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Prevalence and Factors Associated with Mental Health Impact of COVID-19 Pandemic in Bangladesh: A Survey-Based Cross- Sectional Study Cover

Prevalence and Factors Associated with Mental Health Impact of COVID-19 Pandemic in Bangladesh: A Survey-Based Cross- Sectional Study

Open Access
|Apr 2021

Figures & Tables

Table 1

Characteristics of the study population (n = 10,609).

VARIABLESnPERCENT (%)
Demography
Division of Living
          Khulna178816.85
          Chittagong119811.29
          Mymensing2882.71
          Rajshahi6746.35
          Barisal7166.75
          Rangpur4644.37
          Sylhet2212.08
          Dhaka526049.58
Gender
          Male523849.37
          Female537150.63
Level of Education
          Postgraduate/Post Doctorate229121.59
          Graduate394237.16
          HSC or Equivalent288127.16
          SSC or Equivalent9699.13
          Under SSC5264.96
Age Category
          18–27 years604356.96
          28–37 years242322.84
          38–47 years115710.91
          48–57 years7096.68
          58+ years2772.61
Marital Status
          Single483345.56
          Married533250.26
          Divorced/Widowed4444.19
Working Status
          Working (Full time)475444.81
          Working (Part-time)122011.50
          Not working/Student463543.69
Household Factors
Living Arrangement
          Living with Family853380.43
          Living Alone150414.18
          Sharing/Living with Flatmates5725.39
Household Size
          1–2 People128112.07
          3–4 People932887.93
Have you been tested for COVID-19?
          No943488.92
          Yes, I Tested Negative8327.84
          Yes. I Tested Positive3433.23
Compliance with Public health measures
Have You Enforced Protective Measures Inside Your Home to Protect Yourself and Your Family from COVID 19?
          Yes970591.48
          No9048.52
Are You Currently in Self-Quarantine Since Past Seven Days?
          No215520.31
          Yes845479.69
What Sort of Protective Measures Have You Taken?
Avoid Public Transport
          Yes223021.02
          No837978.98
Avoid Shaking Hands
          Yes231321.80
          No829678.20
Wearing Face Mask
          Yes236822.32
          No824177.68
Avoid Large Gatherings
          Yes235222.17
          No825777.83
Advocating People About the Health Risk Related to COVID-19
          Yes179216.89
          No881783.11
Responses Regarding the Health Condition for the Last Couple of Weeks
Fever For at least A Day
          No917986.52
          Yes143013.48
Chills For at least a Day
          No922586.95
          Yes138413.05
Headache For at least a day
          No785174.00
          Yes275826.00
Cough For at least a Day
          No822877.56
          Yes238122.44
Breathing Difficulty
          No920786.78
          Yes140213.22
Dizziness
          No880282.97
          Yes180717.03
Sore Throat
          No876182.58
          Yes184817.42
Persistent fever and cough or difficulty in breathing
          No972791.69
          Yes8828.31
Figure 1

Prevalence of depression, anxiety, and stress levels during the COVID-19 pandemic. Error bars are 95% Confidence Intervals.

Table 2

Factors associated with mild, moderate, and severe depression during COVID-19 in Bangladesh.

