Double Burden of COVID-19 Pandemic and Military Occupation: Mental Health Among a Palestinian University Community in the West Bank

Background: The Covid-19 pandemic created major global health crises, with serious effects on all aspects of life. The pandemic reached the Israeli occupied West Bank of Palestine in early March 2020, and lockdown immediately ensued. Objectives: To assess the prevalence and predictors of distress an...

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Autores principales: Rula Ghandour, Rasha Ghanayem, Farah Alkhanafsa, Ayah Alsharif, Hiba Asfour, Aisha Hoshiya, Amani Masalmeh, Muna Nadi, Laila Othman, Sameera Ryahe, Yasmeen Wahdan, Shatha Wahsh, Ala'a Yamani, Rita Giacaman
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Publicado: Ubiquity Press 2020
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spelling oai:doaj.org-article:58d8e230d2384f7e9ded86346a65d0782021-12-02T11:05:08ZDouble Burden of COVID-19 Pandemic and Military Occupation: Mental Health Among a Palestinian University Community in the West Bank2214-999610.5334/aogh.3007https://doaj.org/article/58d8e230d2384f7e9ded86346a65d0782020-10-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/3007https://doaj.org/toc/2214-9996Background: The Covid-19 pandemic created major global health crises, with serious effects on all aspects of life. The pandemic reached the Israeli occupied West Bank of Palestine in early March 2020, and lockdown immediately ensued. Objectives: To assess the prevalence and predictors of distress and insecurity among Birzeit University’s community during the COVID-19 pandemic and lockdown. Methods: An online survey completed in March-April 2020 using standardized and previously validated distress and insecurity scales. The survey was placed on the University portal accessed by students, faculty and employees, and was sent by email to faculty and employees. Data were weighted to reflect the University community’s distribution. Findings: There were 1,851 participants in the study: 84% were undergraduate students, 10% graduate students, and 6% faculty and employees. Sixty two percent were women. Ages ranged from 17 to 70 years (mean 24 ± 9.7). Prevalence of moderate/high distress and insecurity were 40% and 48% respectively. Multiple logistic regression revealed that women, those under 35 years old and those with worse reported income, had significantly higher odds of distress and insecurity compared to their counterparts. Undergraduate students or living with a person at home with high risk of illness with COVID-19 were associated with higher odds of distress compared to their counterparts (OR = 1.56, 95%CI[1.13–2.15]) and (OR = 1.34, 95%CI[1.11–1.62]) respectively. A COVID-19 worry score was significantly associated with higher odds of distress and insecurity (OR = 1.77, 95%CI[1.46–2.14]) and (OR = 4.3, 95%CI[3.53–5.23]) respectively. Conclusion: This study emphasizes the need to pay attention not only to physical health but also to mental health during the COVID-19 pandemic, especially among young people, women, those with lower economic status, and those living with high risk persons during the pandemic. We hope that this study will inform the policies and interventions of the Palestinian Authority, local non-governmental organization, international groups working in the occupied Palestinian territory, and beyond.Rula GhandourRasha GhanayemFarah AlkhanafsaAyah AlsharifHiba AsfourAisha HoshiyaAmani MasalmehMuna NadiLaila OthmanSameera RyaheYasmeen WahdanShatha WahshAla'a YamaniRita GiacamanUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 86, Iss 1 (2020)
institution DOAJ
collection DOAJ
language EN
topic Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
spellingShingle Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Rula Ghandour
Rasha Ghanayem
Farah Alkhanafsa
Ayah Alsharif
Hiba Asfour
Aisha Hoshiya
Amani Masalmeh
Muna Nadi
Laila Othman
Sameera Ryahe
Yasmeen Wahdan
Shatha Wahsh
Ala'a Yamani
Rita Giacaman
Double Burden of COVID-19 Pandemic and Military Occupation: Mental Health Among a Palestinian University Community in the West Bank
description Background: The Covid-19 pandemic created major global health crises, with serious effects on all aspects of life. The pandemic reached the Israeli occupied West Bank of Palestine in early March 2020, and lockdown immediately ensued. Objectives: To assess the prevalence and predictors of distress and insecurity among Birzeit University’s community during the COVID-19 pandemic and lockdown. Methods: An online survey completed in March-April 2020 using standardized and previously validated distress and insecurity scales. The survey was placed on the University portal accessed by students, faculty and employees, and was sent by email to faculty and employees. Data were weighted to reflect the University community’s distribution. Findings: There were 1,851 participants in the study: 84% were undergraduate students, 10% graduate students, and 6% faculty and employees. Sixty two percent were women. Ages ranged from 17 to 70 years (mean 24 ± 9.7). Prevalence of moderate/high distress and insecurity were 40% and 48% respectively. Multiple logistic regression revealed that women, those under 35 years old and those with worse reported income, had significantly higher odds of distress and insecurity compared to their counterparts. Undergraduate students or living with a person at home with high risk of illness with COVID-19 were associated with higher odds of distress compared to their counterparts (OR = 1.56, 95%CI[1.13–2.15]) and (OR = 1.34, 95%CI[1.11–1.62]) respectively. A COVID-19 worry score was significantly associated with higher odds of distress and insecurity (OR = 1.77, 95%CI[1.46–2.14]) and (OR = 4.3, 95%CI[3.53–5.23]) respectively. Conclusion: This study emphasizes the need to pay attention not only to physical health but also to mental health during the COVID-19 pandemic, especially among young people, women, those with lower economic status, and those living with high risk persons during the pandemic. We hope that this study will inform the policies and interventions of the Palestinian Authority, local non-governmental organization, international groups working in the occupied Palestinian territory, and beyond.
format article
author Rula Ghandour
Rasha Ghanayem
Farah Alkhanafsa
Ayah Alsharif
Hiba Asfour
Aisha Hoshiya
Amani Masalmeh
Muna Nadi
Laila Othman
Sameera Ryahe
Yasmeen Wahdan
Shatha Wahsh
Ala'a Yamani
Rita Giacaman
author_facet Rula Ghandour
Rasha Ghanayem
Farah Alkhanafsa
Ayah Alsharif
Hiba Asfour
Aisha Hoshiya
Amani Masalmeh
Muna Nadi
Laila Othman
Sameera Ryahe
Yasmeen Wahdan
Shatha Wahsh
Ala'a Yamani
Rita Giacaman
author_sort Rula Ghandour
title Double Burden of COVID-19 Pandemic and Military Occupation: Mental Health Among a Palestinian University Community in the West Bank
title_short Double Burden of COVID-19 Pandemic and Military Occupation: Mental Health Among a Palestinian University Community in the West Bank
title_full Double Burden of COVID-19 Pandemic and Military Occupation: Mental Health Among a Palestinian University Community in the West Bank
title_fullStr Double Burden of COVID-19 Pandemic and Military Occupation: Mental Health Among a Palestinian University Community in the West Bank
title_full_unstemmed Double Burden of COVID-19 Pandemic and Military Occupation: Mental Health Among a Palestinian University Community in the West Bank
title_sort double burden of covid-19 pandemic and military occupation: mental health among a palestinian university community in the west bank
publisher Ubiquity Press
publishDate 2020
url https://doaj.org/article/58d8e230d2384f7e9ded86346a65d078
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