Pre-pandemic socio-economic status and changes in employment during the first lockdown (2020) on the health of middle-aged people in England: a longitudinal study.
Pre-pandemic socio-economic status and changes in employment during the first lockdown (2020) on the health of middle-aged people in England: a longitudinal study.
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大流行前的社会经济状况和第一次封锁期间（2020年）就业变化对英格兰中年人健康的影响：一项纵向研究。
DOI：
10.1186/s12889-022-14248-9
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发表时间：
2022-10-12
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
作者：
COVID-19疫情显著扰乱了人们的生活。它导致社会经济地位较低的人的死亡率和发病率较高。众所周知，失业对健康有负面影响。我们假设大流行对中年人的健康影响可能因SEP和就业变化而异。数据来自50岁后的健康和就业（HEAF），这是一个2013-2014年招募的队列，年龄在50-64岁之间，通过24个英语全科诊所。在基线和此后每年，参与者完成一份问卷，报告人口统计学，就业，健康，生活方式和财务状况。2021年，我们向所有可联系的HEAF参与者发送了一份电子调查，询问第一次封锁（2020年3月至7月）的影响。结果是参与者自封锁以来对心理，身体健康和自测健康（SRH）恶化的感知。SEP、COVID-19相关的就业变化和健康之间的关系通过Poisson回归进行了探索，具有稳健的标准误差，并对年龄、性别和大流行前的SRH进行了调整。总共有2，469例（53%）返回了可用的问卷，其中2，344例提供了这些分析的完整信息（44%为男性，平均年龄65.7岁）。自封锁以来，精神，身体或SRH的恶化分别为21%，27%和17%。相互调整的模型显示，报告大流行前经济困难（与生活舒适相比）与以下方面恶化的风险增加相关：精神（RR = 2.0，95%CI 1.7-2.5），身体健康（RR = 2.0，95%CI 1.6-2.3）和SRH（RR = 1.6，95%CI 1.2-2.1）。在封锁期间在家工作的参与者和那些失去工作的人（而不是那些没有改变工作的人）报告心理健康和SRH恶化的风险增加。在一组年龄较大的工人中，在家工作，失业和大流行前SEP较差都与封锁以来心理健康和SRH的恶化有关。
The COVID-19 pandemic markedly disrupted people’s lives. It caused higher mortality and morbidity amongst individuals from poorer socio-economic position (SEP). It is well-recognised that job loss has a negative impact on health. We hypothesised that health effects of the pandemic on middle-aged people might be different depending on SEP and changes in employment. Data are from the Health and Employment After Fifty (HEAF), a cohort recruited 2013–2014 when aged 50–64 through 24 English general practices. At baseline and annually since, participants completed a questionnaire reporting about demographics, employment, health, lifestyle, and finances. In 2021 we sent an e-survey to all contactable HEAF participants, asking about effects of the first lockdown (March-July 2020). Outcomes were participants’ perception of worsening of mental, physical health, and self-rated health (SRH) since lockdown. Associations between SEP, COVID-19 related employment changes and health were explored with Poisson regression with robust standard error, with adjustment for age, sex, and pre-pandemic SRH. In total, 2,469 (53%) returned a usable questionnaire, amongst whom 2,344 provided complete information for these analyses (44% men, mean age 65.7 years). Worsening of mental, physical or SRH since lockdown was reported by 21%, 27% and 17% respectively. Mutually adjusted models showed that reporting struggling financially pre-pandemic (versus living comfortably) was associated with an increased risk of deterioration in: mental (RR = 2.0, 95%CI 1.7–2.5), physical health (RR = 2.0, 95%CI 1.6–2.3), and SRH (RR = 1.6, 95%CI 1.2–2.1). Participants working from home during lockdown and those who lost their job (as opposed to those with unchanged employment) were at increased risk of reporting deterioration in mental health and SRH. In a cohort of older workers, working from home, job loss and poorer pre-pandemic SEP were all associated with worsening of mental health and SRH since lockdown.
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影响因子：
11.1
作者：
Paul, Karsten I.;Moser, Klaus
通讯作者：
Moser, Klaus
影响因子：
6.9
作者：
Chandola T;Kumari M;Booker CL;Benzeval M
通讯作者：
Benzeval M
DOI：
10.1093/geronb/55.3.s131
发表时间：
2000-05-01
影响因子：
6.2
作者：
Gallo, WT;Bradley, EH;Kasl, SV
通讯作者：
Kasl, SV
影响因子：
3.7
作者：
Posel D;Oyenubi A;Kollamparambil U
通讯作者：
Kollamparambil U
影响因子：
5.2
作者：
McDowell CP;Herring MP;Lansing J;Brower C;Meyer JD
通讯作者：
Meyer JD