Background

Mental health symptoms are considered a public health concern by many professionals and are frequently impacted by factors related to occupation, employment opportunities, and economic stressors. This study investigated the relationship between economic stressors and mental health symptoms among Bangladeshi rehabilitation professionals.

Methods

We conducted a cross-sectional survey of 420 rehabilitation professionals between July 2020 and October 2020. Economic stressors were measured using Economic Hardship Questionnaire, Financial Threat Scale, and Financial Well-Being Scale. Mental health symptoms were measured using the Depression, Anxiety, and Stress Scale (DASS-21). Multivariable logistic regression analysis was performed to find associated factors on mental health problems after adjusting confounders.

Results

Among 420 rehabilitation professionals 62.1% were male, 38.6% were post-graduated and 75% were in practice. The overall prevalence of depression, anxiety, and stress was 51.0%, 58.6%, and 33.6%, respectively. The multivariable regression analysis indicated that without a high professional degree, lack of opportunity to practice, and loss of income were the associated factors for mental health symptoms. The modelling of the structural equation showed that financial threat is significantly associated with mental health symptoms.

Conclusion

During the era of COVID-19, a high prevalence of mental health symptoms was observed among rehabilitation professionals. To minimize the burden of mental health, we recommend that all rehabilitation organizations and the government come together to create equal opportunities to practice and enable individuals to obtain high professional degrees.

中文翻译：

---

孟加拉国康复专业人员的经济压力和心理健康症状：COVID-19 大流行期间的横断面研究

背景

许多专业人士认为心理健康症状是一个公共卫生问题，并且经常受到与职业、就业机会和经济压力相关的因素的影响。本研究调查了孟加拉国康复专业人员的经济压力源与心理健康症状之间的关系。

方法

我们在 2020 年 7 月至 2020 年 10 月期间对 420 名康复专业人员进行了横断面调查。使用经济困难问卷、财务威胁量表和财务福利量表测量经济压力源。使用抑郁、焦虑和压力量表 (DASS-21) 测量心理健康症状。在调整混杂因素后，进行多变量逻辑回归分析以寻找与心理健康问题相关的因素。

结果

在420名康复专业人员中，男性占62.1%，研究生占38.6%，执业占75%。抑郁、焦虑和压力的总体患病率分别为 51.0%、58.6% 和 33.6%。多元回归分析表明，专业程度不高、缺乏实践机会、收入损失是心理健康症状的相关因素。结构方程的建模表明，财务威胁与心理健康症状显着相关。

结论

在 COVID-19 时代，在康复专业人员中观察到心理健康症状的高发率。为了尽量减少心理健康的负担，我们建议所有康复组织和政府共同创造平等的实践机会，使个人能够获得高专业学位。