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Table 2 Prevalence of psychosocial disorders – overall and by participant type (recipient/donor)a

From: Psychological distress and associated factors among kidney transplant recipients and living kidney donors during COVID-19

Variables

Prevalence of psychosocial disorders (95% confidence interval)

Overall

Kidney recipients

Kidney donors

(n = 497)

(n = 375)

(n = 172)

Demographic variables

Age

   

 21–49

21.1% (15.3–28.2%)

22.0% (15.0–21.0%)

19.2% (10.8–31.9%)

 50 and above

11.3% (8.38–15.1%)

11.6% (8.01–16.4%)

10.8% (6.44–17.7%)

Gender

 Men

13.7% (9.84–18.8%)

14.3% (9.72–20.5%)

12.3% (6.37–22.5%)

 Women

14.8% (11.0–19.5%)

15.2% (10.5–21.5%)

14.0% (8.68–21.9%)

Ethnicity

 Chinese

15.6% (12.4–19.6%)

15.8% (11.8–20.7%)

15.4% (10.2–22.6%)

 Malay

6.06% (2.38–14.6%)

5.56% (1.54–18.2%)

6.67% (1.85–21.3%)

 Indian

13.6% (4.75–33.3%)

12.5% (3.50–36.0%)

16.7% (3.01–56.4%)

 Others

15.8% (5.52–37.6%)

23.1% (8.18–50.3%)

0

Marital status

 Married

12.6% (9.63–16.4%)

12.1% (8.52–17.0%)

13.5% (8.80–20.1%)

 Others

19.2% (13.3–27.0%)

21.3% (14.2–30.6%)

12.9% (5.13–28.9%)

Number of people living in home

 1–2 persons

12.3% (7.84–18.8%)

13.0% (7.62–21.4%)

10.9% (4.73–23.0%)

 3 or more persons

15.0% (11.7–19.1%)

15.5% (11.4–20.7%)

14.3% (9.23–21.5%)

Home type

 HDB/HUDC

14.1% (11.0–17.9%)

15.1% (11.2–20.1%)

12.2% (7.78–18.7%)

 Others

15.0% (9.42–22.9%)

13.5% (7.51–23.1%)

18.2% (8.61–34.4%)

Employment status

 Employed

15.3% (11.8–19.6%)

16.0% (11.6–21.6%)

14.1% (8.96–21.4%)

 Unemployed

12.4% (8.22–18.1%)

12.6% (7.79–19.8%)

11.8% (5.50–23.4%)

Educational level

 Primary and lower

5.41% (2.12–13.1%)

2.13% (3.80–11.1%)

11.1% (3.85–28.1%)

 Secondary and above

15.8% (12.7–19.6%)

21.3% (14.2–30.6%)

13.8% (9.11–20.3%)

Religion

 Buddhist

15.9% (11.1–22.2%)

16.5% (10.7–24.6%)

14.5% (7.56–26.2%)

 Christian

22.8% (16.1–31.3%)

24.3% (15.8–35.5%)

20.5% (11.2–34.5%)

 Others

8.68% (5.63–13.2%)

8.90% (5.27–14.6%)

8.22% (3.82–16.8%)

Resident status in Singapore

 Singapore citizen

13.6% (10.8–16.9%)

13.4% (10.1–17.7%)

13.8% (9.35–19.8%)

 Non-Singapore citizen

28.0% (14.3–47.6%)

33.3% (16.3–56.3%)

0

Health status during COVID-19 Pandemic

General health condition (self-reported health)

 Poor or fair

27.8% (19.6–37.8%)

29.0% (19.6–40.6%)

23.8% (10.6–45.1%)

 Good, very good or excellent

11.3% (8.58–14.7%)

10.9% (7.68–15.4%)

11.9% (7.67–18.1%)

Number of hospital admissions since Feb 2020

 Never

13.4% (10.5–16.9%)

14.1% (10.5–18.8%)

12.1% (7.88–18.1%)

 Once or more

19.7% (12.1–30.4%)

17.9% (10.0–29.8%)

26.7% (10.9–52.0%)

Doctor consultations in a clinic or emergency department since Feb 2020

 Never

11.7% (8.67–15.7%)

12.0% (8.40–16.9%)

11.1% (6.32–18.8%)

