Financial and Mental Health Concerns of Impoverished Urban-Dwelling Bangladeshi People During COVID-19

Background: The COVID-19 pandemic has impacted the physical, mental and financial health of many individuals. Individuals living in impoverished crowded settings may be particularly vulnerable to COVID-19-related stressors. How substantially marginalized groups like impoverished urban-dwelling indiv...

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Main Authors: Md. Saiful Islam, Md. Estiar Rahman, Rajon Banik, Md. Galib Ishraq Emran, Noshin Saiara, Sahadat Hossain, M. Tasdik Hasan, Md. Tajuddin Sikder, Lee Smith, Marc N. Potenza
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-08-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2021.663687/full
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author Md. Saiful Islam
Md. Saiful Islam
Md. Estiar Rahman
Rajon Banik
Md. Galib Ishraq Emran
Noshin Saiara
Sahadat Hossain
M. Tasdik Hasan
Md. Tajuddin Sikder
Lee Smith
Marc N. Potenza
Marc N. Potenza
Marc N. Potenza
Marc N. Potenza
author_facet Md. Saiful Islam
Md. Saiful Islam
Md. Estiar Rahman
Rajon Banik
Md. Galib Ishraq Emran
Noshin Saiara
Sahadat Hossain
M. Tasdik Hasan
Md. Tajuddin Sikder
Lee Smith
Marc N. Potenza
Marc N. Potenza
Marc N. Potenza
Marc N. Potenza
author_sort Md. Saiful Islam
collection DOAJ
description Background: The COVID-19 pandemic has impacted the physical, mental and financial health of many individuals. Individuals living in impoverished crowded settings may be particularly vulnerable to COVID-19-related stressors. How substantially marginalized groups like impoverished urban-dwelling individuals have been impacted during this pandemic is poorly understood. The present study aimed to investigate the associated factors of financial concerns and symptoms of depression and posttraumatic stress disorder (PTSD) during the COVID-19 pandemic among impoverished urban-dwelling individuals residing in Dhaka, Bangladesh.Methods: A cross-sectional survey was conducted between August and September 2020 using face-to-face interviews in six disadvantaged neighborhoods (“slums”) in Dhaka. Individuals were interviewed using a semi-structured questionnaire consisting of questions assessing socio-demographics, lifestyle, financial well-being relating to the COVID-19 pandemic, depression, and PTSD.Results: Four-hundred-and-thirty-five individuals (male = 54.7%; mean age = 45.0 ± 12.0 years; age range = 18–85 years) participated. Most (96.3%) reported that their household income decreased due to the COVID-19 pandemic. Factors associated with decreased household incomes included female gender, primary education, joblessness, food scarcity and depression. Depression symptoms were linked to female gender, joblessness, divorce, living in a joint family, excessive sleep and smoking. Low incomes, excessive sleep, joblessness and food scarcity were positively associated with PTSD symptoms. In contrast, less sleep appeared protective against PTSD.Conclusions: Public health initiatives, in particular mental health services that target stress and biocentric approaches that consider how humans interact with multiple facets of nature, should be introduced to mitigate against potential financial and psychological effects of the pandemic on impoverished urban-dwelling individuals in Bangladesh.