VARIABLESMILDMODERATESEVERE
aORP VALUEaORP VALUEaORP VALUE
Demography
Division of Living
Khulna1.001.001.00
Chittagong2.16 (1.65, 2.81)<0.0014.38 (3.47, 5.55)<0.0016.38 (4.77, 8.56)<0.001
Mymensing0.96 (0.59, 1.57)0.8752.68 (1.86, 3.85)<0.0012.51 (1.57, 4.01)<0.001
Rajshahi1.42 (1.01, 1.98)0.0423.56 (2.74, 4.62)<0.0013.77 (2.70, 5.27)<0.001
Barisal1.04 (0.77, 1.41)0.7821.76 (1.36, 2.27)<0.0012.09 (1.50, 2.93)<0.001
Rangpur1.91 (1.28, 2.86)0.0025.07 (3.65, 7.03)<0.0015.68 (3.82, 8.45)<0.001
Sylhet5.34 (2.93, 9.75)<0.00110.67 (6.05, 18.81)<0.00115.17 (8.07, 28.53)<0.001
Dhaka1.85 (1.54, 2.22)<0.0012.48 (2.11, 2.93)<0.0012.88 (2.30, 3.62)<0.001
Gender
Male1.001.001.00
Female1.14 (0.99, 1.30)0.0601.63 (1.45, 1.83)<0.0011.71 (1.47, 1.98)<0.001
Level of Education
Postgraduate/Post Doctorate1.001.001.00
Graduate1.47 (1.24, 1.75)<0.0011.64 (1.41, 1.90)<0.0011.55 (1.28, 1.88)<0.001
HSC or Equivalent1.25 (1.03, 1.52)0.0262.00 (1.70, 2.35)<0.0012.19 (1.79, 2.68)<0.001
SSC or Equivalent1.53 (1.14, 2.05)0.0053.57 (2.84, 4.48)<0.0013.22 (2.44, 4.24)<0.001
Under SSC1.61 (1.14, 2.28)0.0072.64 (1.97, 3.53)<0.0012.89 (2.04, 4.10)<0.001
Age in category
18–27 years1.001.001.00
28–37 years1.16 (0.94, 1.44)0.1661.21 (1.02, 1.43)0.0321.49 (1.23, 1.82)<0.001
38–47 years0.84 (0.63, 1.13)0.2461.10 (0.89, 1.37)0.3670.80 (0.61, 1.04)0.090
48–57 years1.90 (1.40, 2.58)<0.0011.18 (0.91, 1.52)0.2061.03 (0.76, 1.39)0.848
58+ years0.35 (0.19, 0.65)0.0010.96 (0.68, 1.37)0.8280.80 (0.52, 1.25)0.332
Marital Status
Single1.001.001.00
Married0.68 (0.56, 0.84)<0.0011.42 (1.20, 1.68)<0.0011.69 (1.36, 2.10)<0.001
Divorced/Widowed1.12 (0.71, 1.78)0.6261.71 (1.15, 2.53)0.0082.43 (1.56, 3.76)<0.001
Working Status
Working (Full time)1.001.001.00
Working (Part time)1.23 (0.97, 1.56)0.0890.74 (0.61, 0.89)0.0020.88 (0.71, 1.10)0.281
No working/Student0.72 (0.59, 0.89)0.0020.40 (0.33, 0.47)<0.0010.27 (0.22, 0.34)<0.001
Household factor
Living Arrangement
Living with Family1.001.001.00
Living Alone1.27 (1.04, 1.54)0.0191.91 (1.61, 2.28)<0.0012.22 (1.80, 2.74)<0.001
Shared accommodation/Living with Flatmates1.34 (1.02, 1.77)0.0391.77 (1.37, 2.29)<0.0011.68 (1.20, 2.35)0.002
Household Size
1–2 People1.001.001.00
3–4 People0.55 (0.45, 0.78)<0.0010.72 (0.59, 0.87)0.0010.60 (0.48, 0.75)<0.001
Have you been tested for COVID-19?
No1.001.001.00
Yes, I Tested Negative1.85 (1.38, 2.49)<0.0012.52 (1.94, 3.26)<0.0012.24 (1.67, 3.02)<0.001
Yes, I Tested Positive1.48 (0.87, 2.54)0.1522.08 (1.31, 3.28)0.0021.92 (1.17, 3.16)0.010
Compliance with Public health measures
Are You Currently in Self-Quarantine Since Past Seven Days?
No1.001.001.00
Yes0.77 (0.66, 0.91)0.0021.41 (1.21, 1.64)<0.0011.89 (1.53, 2.33)<0.001
Avoid Public Transport
Yes1.001.001.00
No0.91 (0.62, 1.33)0.6262.57 (1.86, 3.56)<0.0012.52 (1.70, 3.73)<0.001
Avoid Shaking Hands
Yes1.001.001.00
No0.69 (0.48, 1.00)0.0511.08 (0.78, 1.48)0.6511.76 (1.20, 2.56)0.003
Wearing Face Mask when going out
Yes1.001.001.00
No0.92 (0.66, 1.28)0.6341.28 (0.97, 1.71)0.0811.39 (0.99, 1.96)0.057
Avoid Large Gatherings
Yes1.001.001.00
No1.53 (1.10, 2.12)0.0110.62 (0.46, 0.82)0.0010.67 (0.48, 0.95)0.023
Advocating People About the Health Risk Related to COVID-19
Yes1.001.001.00
No0.76 (0.61, 0.95)0.0170.50 (0.41, 0.62)<0.0010.56 (0.43, 0.73)<0.001
Health Condition experienced in the Last Week
Fever
No1.001.001.00
Yes1.25 (0.99, 1.57)0.0510.90 (0.74, 1.10)0.2901.37 (1.09, 1.72)0.006
Chills
No1.001.001.00
Yes1.32 (1.01, 1.72)0.0412.05 (1.65, 2.56)<0.0012.19 (1.72, 2.78)<0.001
Headache
No1.001.001.00
Yes1.15 (0.98, 1.36)0.0891.43 (1.25, 1.64)<0.0011.13 (0.96, 1.35)0.144
Cough
No1.001.001.00
Yes2.55 (2.14, 3.03)<0.0012.45 (2.10, 2.86)<0.0011.68 (1.39, 2.02)<0.001
Breathing Difficulty
No1.001.001.00
Yes3.29 (2.48, 4.35)<0.0013.15 (2.47, 4.03)<0.0014.43 (3.41, 5.76)<0.001
Dizziness
No1.001.001.00
Yes1.92 (1.53, 2.40)<0.0012.42 (1.99, 2.93)<0.0011.86 (1.49, 2.32)0.001
Sore Throat
No1.001.001.00
Yes1.84 (1.48, 2.27)<0.0012.26 (1.89, 2.70)<0.0012.15 (1.75, 2.65)<0.001

