Medo da COVID-19, insegurança alimentar e ansiedade em mulheres residentes em João Pessoa, Paraíba
um estudo transversal
Palavras-chave:
Transtornos de Ansiedade, COVID-19, Medo, Segurança alimentarResumo
Objetivo O estudo teve como objetivo descrever o medo causado pela pandemia da COVID-19 e analisar a associação da insegurança alimentar e do medo da COVID-19 como preditores da ansiedade em mulheres usuárias do Sistema Único de Saúde. Métodos Trata-se de um estudo transversal realizado em 2021 com 73 mulheres de um total de 118 que foram acompanhadas em um estudo de coorte no município de João Pessoa, Paraíba, Brasil. As mulheres foram selecionadas em unidades de saúde antes da pandemia,e o contato telefônico possibilitou a coleta de dados de forma remota. Informações socioeconômicas e demográficas, sobre insegurança alimentar, medo da COVID-19 e ansiedade foram avaliadas. Utilizou-se a Escala Brasileira de Insegurança Alimentar, o Inventário de Ansiedade Traço-Estado e a Escala de Medo de COVID-19. A associação entre variáveis foi realizada com teste qui quadrado, e a regressão logística verificou o efeito independente das variáveis com relação à ansiedade. Considerou-se significância de 5%. Resultados A mediana da idade das mulheres foi de 33 anos, e a renda familiar per capita foi de R$ 665,33. As mulheres, em sua maioria, conviviam com companheiro e se autodeclararam pretas ou pardas. Menor renda e maior severidade da insegurança alimentar estiveram associadas a maior medo da COVID-19, e esse sentimento aumentou as chances de as mulheres estarem em estado de alta ansiedade (OR=3,167). Conclusão As mulheres mais vulneráveis, com menor renda e maior insegurança alimentar tiveram mais medo da COVID-19, e isso colaborou para o aumento da ansiedade dessas mulheres. Mesmo com o fim da pandemia, os efeitos dessa fase podem manter um estado de sofrimento mental que precisa ser considerado e cuidado apropriadamente.Referências
Panchal N, Sounders H, Rudowitz R, Cox C. The Implications of COVID-19 for mental health and substance use [Internet]. San Francisco: KFF; 2021 Mach 20 [cited 2022 Jan 26]. Available from: https://www.kff.org/coronavirus-covid-19/issue-brief/the-implications-of-covid-19-for-mental-health-and-substance-use/
Roychowdhury D. 2019 Novel Coronavirus Disease, crisis, and isolation. Front Psychol. 2020;11:1958.
Reynolds DL, Garay JR, Deamond SL, Moran MK, Gold W, Styra R. Understanding, compliance and psychological impact of the SARS quarantine experience. Epidemiol Infect. 2008;136(7):997-1007.
Bukhari EE, Temsah MH, Aleyadhy AA, Alrabiaa AA, Alhboob AA, Jamal AA, et al. Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak perceptions of risk and stress evaluation in nurses. J Infect. 2016;10(08):845-50.
Ornell F, Schuch JB, Sordi AO, Kessler FHP. “Pandemic fear” and COVID-19: mental health burden and strategies. Braz J Psychiatry. 2020;42(3):232-5.
Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: mental health consequences and target populations. Psychiatry Clin Neurosci. 2020;74(4):281-2.
Girolamo G, Cerveri G, Clerici M, Monzani E, Spinogatti F, Starace F, et al. Mental health in the Coronavirus Disease 2019 emergency: the Italian response. JAMA Psychiatry. 2020;77(9):974.
Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:e112954.
Mazza C, Ricci E, Biondi S, Colasanti M, Ferracuti S, Napoli C, et al. A Nationwide survey of psychological distress among italian people during the COVID-19 pandemic: immediate psychological responses and associated factors. Int J Environ Res Public Health. 2020;17(9):3165.
Ozamiz-Etxebarria N, Dosil-Santamaria M, Picaza-Gorrochategui M, Idoiaga-Mondragon N. Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in the northern Spain. Cad Saude Publica. 2020;36(4)e54020. https://doi.org/10.1590/0102-311X00054020
Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr. 2020;33(2):e100213.
Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729.
Zhang J, Lu H, Zeng H, Zhang S, Du Q, Jiang T, et al. The differential psychological distress of populations affected by the COVID-19 pandemic. Brain Behav Immun. 2020;87:49-50.
Ettman CK, Abdalla SM, Cohen GH, Sampson L, Vivier PM, Galea S. Prevalence of depression symptoms in US adults before and during the COVID-19 pandemic. JAMA Netw Open. 2020;3(9):e2019686.