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spelling doaj.art-fa920e9f334c40a386961b403396772e2022-12-21T19:36:07ZengFrontiers Media S.A.Frontiers in Psychology1664-10782021-08-011210.3389/fpsyg.2021.663687663687Financial and Mental Health Concerns of Impoverished Urban-Dwelling Bangladeshi People During COVID-19Md. Saiful Islam0Md. Saiful Islam1Md. Estiar Rahman2Rajon Banik3Md. Galib Ishraq Emran4Noshin Saiara5Sahadat Hossain6M. Tasdik Hasan7Md. Tajuddin Sikder8Lee Smith9Marc N. Potenza10Marc N. Potenza11Marc N. Potenza12Marc N. Potenza13Department of Public Health and Informatics, Jahangirnagar University, Dhaka, BangladeshCenter for Advanced Research Excellence in Public Health, Dhaka, BangladeshDepartment of Public Health and Informatics, Jahangirnagar University, Dhaka, BangladeshDepartment of Public Health and Informatics, Jahangirnagar University, Dhaka, BangladeshDepartment of Environmental Sciences, Jahangirnagar University, Dhaka, BangladeshDepartment of Biotechnology and Genetic Engineering, Jahangirnagar University, Dhaka, BangladeshDepartment of Public Health and Informatics, Jahangirnagar University, Dhaka, BangladeshDepartment of Primary Care and Mental Health, University of Liverpool, Liverpool, United KingdomDepartment of Public Health and Informatics, Jahangirnagar University, Dhaka, BangladeshThe Cambridge Center for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, United KingdomDepartment of Psychiatry and Child Study Center, Yale School of Medicine, New Haven, CT, United StatesConnecticut Mental Health Center, New Haven, CT, United StatesConnecticut Council on Problem Gambling, Wethersfield, CT, United States0Department of Neuroscience, Yale University, New Haven, CT, United StatesBackground: The COVID-19 pandemic has impacted the physical, mental and financial health of many individuals. Individuals living in impoverished crowded settings may be particularly vulnerable to COVID-19-related stressors. How substantially marginalized groups like impoverished urban-dwelling individuals have been impacted during this pandemic is poorly understood. The present study aimed to investigate the associated factors of financial concerns and symptoms of depression and posttraumatic stress disorder (PTSD) during the COVID-19 pandemic among impoverished urban-dwelling individuals residing in Dhaka, Bangladesh.Methods: A cross-sectional survey was conducted between August and September 2020 using face-to-face interviews in six disadvantaged neighborhoods (“slums”) in Dhaka. Individuals were interviewed using a semi-structured questionnaire consisting of questions assessing socio-demographics, lifestyle, financial well-being relating to the COVID-19 pandemic, depression, and PTSD.Results: Four-hundred-and-thirty-five individuals (male = 54.7%; mean age = 45.0 ± 12.0 years; age range = 18–85 years) participated. Most (96.3%) reported that their household income decreased due to the COVID-19 pandemic. Factors associated with decreased household incomes included female gender, primary education, joblessness, food scarcity and depression. Depression symptoms were linked to female gender, joblessness, divorce, living in a joint family, excessive sleep and smoking. Low incomes, excessive sleep, joblessness and food scarcity were positively associated with PTSD symptoms. In contrast, less sleep appeared protective against PTSD.Conclusions: Public health initiatives, in particular mental health services that target stress and biocentric approaches that consider how humans interact with multiple facets of nature, should be introduced to mitigate against potential financial and psychological effects of the pandemic on impoverished urban-dwelling individuals in Bangladesh.https://www.frontiersin.org/articles/10.3389/fpsyg.2021.663687/fullCOVID-19 pandemicpovertyBangladeshsleepdepressionpost-traumatic stress disorder
spellingShingle Md. Saiful Islam
Md. Saiful Islam
Md. Estiar Rahman
Rajon Banik
Md. Galib Ishraq Emran
Noshin Saiara
Sahadat Hossain
M. Tasdik Hasan
Md. Tajuddin Sikder
Lee Smith
Marc N. Potenza
Marc N. Potenza
Marc N. Potenza
Marc N. Potenza
Financial and Mental Health Concerns of Impoverished Urban-Dwelling Bangladeshi People During COVID-19
Frontiers in Psychology
COVID-19 pandemic
poverty
Bangladesh
sleep
depression
post-traumatic stress disorder
title Financial and Mental Health Concerns of Impoverished Urban-Dwelling Bangladeshi People During COVID-19
title_full Financial and Mental Health Concerns of Impoverished Urban-Dwelling Bangladeshi People During COVID-19
title_fullStr Financial and Mental Health Concerns of Impoverished Urban-Dwelling Bangladeshi People During COVID-19
title_full_unstemmed Financial and Mental Health Concerns of Impoverished Urban-Dwelling Bangladeshi People During COVID-19
title_short Financial and Mental Health Concerns of Impoverished Urban-Dwelling Bangladeshi People During COVID-19
title_sort financial and mental health concerns of impoverished urban dwelling bangladeshi people during covid 19
topic COVID-19 pandemic
poverty
Bangladesh
sleep
depression
post-traumatic stress disorder
url https://www.frontiersin.org/articles/10.3389/fpsyg.2021.663687/full
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