Differential effectiveness of COVID-19 health behaviors: The role of mental health conditions in mask-wearing, social distancing, and hygiene practice

Yusen Zhai, Xue Du
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Abstract

Background

Mental health conditions are known to increase susceptibility to infectious diseases, including coronavirus disease 2019 (COVID-19). Health behaviors play a crucial role in mitigating this susceptibility. We aim to examine the differential effectiveness of COVID-19 preventive health behaviors among individuals, considering the presence or absence of specific mental health disorders.

Methods

Multivariable logistic regression with interaction terms was performed to examine whether associations between adherence to health behaviors and COVID-19 infection were conditional on depression, anxiety, or eating disorders in a national sample of adults (N = 61,891) from 140 US universities, 2020–2021.

Results

Adjusting for age, race/ethnicity, and gender/sex, the effectiveness of mask-wearing was significant and comparable among individuals with and without depression, anxiety, or eating disorders. Social distancing provided significantly less protection among individuals with depression, anxiety, or eating disorders. Hygiene practice provided significantly less protection among individuals with anxiety.

Conclusion

Mask-wearing is robustly effective in the prevention of COVID-19 among individuals. However, social distancing and hygiene practice provide less significant protection among individuals with certain mental health conditions, suggesting the importance of prioritizing these individuals for additional preventive measures (e.g., vaccines targeting variants) and mitigation strategies (e.g., financial assistance, targeted mental health care, health education).

新冠肺炎健康行为的差异有效性:心理健康状况在戴口罩、保持社交距离和卫生实践中的作用
背景已知心理健康状况会增加对传染病的易感性,包括2019冠状病毒病(新冠肺炎)。健康行为在减轻这种易感性方面起着至关重要的作用。我们的目的是检查个体之间新冠肺炎预防性健康行为的差异有效性,考虑到是否存在特定的心理健康障碍。方法采用具有交互作用项的多变量逻辑回归方法,对全国成人样本(N = 61891)。结果根据年龄、种族/民族和性别/性别进行调整后,戴口罩的有效性在患有和不患有抑郁症、焦虑症或饮食失调的个体中是显著和可比的。在患有抑郁症、焦虑症或饮食失调的人中,保持社交距离提供的保护明显不足。在焦虑症患者中,卫生实践提供的保护明显不足。结论戴口罩对个体预防新冠肺炎效果显著。然而,保持社交距离和卫生习惯对患有某些心理健康状况的人提供的保护作用较小,这表明优先考虑这些人采取额外的预防措施(例如针对变种的疫苗)和缓解策略(例如财政援助、有针对性的心理健康护理、健康教育)的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
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