Frontiers in Public Health (Dec 2021)

Anxiety, Anger and Depression Amongst Low-Income Earners in Southwestern Uganda During the COVID-19 Total Lockdown

  • Victor Archibong,
  • Ibe Michael Usman,
  • Keneth Iceland Kasozi,
  • Eric Osamudiamwen Aigbogun,
  • Ifie Josiah,
  • Ann Lemuel Monima,
  • Robinson Ssebuufu,
  • Gaudencia Chekwech,
  • Swase Dominic Terkimbi,
  • Okon Owoisinke,
  • Ngala Elvis Mbiydzenyuy,
  • Azeez Adeoye,
  • Joshua Ojodale Aruwa,
  • Adam Moyosore Afodun,
  • Saidi Odoma,
  • Fred Ssempijja,
  • Emmanuel Tiyo Ayikobua,
  • John Tabakwot Ayuba,
  • Viola Nankya,
  • Comfort Onongha,
  • Sussan Henry,
  • Kevin Matama,
  • Helen Yusuf,
  • Halima Nalugo,
  • Ewan MacLeod,
  • Susan Christina Welburn,
  • Susan Christina Welburn

DOI
https://doi.org/10.3389/fpubh.2021.590458
Journal volume & issue
Vol. 9

Abstract

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Background: Low-income earners are particularly vulnerable to mental health, consequence of the coronavirus disease 2019 (COVID-19) lockdown restrictions, due to a temporary or permanent loss of income and livelihood, coupled with government-enforced measures of social distancing. This study evaluates the mental health status among low-income earners in southwestern Uganda during the first total COVID-19 lockdown in Uganda.Methods: A cross-sectional descriptive study was undertaken amongst earners whose income falls below the poverty threshold. Two hundred and fifty-three (n = 253) male and female low-income earners between the ages of 18 and 60 years of age were recruited to the study. Modified generalized anxiety disorder (GAD-7), Spielberger's State-Trait Anger Expression Inventory-2 (STAXI-2), and Beck Depression Inventory (BDI) tools as appropriate were used to assess anxiety, anger, and depression respectively among our respondents.Results: Severe anxiety (68.8%) followed by moderate depression (60.5%) and moderate anger (56.9%) were the most common mental health challenges experienced by low-income earners in Bushenyi district. Awareness of mental healthcare increased with the age of respondents in both males and females. A linear relationship was observed with age and depression (r = 0.154, P = 0.014) while positive correlations were observed between anxiety and anger (r = 0.254, P < 0.001); anxiety and depression (r = 0.153, P = 0.015) and anger and depression (r = 0.153, P = 0.015).Conclusion: The study shows the importance of mental health awareness in low resource settings during the current COVID-19 pandemic. Females were identified as persons at risk to mental depression, while anger was highest amongst young males.

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