 Once or more

19.1% (13.9–25.6%)

21.0% (14.02–30.0%)

16.4% (9.70–26.6%)

Symptoms reported

 No symptoms

10.7% (8.04–14.2%)

10.5% (7.32–14.9%)

11.2% (6.90–17.6%)

 Symptomatic

27.4% (19.8–36.5%)

30.9% (21.2–42.6%)

21.1% (11.1–36.3%)

COVID-19 impact on other aspects of life

Asked to stay at home or be quarantined by the authorities since Feb 2020?b

 No

13.4% (10.6–16.8%)

13.6% (10.3–17.9%)

13.0% (8.63–19.0%)

 Yes

33.3% (18.0–53.3%)

37.5% (18.5–61.4%)

25.0% (7.15–59.1%)

How likely do you think you would contract COVID-19 during the current outbreak?b

 Extremely unlikely

9.46% (4.66–18.3%)

5.00% (1.38–16.5%)

14.7% (6.45–30.1%)

 Unlikely

12.7% (9.55–16.7%)

12.3% (8.70–17.1%)

13.6% (8.27–21.5%)

 Likely

23.3% (15.1–34.2%)

31.8% (20.0–46.6%)

10.3% (3.58–26.4%)

 Extremely likely

57.1% (25.0–84.2%)

75.0% (30.1–95.4%)

33.3% (6.15–79.3%)

Are you worried about the health of your household members during the COVID-19 Pandemic?b

 Never

4.76% (2.05–10.7%)

3.85% (13.2–10.7%)

7.41% (2.06–23.4%)

 Sometimes

11.5% (8.20–16.0%)

12.6% (8.37–18.5%)

9.68% (5.18–17.4%)

 Most of the time

30.1% (20.8–41.4%)

31.1% (19.5–45.7%)

28.6% (15.3–47.1%)

 Always

35.0% (15.5–37.7%)

29.4% (16.8–46.2%)

18.2% (7.31–38.5%)

Are you worried that you may not have enough money during the COVID-19 Pandemic?b

 Never

9.05% (5.87–13.7%)

7.38% (4.17–12.7%)

13.1% (6.79–23.8%)

 Sometimes

16.1% (11.6–21.9%)

17.5% (11.7–25.6%)

13.9% (7.95–23.2%)

 Most of the time

16.7% (8.32–30.6%)

22.2% (10.6–40.8%)

6.67% (1.19–29.8%)

 Always

28.6% (17.9–42.4%)

32.4% (19.1–49.2%)

20.0% (7.05–45.2%)

Are you worried about your mental health during the COVID-19 Pandemic?b

 Never

7.76% (5.42–11.0%)

7.63% (4.88–11.7%)

8.00% (4.40–14.1%)

 Sometimes

31.5% (23.6–40.7%)

32.4% (22.9–43.7%)

29.7% (17.5–45.8%)

 Most of the time

50.0% (23.7–76.3%)

42.9% (15.8–75.0%)

66.7% (20.8–93.9%)

 Always

25.0% (8.89–53.2%)

42.9% (15.8–75.0%)

0

Are you worried that you may feel lonely and isolated during the COVID-19 Pandemic?b

 Never

9.16% (6.66–12.5%)

9.64% (6.56–13.9%)

8.27% (4.68–14.2%)

 Sometimes

30.5% (22.2–40.4%)

30.2% (20.2–42.4%)

31.3% (18.0–48.6%)

 Most of the time

36.4% (15.2–64.6%)

28.6% (8.22–64.1%)

50.0% (15.0–85.0%)

 Always

50.0% (18.8–81.2%)

60.0% (23.1–88.2%)

0

Do you agree that the quality of healthcare provided to you have worsened during the COVID-19 Pandemic?b

 Extremely disagree

13.3% (8.60–20.1%)

13.4% (8.00–21.6%)

13.2% (5.76–27.3%)

 Disagree

14.2% (10.7–18.5%)

14.9% (10.7–20.5%)

12.7% (7.74–20.2%)

 Agree

17.1% (8.52–31.3%)

13.6% (4.75–33.3%)

21.1% (8.51–43.3%)

 Extremely agree

28.6% (8.22–64.1%)

50.0% (15.0–85.0%)

