The Association Between COVID-19-related Discrimination and Probable Post-traumatic Stress Disorder Among Patients With COVID-19 in Sapporo, Japan.

IF 3.7 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Epidemiology Pub Date : 2024-12-05 Epub Date: 2024-10-31 DOI:10.2188/jea.JE20230360

Isaku Kurotori, Toshiaki R Asakura, Takashi Kimura, Miyuki Hori, Mariko Hosozawa, Masayuki Saijo, Hiroyasu Iso, Akiko Tamakoshi

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Abstract

Background: Disasters such as earthquakes, terrorism, and pandemics have triggered post-traumatic stress disorder (PTSD), and discrimination against the affected individuals has been linked to the development of PTSD. However, there is limited evidence regarding the association between discrimination against coronavirus disease 2019 (COVID-19) patients and probable PTSD in Japan.

Methods: We conducted a cross-sectional study utilizing a web-based questionnaire targeting individuals who had contracted the severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2) infection in Sapporo City. A total of 4,247 individuals with laboratory-confirmed SARS-CoV-2 infection spanning from February 2020 to February 2022 completed the questionnaire (response rate: 15.9%). Probable PTSD was measured using the three-item Posttraumatic Diagnostic Scale. The stratified exact logistic regression was applied to calculate the odds ratios (ORs) of probable PTSD for COVID-19-related discrimination with adjusted factors.

Results: This study included 3,626 patients who had a history of SARS-CoV-2 infection. Among them, 321 patients (8.9%) experienced COVID-19-related discrimination. The prevalence of probable PTSD was 19.6% (63/321) among the patients who experienced COVID-19-related discrimination, and 4.6% (152/3,305) among those who had not encountered such discrimination. The adjusted OR of COVID-19-related discrimination for probable PTSD was 4.68 (95% confidence interval [CI], 3.36-6.53). The population attributable fraction of probable PTSD attributable to COVID-19-related discrimination among COVID-19 patients was estimated to be 23.4% (95% CI, 21.5-25.3%).

Conclusion: The comprehensive epidemiological survey of COVID-19 patients in Japan showed that COVID-19-related discrimination was associated with a higher prevalence of probable PTSD. Mitigating discrimination could be helpful to attenuate PTSD in future pandemics.

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日本札幌 COVID-19 患者中 COVID-19 相关歧视与可能的创伤后应激障碍之间的关联。

背景地震、恐怖主义和大流行病等灾难引发了创伤后应激障碍（PTSD），而对受影响者的歧视与创伤后应激障碍的发展有关。然而，在日本，有关对冠状病毒病2019（COVID-19）患者的歧视与可能的创伤后应激障碍之间的关联的证据却很有限。方法我们利用基于网络的问卷进行了一项横断面研究，研究对象是札幌市的严重急性呼吸系统综合征冠状病毒2（SARS-CoV-2）感染者。在 2020 年 2 月至 2022 年 2 月期间，共有 4247 名经实验室确诊感染了 SARS-CoV-2 的患者完成了问卷调查（回复率：15.9%）。可能的创伤后应激障碍使用三项目创伤后诊断量表进行测量。研究采用分层精确逻辑回归法计算了 COVID-19 相关歧视的可能创伤后应激障碍的几率比（OR），并调整了相关因素。其中，321 名患者（8.9%）经历了与 COVID-19 相关的歧视。在经历过 COVID-19 相关歧视的患者中，可能患有创伤后应激障碍的比例为 19.6%（63/321），而在未遇到此类歧视的患者中，可能患有创伤后应激障碍的比例为 4.6%（152/3305）。COVID-19 相关歧视与可能的创伤后应激障碍的调整 OR 值为 4.68（95% 置信区间 [95%CI]，3.36-6.53）。据估计，COVID-19 患者中因 COVID-19 相关歧视而导致的可能的创伤后应激障碍的人群归因比例为 23.4%（95% CI，21.5-25.3）。在未来的大流行病中，减少歧视可能有助于减轻创伤后应激障碍。

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来源期刊

Journal of Epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.50

自引率

4.30%

发文量

172

审稿时长

6-12 weeks

期刊介绍： The Journal of Epidemiology is the official open access scientific journal of the Japan Epidemiological Association. The Journal publishes a broad range of original research on epidemiology as it relates to human health, and aims to promote communication among those engaged in the field of epidemiological research and those who use epidemiological findings.