Work

Mental health crisis under COVID-19 pandemic in Hong Kong, China

Year: 2020

Type: article

Abstract: OBJECTIVES: To compare the mental health burden before and during the COVID-19 outbreak and identify the vulnerable groups by sociodemographic factors. METHODS: We analyzed repeated cross-sectional data from the Hong Kong Family and Health Information Trend Survey (FHInTS) in 2016 (N = 4036) and 2017 (N = 4051) and the COVID-19 Health Information Survey (CoVHInS) in April 9-23, 2020 (N = 1501) using population-based random samples of general adults by landline telephone and online panel. Stress (Perceived Stress Scale 4), anxiety symptoms (General Anxiety Disorders 2), depression symptoms (Patient Health Questionnaire-2), subjective happiness (4-point Likert item), and sociodemographic factors were collected. RESULTS: Compared with 2016 and 2017, the stress level increased by 28.3%, prevalence of anxiety increased by 42.3%, and the depression symptoms and unhappiness have doubled (all P for trends <0.001) during the COVID-19 outbreak. The increases in stress levels were significantly larger among older and less educated respondents (P for interactions <0.001). CONCLUSION: Hong Kong had a mental health emergency even with no lockdown and well-managed outbreaks. Older and under-privileged people will suffer most. Public mental health interventions are urgently needed particularly for the older adults and individuals with primary or lower education attainment.

Source: International Journal of Infectious Diseases

DOI: 10.1016/j.ijid.2020.09.030

Authors: Sheng Zhi Zhao, Janet Yuen Ha Wong, Tzu Tsun Luk, Abraham Ka Chung Wai, Tai Hing Lam, Man Ping Wang

Institution: University of Hong Kong

Language: English

Topic: COVID-19 and Mental Health

Subfield: Clinical Psychology

Field: Psychology

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,750