[i] Adjusted odd ratios (aOR); 95% confidence intervals (CI).

Figure 2

Spatial distribution of depression during COVID-19 in Bangladesh by division.

Table 3

Factors associated with mild, moderate, and severe anxiety during COVID-19 in Bangladesh.

VARIABLESMILDMODERATESEVERE
aORP-VALUEaORP-VALUEaORP-VALUE
Demography
Division of Living
Khulna1.001.001.00
Chittagong1.38 (0.91, 2.09)0.1243.28 (2.23, 4.83)<0.0016.26 (4.40, 8.90)<0.001
Mymensing1.57 (0.84, 2.92)0.1592.30 (1.24, 4.26)0.0085.26 (3.04, 9.12)<0.001
Rajshahi0.65 (0.44, 0.95)0.0261.11 (0.77, 1.60)0.5822.26 (1.68, 3.04)<0.001
Barisal1.25 (0.92, 1.69)0.1491.07 (0.76, 1.50)0.6971.60 (1.21, 2.11)0.001
Rangpur1.19 (0.67, 2.11)0.5612.17 (1.26, 3.75)0.0055.86 (3.64, 9.42)<0.001
Sylhet3.32 (0.38, 28.84)0.27720.25 (2.71, 151.42)<0.00138.54 (5.30, 280.02)<0.001
Dhaka1.13 (0.93, 1.38)0.2331.70 (1.38, 2.09)<0.0012.91 (2.44, 3.47)<0.001
Gender
Male1.001.001.00
Female1.20 (1.01, 1.43)0.0391.53 (1.29, 1.82)<0.0011.91 (1.65, 2.21)<0.001
Level of Education
Postgraduate/Post Doctorate1.001.001.00
Graduate1.10 (0.89, 1.36)0.3631.19 (0.97, 1.47)<0.0011.51 (1.26, 1.81)<0.001
HSC or Equivalent0.75 (0.59, 0.95)0.0161.06 (0.84, 1.34)0.6081.78 (1.46, 2.16)<0.001
SSC or Equivalent0.96 (0.69, 1.34)0.8110.88 (0.62, 1.25)0.4652.34 (1.78, 3.07)<0.001
Under SSC2.13 (1.38, 3.28)0.0011.45 (0.90, 2.33)0.1243.37 (2.30, 4.94)<0.001
Age in category
18–27 years1.001.001.00
28–37 years0.46 (0.35, 0.60)<0.0010.60 (0.46, 0.78)<0.0010.45 (0.36, 0.56)<0.001
38–47 years0.39 (0.28, 0.54)<0.0010.30 (0.21, 0.42)<0.0010.27 (0.21, 0.36)<0.001
48–57 years0.19 (0.12, 0.28)<0.0010.30 (0.20, 0.44)<0.0010.31 (0.23, 0.42)<0.001
58+ years0.10 (0.056, 0.18)<0.0010.17 (0.10. 0.29)<0.0010.18 (0.12, 0.26)<0.001
Marital Status
Single1.001.001.00
Married0.76 (0.58, 0.98)0.0370.80 (0.62, 1.03)0.0881.09 (0.88, 1.35)0.433
Divorced/Widowed4.98 (2.22, 11.13)<0.0016.38 (2.94, 13.89)<0.0016.00 (2.88, 12.50)<0.001
Working Status
Working (Full time)1.001.001.00
Working (Part time)0.90 (0.66, 1.23)0.5050.90 (0.67, 1.23)0.5200.79 (0.61, 1.01)0.058
No working/Student0.78 (0.61, 1.01)0.0600.96 (0.74, 1.24)0.7610.51 (0.41, 0.63)<0.001