Coleman-Jensen A, Rabbitt MP, Gregory CA, Singh A. Household food security in the United States in 2018, ERR-270 [Internet]. Washington: Department of Agriculture, Economic Research Service; 2018 [cited 2022 Jan 12]. Available from: http://www.ers.usda.gov/publications/pub-details/?pubid=94848
Ribeiro-Silva RC, Pereira M, Campello T, Aragão É, Guimarães JMM, Ferreira AJ, et al. Implicações da pandemia COVID-19 para a segurança alimentar e nutricional no Brasil. Cienc Saude Colet. 2020;25:3421-30.
Kakaei H, Nourmoradi H, Bakhtiyari S, Jalilian M, Mirzaei A. Effect of COVID-19 on food security, hunger, and food crisis. COVID-19 Sust Develop Goals. 2022;3-29. https://doi.org/10.1016/B978-0-323-91307-2.00005-5
Recine E, Fagundes A, Silva BL, Garcia GS, Ribeiro RCL, Gabriel CG. Reflections on the extinction of the National Council for Food and Nutrition Security and the confrontation of Covid-19 in Brazil. Rev Nutr. 2020;33:e200176. https://doi.org/10.1590/1678-9865202033e200176
Abdurahman AA, Chaka EE, Nedjat S, Dorosty AR, Majdzadeh R. The association of household food insecurity with the risk of type 2 diabetes mellitus in adults: a systematic review and meta-analysis. Eur J Nutr. 2019;58(4):1341-50.
Weaver L, Fasel C. A Systematic review of the literature on the relationships between chronic diseases and food insecurity. Food Sci Nutr. 2018;09:519-41.
Arenas DJ, Thomas A, Wang J, DeLisser HM. A Systematic review and meta-analysis of depression, anxiety, and sleep disorders in US adults with food insecurity. J GenIntern Med. 2019;34(12):2874-82.
Rede-PENSSAN. II Inquérito Nacional sobre Insegurança Alimentar no Contexto da Pandemia da COVID-19 no Brasil. São Paulo: Fundação Friedrich Ebert, Rede PENSSAN; 2021.
Cukrowska-Torzewska E, Matysiak A. The motherhood wage penalty: a meta-analysis. J Soc Sci Res. 2020;88-89:102416.
Pérez-Escamilla R, Segall-Corrêa AM, Maranha LK, Sampaio MFA, Marín-León L, Panigassi G. An adapted version of the U.S. department of agriculture food insecurity module is a valid tool for assessing household food insecurity in Campinas, Brazil. J Nutr. 2004;134(8):1923-8.
Segall-Corrêa AM, Marin-León L, Melgar-Quiñonez H, Pérez-Escamilla R. Refinement of the Brazilian household food insecurity measurement scale: recommendation for a 14-item EBIA. Rev Nutr. 2014;27:241-51.
Faro A, Silva LS, Santos DN, Feitosa ALB. Adaptação e validação da Escala de Medo da COVID-19. Estud Psicol. 2022;39:e200121. https://doi.org/10.1590/1982-0275202239e200121
Andrade EF, Pereira LJ, Oliveira APL, Orlando DR, Alves DAG, Guilarducci JS, et al. Perceived fear of COVID-19 infection according to sex, age and occupational risk using the Brazilian version of the Fear of COVID-19 Scale. Death Studies. 2020;46(3):533-42.
Giordani RCF, Zanoni da Silva M, Muhl C, Giolo SR. Fear of COVID-19 scale: assessing fear of the coronavirus pandemic in Brazil. J Health Psychol. 2020;27(4):901-12.
Cavalheiro FRS, Sticca MG. Adaptation and validation of the Brazilian version of the Fear of COVID-19 Scale. Int J Ment Health Addict. 2022;20(2):921-29.
Silva WAD, Brito TRS, Dantas LGF, Simeão SSS. Características psicométricas da versão brasileira da Fearof COVID-19 Scale. Arq Bras Psicol. 2020;72(3):5-18.
Medeiros ED, Reis LM, Guimarães CLC, Silva PGN, Monteiro RP, Coelho GLH, et al. Psychometric properties of the Brazilian version of the fear of COVID-19 scale (FCV-19S). Curr Psychol. 2023;42:980-89. https://doi.org/10.1007/s12144-021-01476-2
Barros MN, Aguiar MM, Carvalho F, Macedo A, Pereira AT. COVID-19 Fear Scale - Validation and adaptation for the perinatal period. J Hum Growth Dev. 2021;31(1):9-17. http://dx.doi.org/10.36311/jhgd.v31.11546
Peres RS, Frick LT, Queluz FNFR, Fernandes SCS, Priolo SR, Stelko-Pereira AC, et al. Evidências de validade de uma versão brasileira da Fearof COVID-19 Scale. Cienc Saude Colet. 2021;26:3255-64.
