The prevalence and correlates of depression before and after the COVID-19 pandemic declaration among urban refugee adolescents and youth in informal settlements in Kampala, Uganda: A longitudinal cohort study

There is scant research examining urban refugee youth mental health outcomes, including potential impacts of the COVID-19 pandemic. We examine prevalence and ecosocial risk factors of depression in the periods before and after the COVID-19 pandemic declaration among urban refugee youth in Kampala, U...

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Bibliographic Details
Published in:Annals of Epidemiology Vol. 66; pp. 37 - 43
Main Authors: Logie, Carmen H., Berry, Isha, Okumu, Moses, Loutet, Miranda, McNamee, Clara, Hakiza, Robert, Musoke, Daniel Kibuuka, Mwima, Simon, Kyambadde, Peter, Mbuagbaw, Lawrence
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01.02.2022
Elsevier BV
The Author(s). Published by Elsevier Inc
Subjects:
Adolescent
Adolescents
Adult
Cohort Studies
COVID-19
COVID-19 - epidemiology
Depression
Depression - epidemiology
Food insecurity
Humans
Longitudinal Studies
Original
Pandemics
Prevalence
Refugees
Uganda
Uganda - epidemiology
Urban
Violence
Young Adult
Youth
Uganda
Urban
Violence
Depression
Youth
Food insecurity
Refugees
Adolescents
ISSN:1047-2797, 1873-2585, 1873-2585
Online Access:Get full text
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Summary:There is scant research examining urban refugee youth mental health outcomes, including potential impacts of the COVID-19 pandemic. We examine prevalence and ecosocial risk factors of depression in the periods before and after the COVID-19 pandemic declaration among urban refugee youth in Kampala, Uganda. Data from a cohort of refugee youth (n = 367) aged 16–24 years were collected in periods before (February 2020) and after (December 2020) the WHO COVID-19 pandemic declaration. We developed crude and adjusted generalized estimating equation logistic regression models to examine demographic and ecosocial factors (food insecurity, social support, intimate partner violence) associated with depression, and include time-ecosocial interactions to examine if associations differed before and after the pandemic declaration. The prevalence of depression was high, but there was no significant difference before (27.5%), and after (28.9%) the pandemic declaration (P = .583). In adjusted models, food insecurity (aOR: 2.54; 95% CI: 1.21–5.33) and experiencing violence (aOR: 2.53; 95% CI: 1.07–5.96) were associated with increased depression, and social support was associated with decreased depression (aOR: 0.85; 95% CI: 0.81–0.89). These findings highlight the urgent need for interventions to address chronic depression, food insecurity, and ongoing effects of violence exposure among urban refugee youth in Kampala.
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ISSN:1047-2797
1873-2585
1873-2585
DOI:10.1016/j.annepidem.2021.11.005