/s12888-021-03617-0

来源: DOAJ

【 摘 要 】

Abstract Background Nigeria is a country with high risk for traumatic incidences, now aggravated by the COVID-19 pandemic. This study aimed to identify differences in COVID-19 related post-traumatic stress symptoms (PTSS) among people living and not living with HIV; to assess whether PTSS were associated with COVID-19 pandemic-related anger, loneliness, social isolation, and social support; and to determine the association between PTSS and use of COVID-19 prevention strategies. Methods The data of the 3761 respondents for this analysis was extracted from a cross-sectional online survey that collected information about mental health and wellness from a convenience sample of adults, 18 years and above, in Nigeria from July to December 2020. Information was collected on the study’s dependent variable (PTSS), independent variables (self-reported COVID-19, HIV status, use of COVID-19 prevention strategies, perception of social isolation, access to emotional support, feelings of anger and loneliness), and potential confounder (age, sex at birth, employment status). A binary logistic regression model tested the associations between independent and dependent variables. Results Nearly half (47.5%) of the respondents had PTSS. People who had symptoms but were not tested (AOR = 2.20), felt socially isolated (AOR = 1.16), angry (AOR = 2.64), or lonely (AOR = 2.19) had significantly greater odds of reporting PTSS (p < 0.001). People living with HIV (AOR = 0.39), those who wore masks (AOR = 0.62) and those who had emotional support (AOR = 0.63), had lower odds of reporting PTSS (p < .05). Conclusion The present study identified some multifaceted relationships between post-traumatic stress, HIV status, facemask use, anger, loneliness, social isolation, and access to emotional support during this protracted COVID-19 pandemic. These findings have implications for the future health of those affected, particularly for individuals living in Nigeria. Public health education should be incorporated in programs targeting prevention and prompt diagnosis and treatment for post-traumatic stress disorder at the community level.

【 授权许可】

Unknown