Aguiar MM, Barros MNS, Macedo A, Puccia MIR, Pereira AT. COVID-19 fear scale – translation and validation into Brazilian portuguese. J Hum Growth Dev. 2021;31(3):376-86.
Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The Fear of COVID-19 Scale: development and Initial validation. Int J Ment Health Addict. 2022;20(3):1537-45.
Biaggio AMB, Natalício L. Manual para o inventário de ansiedade Traço-Estado (IDATE). Rio de Janeiro: CEPA; 1979.
Bavel JJV, Baicker K, Boggio PS, Capraro V, Cichocka A, Cikara M, et al. Using social and behavioural science to support COVID-19 pandemic response. Nat Hum Behav. 2020;4(5):460-71.
Organização Pan-Americana da Saúde. Histórico da pandemia de COVID-19 [Internet]. Brasília: Organização; 2020 [cited 2022 Feb 26]. Available from: https://www.paho.org/pt/covid19/historico-da-pandemia-covid-19
Reznik A, Gritsenko V, Konstantinov V, Khamenka N, Isralowitz R. COVID-19 Fear in Eastern Europe: validation of the Fear of COVID-19 Scale. Int J Ment Health Addict. 2021;19(5):1903-08. https://doi.org/10.1007/s11469-020-00283-3
Sultana MS, Khan AH, Hossain S, Islam T, Hasan MT, Ahmed HU, et al. The association between financial hardship and mental health difficulties among adult wage earners during the COVID-19 Pandemic in Bangladesh: findings from a cross-sectional analysis. Front Psychiatry. 2021;12:635884.
Abreu AM, Palazzo CC, Barboza BP, Wazlawik E, Diez-Garcia RW, Vasconcelos FAG. Conjunctural hunger and structural obesity in the global scenario: reflections on what Covid-19 masks reveal. Rev Nutr. 2021;34:e200221. https://doi.org/10.1590/1678-9865202134e200221
Pereira M, Oliveira AM. Poverty and food insecurity may increase as the threat of COVID-19 spreads. Public Health Nutr. 23(17):3236-40.
Bezerra TA, Olinda RA, Pedraza DF. Insegurança alimentar no Brasil segundo diferentes cenários sociodemográficos. Cienc Saude Colet. 2017;22:637-51.
Ministério da Saúde (Brasil). Saúde mental e a pandemia de Covid-19 [Internet]. Brasília: BVS; 2022 [cited 2022 Mar 9]. Available from: https://bvsms.saude.gov.br/saude-mental-e-a-pandemia-de-covid-19/
Oliveira JTC, Camargo AM, Machado BOB, Oliveira AR, Fiates GMR, Vasconcelos FAG. Hungerandrage (andthevirus) are humanthings”: reflectionsonsolidarity in times of Covid-19. Rev Nutr. 2021;34:e200183. https://doi.org/10.1590/1678-9865202134e200183
Lameiras MAP, Cavalcanti MAFH. PNAD COVID-19: Divulgação de 31/7/2020 – Principais destaques. Carta Conjunt (Inst Pesqui Econ Apl.) [Internet]. 2020 [cited 2022 Dec 8];48:1-5. Available from: http://www.ipea.gov.br/cartadeconjuntura/index.php/2020/07/pnad-covid-19-divulgacao-de-3172020-principais-destaques/
Hosen I, al-Mamun F, Mamun MA. Prevalence and risk factors of the symptoms of depression, anxiety, and stress during the COVID-19 pandemic in Bangladesh: a systematic review and meta-analysis. Glob Ment Health (Camb). 2021;8:e47.
Pérez-Escamilla R, Cunningham K, Moran VH. COVID-19 and maternal and child food and nutrition insecurity: a complex syndemic. Matern Child Nutr. 2020;16(3):e13036.
Huizar MI, Arena R, Laddu DR. The global food syndemic: the impact of food insecurity, Malnutrition and obesity on the healthspan amid the COVID-19 pandemic. Prog Cardiovasc Dis. 2021;64:105-7.
Departamento Intersindical de Estatística e Estudos Socioeconômicos. Cesta Básica de Alimentos - Sistema de Consulta [Internet]. São Paulo: DIEESE; 2021 [cited 2022 Mar 12]. Available from: https://www.dieese. org.br/cesta/produto
Departamento Intersindical de Estatística e Estudos Socioeconômicos. O custo da cesta básica diminuiu em 19 capitais [Internet]. São Paulo: DIEESE; 2018 Aug 6 [cited 2022 May 26]. Available from: https://www.dieese.org.br/analisecestabasica/2018/201807cestabasica.pdf
Mertens G, Gerritsen L, Duijndam S, Salemink E, Engelhard IM. Fear of the coronavirus (COVID-19): predictors in an online study conducted in March 2020. J Anxiety Disord. 2020;74:102258.
