COVID-19封锁期间的医疗保健利用、身体活动和心理健康:对英格兰老年人的中断时间序列分析

IF 3.7 2区 社会学 Q1 GERONTOLOGY
Jiunn Wang, Anne Spencer, Claire Hulme, Anne Corbett, Zunera Khan, Miguel Vasconcelos Da Silva, Siobhan O'Dwyer, Natalie Wright, Ingelin Testad, Clive Ballard, Byron Creese, Richard Smith
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引用次数: 0

摘要

减少人际接触的COVID-19措施可能有效遏制传播,但其对人们福祉和日常生活的长期影响尚不清楚。老年人更容易受到病毒和社会孤立的影响。因此,必须了解它们在这一时期是如何受到影响的。该流行病引起的主要关切包括心理健康、保健利用和个人行为改变等方面。补充现有的前后分析,我们通过使用英格兰的时间序列数据来探索放松和重新引入COVID-19措施的影响。这些数据是在2020年5月至11月期间从研究衰老的遗传和认知在线研究平台(PROTECT)的月度调查中收集的。通过卡方分析和中断时间序列分析来检验放松和重新引入COVID-19措施的影响。总体而言,心理健康状况随着时间的推移而改善,但改善的速度在下降。在大流行期间,与医生或保健专业人员进行电话/视频咨询的使用呈下降趋势,而面对面咨询的使用则随着时间的推移而增加。我们观察到,在放松而非重新引入COVID-19措施后,心理健康措施、医疗保健利用和身体活动的时间趋势出现了显著变化。未来的研究需要了解这些不对称影响是由人们的适应还是措施的严格性驱动的。补充信息:在线版本包含补充资料,提供地址为10.1007/s10433-022-00741-y。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Healthcare utilisation, physical activity and mental health during COVID-19 lockdown: an interrupted time-series analysis of older adults in England.

Healthcare utilisation, physical activity and mental health during COVID-19 lockdown: an interrupted time-series analysis of older adults in England.

Healthcare utilisation, physical activity and mental health during COVID-19 lockdown: an interrupted time-series analysis of older adults in England.

Healthcare utilisation, physical activity and mental health during COVID-19 lockdown: an interrupted time-series analysis of older adults in England.

COVID-19 measures which reduce interpersonal contact may be effective in containing the transmission, but their impacts on peoples' well-being and daily lives overtime remain unclear. Older adults are more vulnerable to both the virus and social isolation. It is therefore imperative to understand how they were affected during this period. Major concerns arising from the pandemic cover the aspects of mental health, healthcare utilisation and individual behavioural changes. Complementing the existing before-and-after analyses, we explore the impacts of easing and re-introducing COVID-19 measures by using a time-series data in England. The data was collected between May and November 2020 from the monthly surveys of the Platform for Research Online to Investigate Genetics and Cognition in Aging (PROTECT). Chi-squared analysis and interrupted time-series analysis were conducted to examine impacts of easing and re-introducing COVID-19 measures. Overall, mental health improves overtime but at a decreasing rate. The use of telephone/video consultations with a doctor or health professional presented a decreasing trend during the pandemic, whilst that of in-person consultation was increasing overtime. We observed significant variations in the time trends of mental health measures, healthcare utilisation and physical activity following the ease but not the re-introduction of COVID-19 measures. Future research is required to understand if these asymmetric impacts were driven by adaption of the people or stringency of the measures.

Supplementary information: The online version contains supplementary material available at 10.1007/s10433-022-00741-y.

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来源期刊
CiteScore
6.50
自引率
7.90%
发文量
72
期刊介绍: The European Journal of Ageing: Social, Behavioural and Health Perspectives is an interdisciplinary journal devoted to the understanding of ageing in European societies and the world over. EJA publishes original articles on the social, behavioral and population health aspects of ageing and encourages an integrated approach between these aspects. Emphasis is put on publishing empirical research (including meta-analyses), but conceptual papers (including narrative reviews) and methodological contributions will also be considered. EJA welcomes expert opinions on critical issues in ageing. By stimulating communication between researchers and those using research findings, it aims to contribute to the formulation of better policies and the development of better practice in serving older adults. To further specify, with the term ''social'' is meant the full scope of social science of ageing related research from the micro to the macro level of analysis. With the term ''behavioural'' the full scope of psychological ageing research including life span approaches based on a range of age groups from young to old is envisaged. The term ''population health-related'' denotes social-epidemiological and public health oriented research including research on functional health in the widest possible sense.
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