The COVID-19 pandemic had significant impacts on mental health. We examined factors associated with symptoms of depression and anxiety during the COVID-19 pandemic in Kazakhstan. We surveyed 991 adults in Kazakhstan in July 2021 using multistage stratified sampling. Depression and anxiety were measured with the Patient Health Questionnaire-4. We conducted logistic regression to assess associations between depression and anxiety and sociobehavioral factors. Overall, 12.01% reported depressive symptoms and 8.38% anxiety. Higher likelihood of depression was associated with being female (AOR: 1.64; 95% CI [1.05, 2.55]), having experience with COVID-19 in the social environment (AOR: 1.85; 95% CI [1.1-3.14]), experiencing food insecurity (AOR: 1.80; 95% CI [1.11-2.89]), increased family conflict (AOR: 2.43; 95% ) and impaired healthcare access (AOR: 2.41; 95% ). Higher likelihood of anxiety was associated with being female (AOR: 3.43; 95% CI [1.91-6.15]), increased family conflict (AOR: 2.22; 95% ) and impaired healthcare access (AOR: 2.63; 95% CI [1.36-5.12]). Multiple factors were associated with mental health in Kazakhstan during the COVID-19 pandemic. Further research is needed to determine the extent to which these factors and their associated mental health outcomes may persist.
Impact statementThe COVID-19 pandemic had significant impacts on mental health. Our results suggest that in Kazakhstan, women experienced higher rates of depression and anxiety than men. Rurality, limited access to healthcare services, increased family conflicts, and knowing someone who died of COVID-19 were also associated with an increased likelihood of mental health symptoms. In addition, economic vulnerability, such as food insecurity, was associated with increased depression. By identifying factors associated with greater risk, policies can be developed that either mitigate these factors (e.g., limited access to health care) or their relationship to mental health (e.g., being female or living in a rural area) so as to support the mental health of the general population of Kazakhstan.