The primary outcome for this study was the prevalence of depressive symptoms (PHQ-9 ≥ 10 points, major depressive episode) [24]. Respondents that scored less than 2 points in the PHQ-2 were included and were assigned a value less than 10 points. Selected secondary outcomes were anhedonia (PHQ-9), suicidal ideation (PHQ-9), and impaired functioning (WASSS) reported using a Likert scale.

We also explored the proportion of respondents who reported having a mental health symptom at least 7 days or more in the past 2 weeks, using items from the PHQ-9 and part A of WASSS by key strata. Supplementary file 3 shows the questions and outcomes in the PHQ-9 and WASSS.

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