A systematic review of mental health in rural Andean populations in Latin America during the COVID-19 pandemic

BackgroundCOVID-19 has been causing mental health problems around the world, with rural and indigenous peoples likely to be the most affected. This systematic review synthesizes and critically analyzes the existing literature on mental disorders in the rural Andean population in Latin America.Method...

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Main Authors: Jeel Moya-Salazar, Alexis Jaime-Quispe, Betsy Cañari, Jeel G. Moya-Espinoza, Hans Contreras-Pulache
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1136328/full
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author Jeel Moya-Salazar
Alexis Jaime-Quispe
Alexis Jaime-Quispe
Betsy Cañari
Jeel G. Moya-Espinoza
Hans Contreras-Pulache
author_facet Jeel Moya-Salazar
Alexis Jaime-Quispe
Alexis Jaime-Quispe
Betsy Cañari
Jeel G. Moya-Espinoza
Hans Contreras-Pulache
author_sort Jeel Moya-Salazar
collection DOAJ
description BackgroundCOVID-19 has been causing mental health problems around the world, with rural and indigenous peoples likely to be the most affected. This systematic review synthesizes and critically analyzes the existing literature on mental disorders in the rural Andean population in Latin America.MethodsA systematic review with narrative synthesis was carried out following the PRISMA guidelines. We searched nine databases (PubMed/MEDLINE, Scopus, EMBASE, ScienceDirect, Web of Science, Cochrane, Scielo, LILACS, and Latindex), five public prepublication servers (SocArXiv, medRxiv, bioRxiv, SportRXiv, and Preprints), ALICIA, and Google Scholar for articles that included the analysis of mental health problems using data collected from the rural Andean population in Latin America. These were eligible for inclusion. Articles that included Non-Latin American populations (including European or African migrants) and studies conducted prior to the COVID-19 pandemic (since the declaration of national lockdown) were excluded.ResultsA total of 23,761 articles were retrieved, 14 of which met the inclusion requirements. Most were cross-sectional (n = 12) and related to anxiety (n = 9), depression (n = 8), and stress (n = 5). The mental health analysis of 5,976 rural dwellers from four countries in Latin America also included gray literature studies (n = 7) that allowed the quantification of mental health problems in adults (n = 7) and adolescents/children (n = 4). Only one study was multinational, and the quality of publications varied. Despite the high frequency of anxiety, depression, and stress symptoms among rural Latin American populations during COVID-19, published research is very limited. This review found preliminary evidence that the frequency of anxiety (45%), depression (27.6%), and stress (33.1%) in the rural population was associated with pandemic restrictions across countries. Measures of other psychiatric problems, such as distress or suicidal ideation, cannot be estimated.ConclusionRegional-wide studies investigating changes in the frequency of symptoms of mental health problems in the context of the COVID-19 pandemic are warranted to inform culturally adapted prevention strategies. This study is limited to a narrative synthesis and may be subject to publication bias.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=320489.
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spelling doaj.art-84b274b0e27f4854a540ab7a44bd5b042023-08-18T07:46:50ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-08-011410.3389/fpsyt.2023.11363281136328A systematic review of mental health in rural Andean populations in Latin America during the COVID-19 pandemicJeel Moya-Salazar0Alexis Jaime-Quispe1Alexis Jaime-Quispe2Betsy Cañari3Jeel G. Moya-Espinoza4Hans Contreras-Pulache5Faculties of Health Science, Universidad Privada del Norte, Lima, PeruSouth America Center for Education and Research in Public Health, Universidad Norbert Wiener, Lima, PeruQualitative Unit, Nesh Hubbs, Lima, PeruSouth America Center for Education and Research in Public Health, Universidad Norbert Wiener, Lima, PeruQualitative Unit, Nesh Hubbs, Lima, PeruSouth America Center for Education and Research in Public Health, Universidad Norbert Wiener, Lima, PeruBackgroundCOVID-19 has been causing mental health problems around the world, with rural and indigenous peoples likely to be the most affected. This systematic review synthesizes and critically analyzes the existing literature on mental disorders in the rural Andean population in Latin America.MethodsA systematic review with narrative synthesis was carried out following the PRISMA guidelines. We searched nine databases (PubMed/MEDLINE, Scopus, EMBASE, ScienceDirect, Web of Science, Cochrane, Scielo, LILACS, and Latindex), five public prepublication servers (SocArXiv, medRxiv, bioRxiv, SportRXiv, and Preprints), ALICIA, and Google Scholar for articles that included the analysis of mental health problems using data collected from the rural Andean population in Latin America. These were eligible for inclusion. Articles that included Non-Latin American populations (including European or African migrants) and studies conducted prior to the COVID-19 pandemic (since the declaration of national lockdown) were excluded.ResultsA total of 23,761 articles were retrieved, 14 of which met the inclusion requirements. Most were cross-sectional (n = 12) and related to anxiety (n = 9), depression (n = 8), and stress (n = 5). The mental health analysis of 5,976 rural dwellers from four countries in Latin America also included gray literature studies (n = 7) that allowed the quantification of mental health problems in adults (n = 7) and adolescents/children (n = 4). Only one study was multinational, and the quality of publications varied. Despite the high frequency of anxiety, depression, and stress symptoms among rural Latin American populations during COVID-19, published research is very limited. This review found preliminary evidence that the frequency of anxiety (45%), depression (27.6%), and stress (33.1%) in the rural population was associated with pandemic restrictions across countries. Measures of other psychiatric problems, such as distress or suicidal ideation, cannot be estimated.ConclusionRegional-wide studies investigating changes in the frequency of symptoms of mental health problems in the context of the COVID-19 pandemic are warranted to inform culturally adapted prevention strategies. This study is limited to a narrative synthesis and may be subject to publication bias.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=320489.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1136328/fullCOVID-19mental healthLatin Americadepressionrural population
spellingShingle Jeel Moya-Salazar
Alexis Jaime-Quispe
Alexis Jaime-Quispe
Betsy Cañari
Jeel G. Moya-Espinoza
Hans Contreras-Pulache
A systematic review of mental health in rural Andean populations in Latin America during the COVID-19 pandemic
Frontiers in Psychiatry
COVID-19
mental health
Latin America
depression
rural population
title A systematic review of mental health in rural Andean populations in Latin America during the COVID-19 pandemic
title_full A systematic review of mental health in rural Andean populations in Latin America during the COVID-19 pandemic
title_fullStr A systematic review of mental health in rural Andean populations in Latin America during the COVID-19 pandemic
title_full_unstemmed A systematic review of mental health in rural Andean populations in Latin America during the COVID-19 pandemic
title_short A systematic review of mental health in rural Andean populations in Latin America during the COVID-19 pandemic
title_sort systematic review of mental health in rural andean populations in latin america during the covid 19 pandemic
topic COVID-19
mental health
Latin America
depression
rural population
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1136328/full
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