Mental health and health behaviours before and during the initial phase of the COVID-19 lockdown: longitudinal analyses of the UK Household Longitudinal Study.
Mental health and health behaviours before and during the initial phase of the COVID-19 lockdown: longitudinal analyses of the UK Household Longitudinal Study.
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DOI：
10.1136/jech-2020-215060
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发表时间：
2021-03
影响因子：
6.3
通讯作者：
Katikireddi SV
中科院分区：
文献类型：
--
作者：
Niedzwiedz CL;Green MJ;Benzeval M;Campbell D;Craig P;Demou E;Leyland A;Pearce A;Thomson R;Whitley E;Katikireddi SV
人们担心COVID-19缓解措施（包括“封城”）可能会产生意想不到的健康后果。我们研究了英国在COVID-19封锁之前和封锁初期的心理健康和健康行为趋势，以及不同人群的差异。对英国家庭纵向研究的重复横断面和纵向分析，包括2015年至2020年期间四次调查浪潮中采访的27，000多名成年人（18岁以上）的代表性样本。共有9748名成年人有完整的纵向分析数据。结果包括心理困扰（一般健康问卷-12），孤独，目前吸烟，使用电子烟和饮酒。计算横断面患病率估计值，多水平Poisson回归评估时间段和关注结果之间的关联，以及年龄、性别、教育水平和种族的差异关联。心理困扰增加1个月，患病率从2017-2019年的19.4%（95%CI 18.7%至20.1%）上升至2020年4月的30.6%（95%CI 29.1%至32.3%）（RR=1.3，95%CI 1.2至1.4）。受影响最严重的群体包括妇女、年轻人、亚裔背景的人和受过高等教育的人。总体而言，Loncin保持稳定（RR=0.9，95% CI 0.6 - 1.5）。吸烟减少（RR=0.9，95% CI= 0.8，1.0），每周饮酒4次或以上的比例增加（RR=1.4，95% CI 1.3至1.5），酗酒也是如此（RR=1.5，95% CI 1.3至1.7）。心理困扰增加了1个月的封锁，特别是在妇女和年轻人。吸烟减少了，但不良酒精使用普遍增加。需要采取有效措施减轻对健康的不利影响。
There are concerns that COVID-19 mitigation measures, including the ‘lockdown’, may have unintended health consequences. We examined trends in mental health and health behaviours in the UK before and during the initial phase of the COVID-19 lockdown and differences across population subgroups. Repeated cross-sectional and longitudinal analysis of the UK Household Longitudinal Study, including representative samples of over 27,000 adults (aged 18+) interviewed in four survey waves between 2015 and 2020. A total of 9748 adults had complete data for longitudinal analyses. Outcomes included psychological distress (General Health Questionnaire-12), loneliness, current cigarette smoking, use of e-cigarettes and alcohol consumption. Cross-sectional prevalence estimates were calculated and multilevel Poisson regression assessed associations between time period and the outcomes of interest, as well as differential associations by age, gender, education level and ethnicity. Psychological distress increased 1 month into lockdown with the prevalence rising from 19.4% (95% CI 18.7% to 20.1%) in 2017–2019 to 30.6% (95% CI 29.1% to 32.3%) in April 2020 (RR=1.3, 95% CI 1.2 to 1.4). Groups most adversely affected included women, young adults, people from an Asian background and those who were degree educated. Loneliness remained stable overall (RR=0.9, 95% CI 0.6 to 1.5). Smoking declined (RR=0.9, 95% CI=0.8,1.0) and the proportion of people drinking four or more times per week increased (RR=1.4, 95% CI 1.3 to 1.5), as did binge drinking (RR=1.5, 95% CI 1.3 to 1.7). Psychological distress increased 1 month into lockdown, particularly among women and young adults. Smoking declined, but adverse alcohol use generally increased. Effective measures are required to mitigate negative impacts on health.
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影响因子：
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作者：
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通讯作者：
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通讯作者：
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