0

Are you confident that the government and healthcare system of Singapore will be able to control the spread of COVID-19 in Singapore?b

 Extremely unconfident

25.0% (7.15–59.1%)

66.7% (20.8–93.9%)

0

 Unconfident

37.9% (22.7–56.0%)

41.2% (21.6–64.0%)

22.2% (13.8–60.9%)

 Confident

13.8% (10.4–18.1%)

13.5% (9.53–18.9%)

14.3% (8.86–22.2%)

 Extremely confident

10.3% (6.37–16.4%)

11.3% (6.45–19.2%)

8.33% (3.29–19.6%)

Are you worried about coming to hospital for your follow-up visits or getting admitted to hospital during the COVID-19 Pandemic?b

 Never

7.55% (4.70–11.9%)

8.97% (5.32–14.7%)

4.48% (1.54–12.4%)

 Sometimes

14.8% (10.4–20.7%)

14.9% (9.52–22.6%)

14.7% (8.19–25.0%)

 Most of the time

31.0% (20.6–43.7%)

28.6% (17.2–43.6%)

37.5% (18.5–61.4%)

 Always

23.8% (13.5–38.5%)

26.1% (12.6–46.5%)

21.1% (8.51–43.3%)

Are you worried that Singapore may not have enough supply of food during the COVID-19 Pandemic?b

 Never

11.8% (8.81–15.7%)

11.4% (7.90–16.2%)

12.7% (7.74–20.2%)

 Sometimes

19.0% (13.4–26.3%)

21.4% (14.1–31.0%)

15.1% (7.85–27.1%)

 Most of the time

33.3% (9.68–70.0%)

25.0% (4.56–69.9%)

50.0% (9.45–90.6%)

 Always

25.0% (7.15–59.1%)

66.7% (20.8–93.9%)

0

Are you worried that the supply of medications to Singapore may be reduced during the COVID-19 Pandemic?b

 Never

11.7% (8.53–15.7%)

12.0% (8.23–17.1%)

11.0% (6.25–18.6%)

 Sometimes

17.2% (12.2–23.7%)

17.7% (11.5–26.2%)

16.4% (9.15–27.6%)

 Most of the time

37.5% (18.5–61.4%)

36.4% (15.2–64.6%)

40.0% (11.8–76.9%)

 Always

16.7% (3.01–56.4%)

50.0% (9.45–90.6%)

0

Knowledge levels about COVID-19

Knowledge score of COVID-19c

 < median value (0- < 8)

14.3% (10.9–18.7%)

15.6% (11.1–21.7%)

12.5% (7.84–19.3%)

 ≥ median value (8–10)

14.2% (9.95–19.9%)

13.7% (9.05–20.2%)

15.9% (7.93–29.4%)

Precautionary measures taken during COVID-19

How often do you try to stay at home?d

 Never

 Sometimes

0

0

0

 Most of the time

14.6% (10.8–19.4%)

14.3% (9.87–20.2%)

15.1% (9.05–24.2%)

 Always

13.6% (8.81–20.5%)

14.6% (8.89–23.0%)

11.1% (4.41–25.3%)

 I still have to go to work as I work in essential services

18.2% (11.2–28.2%)

19.1% (9.98–33.3%)

17.1% (8.10–32.7%)

How often do you wash your hands after you touch something?d

 Never

 Sometimes

22.5% (13.0–35.9%)

21.9% (11.0–38.8%)

23.5% (9.56–47.3%)

 Most of the time

19.5% (14.7–25.4%)

22.8% (16.4–30.9%)

14.5% (8.47–23.6%)

 Always

7.96% (5.09–12.2%)

6.79% (3.83–11.8%)

10.9% (5.40–20.9%)

When you are in a queue, how often do you make sure you keep a distance of at least 1 m from the person in front of you?d

 Never

 Sometimes

0

0

 Most of the time

24.7% (16.4–35.4%)

28.9% (17.7–43.4%)

18.8% (8.89–35.3%)

 Always

12.5% (9.66–16.1%)

12.4% (8.98–16.8%)

12.9% (8.20–19.7%)

How often do you cover your mouth when you are coughing or sneezing?d

 Never

0

0

0

 Sometimes

55.6% (26.7–81.1%)

83.3% (43.7–97.0%)

0

 Most of the time

17.0% (10.8–25.9%)

