Prevalence and Correlates of Likely Anxiety Disorder in Ghana During the COVID-19 Pandemic: Evidence From a Cross-Sectional Online Survey

Disaster Med Public Health Prep. 2024 Nov 15:18:e269. doi: 10.1017/dmp.2024.105.

Abstract

Background: The COVID-19 pandemic created stressors to daily living, leading to increased mental health problems. It is important to assess the influence of COVID-19 pandemic on mental health, specifically anxiety.

Objectives: The goal was to determine the prevalence and sociodemographic, clinical, and other correlates of likely Generalized Anxiety Disorder (GAD) among study subjects in Ghana.

Design: This study employed a cross-sectional approach, using an online survey administered primarily through social media platforms. The survey questions included the GAD-7 scale, which was used to assess likely GAD in respondents. Data were analyzed using descriptive statistics, chi-square tests, and logistic regression analysis.

Participants: Overall, 756 respondents completed the survey, mainly from Ashanti and Greater Accra, which were the hardest hit by COVID-19.

Results: The prevalence of likely GAD in our sample was 7.6%. Gender, loss of job due to COVID-19, and seeking mental health counseling were independently associated with increased likelihood of GAD.

Conclusions: The findings suggest that women, those who lost their jobs due to the COVID-19 pandemic, and those who sought mental health counseling were more likely to experience moderate to high anxiety symptoms as a result of the COVID-19 pandemic. Priority must be attached to psychological support measures for members of these groups.

Keywords: COVID-19; Ghana; anxiety; mental health; pandemic.

MeSH terms

  • Adolescent
  • Adult
  • Anxiety Disorders* / epidemiology
  • COVID-19* / epidemiology
  • COVID-19* / psychology
  • Cross-Sectional Studies
  • Female
  • Ghana / epidemiology
  • Humans
  • Male
  • Middle Aged
  • Pandemics
  • Prevalence
  • SARS-CoV-2
  • Surveys and Questionnaires