Deterioration of mental health and insufficient Covid-19 information among disadvantaged immigrants in the greater Paris area,Journal of Psychosomatic Research

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Deterioration of mental health and insufficient Covid-19 information among disadvantaged immigrants in the greater Paris area
Journal of Psychosomatic Research ( IF 4.7 ) Pub Date : 2021-04-30 , DOI: 10.1016/j.jpsychores.2021.110504
Anne Gosselin ₁ , Maria Melchior ₂ , Séverine Carillon ₃ , Flore Gubert ₄ , Valéry Ridde ₅ , Veroska Kohou ₆ , Iris Zoumenou ₇ , Jean-Noël Senne ₈ , Annabel Desgrées du Loû ₅ ,

Affiliation

French Collaborative Institute on Migrations/CNRS, Aubervilliers, France; Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), Paris, France; CEPED (Université de Paris, IRD, Inserm), Paris, France.
French Collaborative Institute on Migrations/CNRS, Aubervilliers, France; Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), Paris, France.
CEPED (Université de Paris, IRD, Inserm), Paris, France.
French Collaborative Institute on Migrations/CNRS, Aubervilliers, France; DIAL (Université Paris Dauphine, IRD), Paris, France.
French Collaborative Institute on Migrations/CNRS, Aubervilliers, France; CEPED (Université de Paris, IRD, Inserm), Paris, France.
Arcat, Paris, France.
Afrique Avenir, Paris, France.
DIAL (Université Paris Dauphine, IRD), Paris, France; Université Paris Saclay (RITM), France.

Objectives

The aim of this study is to provide information on changes in mental health among disadvantaged immigrants from Sub-Saharan Africa in the Greater Paris area and their level of information about Covid-19.

Methods

Prior to the Covid-19 epidemic, the Makasi community-based cohort followed 850 immigrants from sub-Saharan Africa in the Greater Paris area. Between the 1st of April and the 7th of June 2020, all participants scheduled for a follow-up survey were systematically included into an additional COVID-19-related wave of data collection (N = 100). We compared participants' type of housing, level of food insecurity, work and mental health (PHQ9) before and during the first COVID-19-related lockdown, using paired-Mc Nemar chi-2 tests. We next described their level of information on Covid-19 and policy measures, broken down by sex.

Results

Among the 100 participants, 68% had no legal residence permit. Food insecurity was more often reported during lockdown than before (62% vs 52%). 9% of participants had a score indicative of severe depression (PHQ9) before lockdown and 17% afterwards (p = 0.17). Only 51% knew about the possibility of asymptomatic transmission of the COVID-19 virus.

Conclusions

This study brings original information on a hard-to-reach population group. Our results suggest that the lockdown had a detrimental impact on various economic and mental health aspects among disadvantaged migrants residing in the Greater Paris area.

中文翻译：

大巴黎地区弱势移民的心理健康恶化和 Covid-19 信息不足

目标

本研究的目的是提供有关大巴黎地区来自撒哈拉以南非洲的弱势移民心理健康变化的信息，以及他们对 Covid-19 的了解程度。

方法

在 Covid-19 流行之前，马卡西社区队列跟踪了大巴黎地区 850 名来自撒哈拉以南非洲地区的移民。在 2020 年 4 月 1 日至 6 月 7 日期间，计划进行后续调查的所有参与者都被系统地纳入另一波与 COVID-19 相关的数据收集中（N = 100）。我们使用配对 Mc Nemar chi-2 测试比较了参与者在第一次与 COVID-19 相关的封锁之前和期间的住房类型、食品不安全程度、工作和心理健康 (PHQ9)。我们接下来描述了他们关于 Covid-19 的信息水平和政策措施，按性别分类。