Publikation: COVID-19 Pandemic and Food Insecurity Fuel the Mental Health Crisis in Africa
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Objective: Providing country-level estimates for prevalence rates of Generalized Anxiety Disorder (GAD), COVID-19 exposure and food insecurity (FI) and assessing the role of persistent threats to survival—exemplified by exposure to COVID-19 and FI—for the mental health crisis in Africa.
Methods: Original phone-based survey data from Mozambique, Sierra Leone, Tanzania and Uganda (12 consecutive cross-sections in 2021; n = 23,943) were analyzed to estimate prevalence rates of GAD. Logistic regression models and mediation analysis using structural equation models identify risk and protective factors.
Results: The overall prevalence of GAD in 2021 was 23.3%; 40.2% in Mozambique, 17.0% in Sierra Leone, 18.0% in Tanzania, and 19.1% in Uganda. Both COVID-19 exposure (ORadj. 1.4; CI 1.3–1.6) and FI (ORadj 3.2; CI 2.7–3.8) are independent and significant predictors of GAD. Thus, the impact of FI on GAD was considerably stronger than that of COVID-19 exposure.
Conclusion: Persistent threats to survival play a substantial role for mental health, specifically GAD. High anxiety prevalence in the population requires programs to reduce violence and enhance social support. Even during a pandemic, addressing FI as a key driver of GAD should be prioritized by policymakers.
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BECK, Jule, Anke KOEBACH, Liliana DE ABREU, Mekdim Dereje REGASSA, Anke HOEFFLER, Wolfgang STOJETZ, Tilman BRÜCK, 2024. COVID-19 Pandemic and Food Insecurity Fuel the Mental Health Crisis in Africa. In: International Journal of Public Health (IJPH). Frontiers. 2024, 68, 1606369. eISSN 1661-8564. Available under: doi: 10.3389/ijph.2023.1606369BibTex
@article{Beck2024COVID-69116, year={2024}, doi={10.3389/ijph.2023.1606369}, title={COVID-19 Pandemic and Food Insecurity Fuel the Mental Health Crisis in Africa}, volume={68}, journal={International Journal of Public Health (IJPH)}, author={Beck, Jule and Koebach, Anke and de Abreu, Liliana and Regassa, Mekdim Dereje and Hoeffler, Anke and Stojetz, Wolfgang and Brück, Tilman}, note={Article Number: 1606369} }
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