15.6% (8.72–26.4%)

20.0% (9.51–37.3%)

 Always

12.9% (9.92–16.7%)

12.8% (9.25–17.6%)

13.1% (8.33–20.0%)

How often do you wear a mask when you go out of the house?d

 Never

 Sometimes

0

0

0

 Most of the time

25.0% (10.2–49.5%)

25.0% (8.89–53.2%)

25.0% (4.56–69.9%)

 Always

14.2% (11.3–17.7%)

14.3% (10.9–19.7%)

13.9% (9.38–20.2%)

How often do you wash your hands after you cough, sneeze or rub your nose?d

 Never

66.7% (20.8–93.9%)

66.7% (20.8–93.9%)

 Sometimes

20.8% (12.0–33.5%)

24.2% (12.8–41.0%)

15.0% (5.24–36.0%)

 Most of the time

12.4% (8.14–18.3%)

12.2% (7.39–19.4%)

12.8% (5.99–25.2%)

 Always

13.9% (10.2–18.5%)

13.5% (9.19–19.5%)

14.4% (8.79–22.8%)

When you are eating dishes with others, how often do you make sure there is a clean spoon or fork or chopstick to transfer food from the dish to your plate?d

 Never

23.8% (10.6–45.1%)

25.0% (10.2–49.5%)

2.00% (3.62–62.5%)

 Sometimes

16.0% (8.34–28.5%)

23.3% (11.8–40.9%)

5.00% (0.89–23.6%)

 Most of the time

21.2% (14.4–30.0%)

24.5% (14.9–37.8%)

17.7% (9.57–30.3%)

 Always

11.3% (8.23–15.3%)

10.4% (7.00–15.1%)

13.6% (7.98–22.3%)

How often would you wear a mask at home if you are unwell with a cough?d

 Never

15.8% (10.2–23.6%)

16.9% (9.72–27.8%)

14.3% (7.10–26.7%)

 Sometimes

16.3% (10.1–25.2%)

16.7% (9.32–28.0%)

15.6% (6.87–31.8%)

 Most of the time

16.3% (9.95–26.2%)

19.3% (11.1–31.3%)

10.3% (3.58–26.4%)

 Always

11.9% (8.08–17.3%)

10.8% (6.65–17.0%)

14.8% (7.70–26.6%)

Availability of health information

How often do you keep yourself updated about the COVID-19 situation in Singapore?e

 Never

50.0% (9.45–90.6%)

100% (20.7–100%)

0

 Sometimes

15.0% (7.06–29.1%)

13.0% (4.54–32.1%)

17.7% (6.19–41.0%)

 Most of the time

20.8% (15.1–28.0%)

22.0% (14.7–31.5%)

19.0% (10.9–30.9%)

 Always

10.7% (7.60–14.7%)

10.8% (7.23–15.8%)

10.3% (5.54–18.5%)

Do you think the information you receive about COVID-19 situation in Singapore is enough?e

 No

30.8% (19.9–44.3%)

31.4% (18.6–48.0%)

29.4% (13.3–53.1%)

 Yes

12.3% (9.55–15.8%)

12.3% (8.99–16.7%)

12.3% (7.94–18.7%)

Do you think your healthcare provider has given enough information to you about how to look after yourself during the COVID-19 Pandemic?e

 No

14.1% (9.68–20.2%)

29.4% (13.3–53.1%)

14.4% (8.94–22.4%)

 Yes

14.4% (11.0–18.8%)

14.6% (10.8–19.5%)

13.6% (7.03–24.5%)

  1. aData are expressed as prevalence (95% confidence interval). Psychosocial disorder was measured using the DASS-21 – a 21-item system that provides independent measures of depression, stress, and anxiety with recommended severity thresholds. Cutoff scores > 9, > 7, and > 14 indicate a positive screen for depression, anxiety, and stress, respectively. Having psychosocial disorders was defined as having depression, anxiety, or stress
  2. bFour missing values
  3. cA knowledge score was created assigning the correct answer with a score of 1, and a wrong answer or a “do not know” response with a score of zero. The total knowledge score ranged between 0 to 10, with a higher score representing better knowledge of COVID-19
  4. dTwelve missing values for all the variables in this section
  5. eFifteen missing values for all the variables in this section