Blakey SM, Abramowitz JS. Psychological predictors of health anxiety in response to the Zika virus. J Clin Psychol Med Settings. 2017;24(3):270-8.
Wheaton MG, Abramowitz JS, Berman NC, Fabricant LE, Olatunji BO. Psychological predictors of anxiety in response to the H1N1 (Swine Flu) pandemic. Cogn Ther Res. 2012;36(3):210-8.
Salehi L, Rahimzadeh M, Molaei E, Zaheri H, Esmaelzadeh-Saeieh S. The relationship among fear and anxiety of COVID-19, pregnancy experience, and mental health disorder in pregnant women: a structural equation model. Brain Behav. 2020;10(11):e01835.
Woortmann EF. A complementaridade à dependência: a mulher e o ambiente em comunidades “pesqueiras” do Nordeste. Brasilia: UnB; 1991. 75 p. (Série Antropologia).
Brito JG, Costa ER. Titularidade feminina no programa bolsa família: questões de gênero e segurança alimentar. Tropos. 2015;1(3):1-17.
Bellows A Scherbaum V, Lemke S, Jenderedjian A, Viana RSG. Riscos específicos de gênero e responsabilidade: mulheres, nutrição e direito à alimentação. Right Food Nutr Watch. 2011;1:23-9.
Somi SA, Dutta P, Tamanna KN, Hussain H, Hasan R, Ghose M, et al. COVID-19: embracing mental health upshot from the coronavirus pandemic crisis. J Psychiatry Psychiatr Disord. 2020;4(5):328-42.
Matsuo LH, Tureck C, Lima LP, Hinnig PF, Trindade EBSM, Vasconcelos FAG. Impact of social isolation by Coronavirus disease 2019 in food: a narrative review. Rev Nutr. 2021;34:200211. https://doi.org/10.1590/1678- 9865202134e200211
Martinelli SS, Cavalli SB, Fabri RK, Veiros MB, Reis ABC, Amparo-Santos L. Strategies for the promotion of healthy, adequate and sustainable food in Brazil in times of Covid-19. Rev Nutr. 2021;33:e200181. https://doi.org/10.1590/1678-9865202032e200181
Maunder R, Hunter J, Vincent L, Bennett J, Peladeau N, Leszcz M, et al. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ. 2003;168(10):1245-51.
TzurBitan D, Grossman-Giron A, Bloch Y, Mayer Y, Shiffman N, Mendlovic S. Fear of COVID-19 scale: psychometric characteristics, reliability and validity in the Israeli population. Psychiatry Res. 2020;289:113100.
Limcaoco RSG, Mateos EM, Fernández JM, Roncero C. Anxiety, worry and perceived stress in the world due to the COVID-19 pandemic, March 2020. Preliminary results. MedRxiv [Preprint]. 2020 [posted 2020 Apr 6; cited 2022 Mar 14]. Available from: https://www.medrxiv.org/content/10.1101/2020.04.03.20043992v1
Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976.
Alimoradi Z, Ohayon MM, Griffiths MD, Lin CY, Pakpour AH. Fear of COVID-19 and its association with mental health-related factors: systematic review and meta-analysis. BJPsych Open. 2022;8(2):e73.
Bakioğlu F, Korkmaz O, Ercan H. Fear of COVID-19 and positivity: mediating role of intolerance of uncertainty, depression, anxiety, and stress. Int J Ment Health Addict. 2021;19(6):2369-82.
Tsipropoulou V, Nikopoulou VA, Holeva V, Nasika Z, Diakogiannis I, Sakka S, et al. Psychometric Properties of the Greek Version of FCV-19S. Int J Ment Health Addict. 2021;19(6):2279-88.
Sakib N, Bhuiyan AKMI, Hossain S, Al Mamun F, Hosen I, Abdullah AH, et al. Psychometric Validation of the bangla fear of COVID-19 Scale: confirmatory factor analysis and rasch analysis. Int J Ment Health Addict. 2020;20(5):2623-34. https://doi.org/10.1007/s11469-020-00289-x
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Copyright (c) 2023 Flora Luiza Pereira do Nascimento FREIRE, Rafaela Lira Formiga Cavalcanti de LIMA, Nadjeanny Ingrid Galdino GOMES, Maria Augusta Correa Barroso Magno VIANA, Kátia Rau de Almeida CALLOU, Rodrigo Pinheiro de Toledo VIANNA
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