Increase in Social Isolation during the COVID-19 Pandemic and Its Association with Mental Health: Findings from the JACSIS 2020 Study.
Increase in Social Isolation during the COVID-19 Pandemic and Its Association with Mental Health: Findings from the JACSIS 2020 Study.
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DOI：
10.3390/ijerph18168238
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发表时间：
2021-08-04
影响因子：
--
通讯作者：
Tabuchi T
中科院分区：
文献类型：
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作者：
Murayama H;Okubo R;Tabuchi T
2019冠状病毒病（COVID-19）大流行被认为导致社交孤立的人数增加。然而，尚未充分研究大流行期间社会隔离的普遍性，特别是在亚洲人群中。本研究调查了COVID-19大流行导致的社会隔离流行率的变化，并研究了其与日本普通人群心理健康的关系。数据来自于2020年8月至9月进行的大规模全国性网络调查（n = 28，000;年龄在15-79岁之间）。社交孤立被定义为与共同居住的家庭成员以外的人接触较少。我们评估了参与者在2020年1月（疫情前）和8月（疫情期间）的接触频率。心理健康结局包括心理困扰、自杀意念、孤独和对COVID-19的恐惧。我们分析了25，482名受访者的数据。在大流行之前和期间，社交孤立的加权患病率（95%置信区间）分别为21.2%（20.7-21.7%）和27.9%（27.3-28.4%）。大流行期间，社会隔离流行率上升了6.7（6.3-7.0）个百分点。老年人和男子的社会孤立感增加最多。在疫情期间变得社交孤立的人比疫情前一直没有社交孤立的人更孤独，更害怕COVID-19。这项研究表明，在2019冠状病毒病大流行期间，日本的社会孤立现象有所增加。我们的研究结果强调了制定立即措施对抗社会孤立以保持良好心理健康的重要性。
The coronavirus disease 2019 (COVID-19) pandemic is assumed to have caused an increase in the number of socially isolated people. However, the prevalence of social isolation during the pandemic has not been well studied, particularly among Asian populations. This study investigated changes in the prevalence of social isolation caused by the COVID-19 pandemic and examined its association with mental health among the general Japanese population. Data were obtained from a large-scale, web-based nationwide survey conducted from August to September 2020 (n = 28,000; aged 15–79 years). Social isolation was defined as less frequent contact with people other than co-residing family members. We assessed the participants’ frequency of contact in January (before the pandemic) and August 2020 (during the pandemic). Mental health outcomes included psychological distress, suicidal ideation, loneliness, and fear of COVID-19. We analyzed the data of 25,482 respondents. The weighted prevalence (95% confidence interval) of social isolation was 21.2% (20.7–21.7%) and 27.9% (27.3–28.4%) before and during the pandemic, respectively. The prevalence of social isolation increased by 6.7 (6.3–7.0) percentage points during the pandemic. Older people and men had the greatest increase in the prevalence of social isolation. People who became socially isolated during the pandemic had greater loneliness and fear of COVID-19 than those who were consistently not socially isolated since before the pandemic. This study suggested that social isolation had increased during the COVID-19 pandemic in Japan. Our findings highlight the importance of developing immediate measures against social isolation to maintain good mental health.