Household factor
Living Arrangement
Living with Family1.001.001.00
Living Alone0.83 (0.62, 1.12)0.2271.13 (0.86, 1.45)0.3661.70 (1.35, 2.16)<0.001
Shared accommodation/Living with Flatmates1.87 (1.19, 2.92)0.0062.10 (1.34, 3.29)0.0012.42 (1.60, 3.64)<0.001
Household Size
1–2 People1.001.001.00
3–4 People0.61 (0.42, 0.88)0.0080.63 (0.45, 0.90)0.0110.37 (0.27, 0.50)<0.001
Have you been tested for COVID-19?
No1.001.001.00
Yes, I Tested Negative1.02 (0.65, 1.61)0.9321.38 (0.92, 2.07)0.1201.85 (1.31, 2.63)0.001
Yes, I Tested Positive1.45 (0.56, 3.74)0.4392.44 (1.05, 5.68)0.0382.31 (1.05, 5.09)0.038
Compliance with Public health measures
Are You Currently in Self-Quarantine Since Past Seven Days?
No1.001.001.00
Yes2.27 (1.81, 2.86)<0.0011.53 (1.23, 1.89)<0.0011.44 (1.20, 1.73)<0.001
Avoid Public Transport
Yes1.001.001.00
No0.40 (0.21, 0.74)0.0040.74 (0.42, 1.32)0.3061.49 (0.88, 2.52)0.135
Avoid Shaking Hands
Yes1.001.001.00
No0.52 (0.28, 0.94)0.0300.48 (0.28, 0.85)0.0110.81 (0.49, 1.34)0.411
Wearing Face Mask when going out
Yes1.001.001.00
No2.34 (1.40, 3.94)0.0011.15 (0.71, 1.87)0.5741.82 (1.17, 2.81)0.007
Avoid Large Gatherings
Yes1.001.001.00
No1.20 (0.70, 2.05)0.5000.94 (0.57, 1.56)0.8190.48 (0.30, 0.76)0.002
Advocating People About the Health Risk Related to COVID-19
Yes1.001.001.00
No0.62 (0.43, 0.89)0.0090.58 (0.42, 0.83)0.0030.36 (0.26, 0.50)<0.001
Health Condition experienced in the Last Week
Fever
No1.001.001.00
Yes2.07 (1.35, 3.17)0.0011.92 (1.27, 2.89)0.0022.80 (1.92, 4.08)<0.001
Chills
No1.001.001.00
Yes1.32 (0.78, 2.25)0.2992.75 (1.74, 4.35)<0.0014.63 (3.05, 7.02)<0.001
Headache
No1.001.001.00
Yes2.54 (1.98, 3.27)<0.0012.43 (1.90, 3.10)<0.0012.17 (1.74, 2.69)0.144
Cough
No1.001.001.00
Yes2.17 (1.62, 2.90)<0.0012.51 (1.90, 3.31)<0.0012.81 (2.18, 3.63)<0.001
Breathing Difficulty
No1.001.001.00
Yes0.63 (0.41, 0.97)0.0381.03 (0.71, 1.50)0.8781.67 (1.21, 3.30)0.002
Dizziness
No1.001.001.00
Yes0.88 (0.63, 1.23)0.4581.21 (0.89, 1.65)0.2151.21 (0.92, 1.59)0.170
Sore Throat
No1.001.001.00
Yes0.86 (0.60, 1.22)0.3902.13 (1.57, 2.91)<0.0011.88 (1.42, 2.49)<0.001

[i] Adjusted odd ratios (aOR); 95% confidence intervals (CI).

