Evidence map›Paper›PMID 33793028›Full record

ArticleDepression and anxiety2021

Association of job loss, income loss, and financial burden with adverse mental health outcomes during coronavirus disease 2019 pandemic in Thailand: A nationwide cross-sectional study.

Chidchanok Ruengorn, Ratanaporn Awiphan, Nahathai Wongpakaran, Tinakon Wongpakaran, Surapon Nochaiwong, Health Outcomes and Mental Health Care Evaluation Survey Research Group (HOME-Survey)

Abstract read
In one paragraph

Article in Depression and anxiety, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  4. Anxiety Linked to COVID-19: A Systematic Review Comparing Anxiety Rates in Different Populations.International journal of environmental research and public health · 2022
    Pooled it
  5. Stigmatization from Work-Related COVID-19 Exposure: A Systematic Review with Meta-Analysis.International journal of environmental research and public health · 2021
    Pooled it
  6. Moderated mediating effects of perceived loneliness and economic burden between social support and mental health for lung cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Chidchanok RuengornDepartment of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0001-7927-1425
Ratanaporn AwiphanDepartment of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0003-3628-0596
Nahathai WongpakaranDepartment of Psychiatry, Faculty of Medicine, Chiang Mai University, Thailand.ORCID 0000-0001-8365-2474
Tinakon WongpakaranDepartment of Psychiatry, Faculty of Medicine, Chiang Mai University, Thailand.ORCID 0000-0002-9062-3468
Surapon NochaiwongDepartment of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0003-1100-7171
Health Outcomes and Mental Health Care Evaluation Survey Research Group (HOME-Survey)

Funding

Chiang Mai University
6 · The paper itself

Abstract

backgroundEconomic crises during the coronavirus disease (COVID-19) pandemic severely impacted mental health outcomes. However, there is limited evidence on this issue in Thailand. We aimed to evaluate the association of economic burden during the first phase of the pandemic and the risk of adverse mental health outcomes in the Thai population.

methodsWe recruited 2,303 participants aged 18 years or above with employment/full-time jobs before the national lockdown in April-May 2020. The measures of economic burden were job loss, income loss, and financial problems related to the outbreak. The outcomes included depressive symptoms, anxiety, and perceived stress. The association between economic burden and adverse mental health outcomes was evaluated using multivariable logistic regression models.

resultsIndividuals who lost their jobs during the COVID-19 pandemic had a higher risk of perceived stress compared to those who maintained their job (adjusted odds ratio [OR], 2.40; 95% confidence interval [CI], 1.28-4.51; p = .006). A higher risk of anxiety was observed in individuals with a monthly income loss of 50% (adjusted OR, 1.42; 95% CI, 1.03-1.99; p = .035; individuals without income loss, reference group) or over. Self-reported financial problems were significantly associated with adverse mental health outcomes (nonexperienced financial problems, reference group): Adjusted ORs of 1.84 (95% CI, 1.34-2.51; p < .001) for depressive symptoms, 2.00 (95% CI, 1.48-2.71; p < .001) for anxiety, and 2.12 (95% CI, 1.51-2.95; p < .001) for perceived stress.

conclusionsEconomic burden, especially self-reported financial problems, was associated with adverse mental health outcomes. However, long-term studies are needed to address the mental health consequences of COVID-19 and economic downturns.

Indexed as

COVID-19PandemicsCommunicable Disease ControlCross-Sectional StudiesDepressionHumansOutcome Assessment, Health CareSARS-CoV-2ThailandCOVID-19economic burdenfinancial problemsincome lossjob lossmental health

Identifiers

PMID33793028
PMCPMC8251094

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.