Changes in quality of life and health across the first two years of the COVID-19 pandemic: A mixed methods, longitudinal study of older adults

Andrea Huseth-Zosel Ph.D. , Heather R. Fuller Ph.D.
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Abstract

The objective of this study was to identify shifts in older adults’ well-being over the first two years of the COVID-19 pandemic. Between March 2020 and April 2022, 76 adults aged 65+ from the upper Midwest participated in telephone interviews across five timepoints. Quantitative and qualitative questions focused on perceptions of QOL, physical health and mental health, as well as changes over the two years of interviews. Repeated measures ANOVAs indicated significant changes in self-reported QOL over time, but no significant changes to self-reported physical or mental health. Thematic content analysis revealed relevant themes for each content area. Findings provided a longitudinal view of changes in perceived QOL and health among older adults during the COVID-19 pandemic. Despite quantitative improvements in QOL and stability in health, qualitative themes indicated nuances impacts including challenges to physical activity and fluctuations in mental health and QOL.

COVID-19 大流行头两年中生活质量和健康状况的变化:针对老年人的混合方法纵向研究
本研究旨在确定 COVID-19 大流行头两年中老年人幸福感的变化。2020 年 3 月至 2022 年 4 月期间,来自上中西部地区的 76 名 65 岁以上的成年人参加了跨越五个时间点的电话访谈。定量和定性问题侧重于对 QOL、身体健康和心理健康的看法,以及访谈两年来的变化。重复测量方差分析表明,随着时间的推移,自我报告的 QOL 发生了显著变化,但自我报告的身体或心理健康没有发生显著变化。主题内容分析揭示了每个内容领域的相关主题。研究结果提供了在 COVID-19 大流行期间老年人感知的 QOL 和健康变化的纵向视角。尽管在数量上提高了 QOL 和健康的稳定性,但定性主题显示了细微的影响,包括对体育活动的挑战以及心理健康和 QOL 的波动。
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