Figure 3

Spatial distribution of anxiety during COVID-19 in Bangladesh by division.

Table 4

Factors associated with mild, moderate, and severe stress during COVID-19 in Bangladesh.

VARIABLESMILDMODERATESEVERE
aORP-VALUEaORP-VALUEaORP-VALUE
Demography
Division of Living
Khulna1.001.001.00
Chittagong2.10 (1.61, 2.74)<0.0013.70 (2.92, 4.68)<0.0012.87 (2.17, 3.78)<0.001
Mymensing2.18 (1.44, 3.29)<0.0012.10 (1.44, 3.08)<0.0011.85 (1.18, 2.89)0.007
Rajshahi3.16 (2.36, 4.23)<0.0012.72 (2.05, 3.60)<0.0012.98 (2.18, 4.06)<0.001
Barisal1.25 (0.91, 1.71)0.1681.82 (1.38, 2.39)<0.0011.36 (0.97, 1.89)0.074
Rangpur2.51 (1.76, 3.58)<0.0013.73 (2.723, 5.11<0.0013.21 (2.23, 4.61)<0.001
Sylhet2.86 (1.81, 4.52)<0.0012.71 (1.72, 4.37)<0.0013.77 (2.32, 6.13)<0.001
Dhaka1.82 (1.49, 2.23)<0.0012.42 (2.00, 2.91)<0.0013.07 (2.48, 3.80)<0.001
Gender
Male1.001.001.00
Female1.62 (1.42, 1.87)<0.0011.54 (1.37, 1.74)<0.0011.82 (1.58, 2.09)<0.001
Level of Education
Postgraduate/Post Doctorate1.001.001.00
Graduate1.85 (1.54, 2.22)<0.0012.11 (1.80, 2.47)<0.0011.89 (1.58, 2.27)<0.001
HSC or Equivalent1.69 (1.38, 2.06)<0.0011.92 (1.62, 2.28)<0.0011.98 (1.64, 2.39)<0.001
SSC or Equivalent2.61 (2.02, 3.37)<0.0012.56 (2.03, 3.22)<0.0013.09 (2.41, 3.94)<0.001
Under SSC1.72 (1.24, 2.40)0.0011.61 (1.20, 2.17)0.0022.43 (1.79, 3.30)<0.001
Age in category
18–27 years1.001.001.00
28–37 years1.72 (1.42, 2.09)<0.0011.49 (1.27, 1.76)<0.0011.61 (1.35, 1.92)<0.001
38–47 years1.96 (1.54, 2.50)<0.0011.49 (1.21, 1.84)<0.0011.42 (1.13, 1.80)0.003
48–57 years1.16 (0.85, 1.60)0.3451.15 (0.89, 1.49)0.2751..95 (1.51, 2.51)<0.001
58+ years5.31 (3.63, 7.76)<0.0012.25 (1.53, 3.33)<0.0012.83 (1.87, 4.28)<0.001
Marital Status
Single1.001.001.00
Married1.72 (1.41, 2.11)<0.0011.43 (1.20, 1.71)<0.0012.05 (1.67, 2.51)<0.001
Divorced/Widowed1.97 (1.38, 2.82)<0.0011.31 (0.94, 1.83)0.1061.54 (1.06, 2.24)0.024
Working Status
Working (Full time)1.001.001.00
Working (Part time)1.11 (0.90, 1.38)0.3290.91 (0.76, 1.10)0.3240.68 (0.56, 0.84)<0.001
No working/Student0.96 (0.79, 1.17)0.7140.36 (0.31, 0.43)<0.0010.27 (0.22, 0.34)<0.001
Household factor
Living Arrangement
Living with Family1.001.001.00
Living Alone1.60 (1.33, 1.93)<0.0011.67 (1.41, 1.98)<0.0011.71 (1.40, 2.08)<0.001
Shared accommodation/Living with Flatmates1.02 (0.75, 1.40)0.8831.59 (1.23, 2.06)<0.0012.26 (1.69, 3.02)<0.001
Household Size
1–2 People1.001.001.00
3–4 People0.76 (0.62, 0.93)0.0070.74 (0.61, 0.88)0.0010.58 (0.47, 0.70)<0.001
Have you been tested for COVID-19?
No1.001.001.00
Yes, I Tested Negative1.57 (1.23, 2.01)<0.0011.77 (1.42, 2.21)<0.0011.22 (0.94, 1.57)0.136
Yes, I Tested Positive1.38 (0.95, 2.01)0.0951.42 (1.01, 1.99)0.0461.10 (0.75, 1.60)0.636
Compliance with Public health measures
Have You Enforced Protective Measures Inside Your Home to Protect Yourself and Your Family from COVID 19?
Yes1.001.001.00
No1.08 (0.85, 1.38)0.5401.18 (0.94, 1.47)0.1481.28 (1.00, 1.65)0.049
Are You Currently in Self-Quarantine Since Past Seven Days?
No1.001.001.00
Yes1.28 (1.07, 1.53)0.0072.09 (1.75, 2.49)<0.0011.92 (1.55, 2.38)<0.001
Avoid Public Transport
Yes1.001.001.00
No1.08 (0.80, 1.47)0.6011.60 (1.20, 2.13)0.0014.02 (2.74, 5.91)<0.001
Avoid Shaking Hands
Yes1.001.001.00
No0.94 (0.70, 1.27)0.7000.68 (0.52, 0.90)0.0071.63 (1.15, 2.30)0.006
Wearing Face Mask when going out
Yes1.001.001.00
No1.25 (0.95, 1.64)0.1071.15 (0.89, 1.48)0.2911.64 (1.19, 2.25)0.002
Avoid Large Gatherings
Yes1.001.001.00
No1.12 (0.86, 1.47)0.3981.72 (1.35, 2.19)<0.0011.18 (0.88, 1.58)0.257
Advocating People About the Health Risk Related to COVID-19
Yes1.001.001.00
No0.55 (0.45, 0.68)<0.0010.99 (0.81, 1.21)0.9160.66 (0.51, 0.84)0.001
Health Condition experienced in the Last Week
Fever
No1.001.001.00
Yes0.96 (0.78, 1.17)0.6631.11 (0.93, 1.32)0.2521.07 (0.88, 1.31)0.509
Chills
No1.001.001.00
Yes1.99 (1.62, 2.44)<0.0012.07 (1.72, 2.49)<0.0012.01 (1.65, 2.46)<0.001
Headache
No1.001.001.00
Yes1.26 (1.08, 1.48)0.0041.63 (1.42, 1.86)<0.0011.50 (1.29, 1.75)<0.001
Cough
No1.001.001.00
Yes1.27 (1.08, 1.50)0.0041.79 (1.56, 2.07)<0.0011.32 (1.12, 1.55)0.001
Breathing Difficulty
No1.001.001.00
Yes2.14 (1.74, 2.62)<0.0011.73 (1.44, 2.08)<0.0012.18 (1.79, 2.66)<0.001
Dizziness
No1.001.001.00
Yes1.45 (1.20, 1.76)<0.0011.91 (1.63, 2.25)<0.0011.50 (1.25, 1.80)<0.001
Sore Throat
No1.001.001.00
Yes1.33 (1.11, 1.60)0.0021.38 (1.18, 1.61)<0.0011.39 (1.16, 1.66)<0.001

[i] Adjusted odd ratios (aOR); 95% confidence intervals (CI).

Figure 4

Spatial distribution of stress during COVID-19 in Bangladesh by division.

DOI: https://doi.org/10.5334/aogh.3269 | Journal eISSN: 2214-9996
Language: English
Published on: Apr 26, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Tanvir Abir, Nazmul Ahsan Kalimullah, Uchechukwu Levi Osuagwu, Dewan Muhammad Nur-A Yazdani, Taha Husain, Piwuna Christopher Goson, Palash Basak, Md Adnan Rahman, Abdullah Al Mamun, P. Yukthamarani Permarupan, Md Yusuf Hossein Khan, Abul Hasnat Milton, Kingsley E. Agho, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.