Perceived accessibility and mental health consequences of COVID-19 containment policies.
Perceived accessibility and mental health consequences of COVID-19 containment policies.
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DOI：
10.1016/j.jth.2022.101354
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发表时间：
2022-06
影响因子：
3.6
通讯作者：
Zhao P
中科院分区：
文献类型：
--
作者：
Liu Q;Liu Z;Lin S;Zhao P
个人在COVID-19大流行期间经历了不同程度的可及性损失，这可能因此影响了他们的心理健康。虽然已作出努力，以了解大流行病的心理健康后果和相应的遏制措施，无障碍损失的影响仍然没有得到充分探讨。基于186个家庭访谈，我们设计了一项569名受访者的小组调查，并于2020年2月至10月在中国昆明每月分发。本研究采用三波交叉滞后面板模型，探讨心理健康与生活必需品、主要服务和社会活动感知可及性之间的因果关系。拟合优度指标表明，假设模型与观测数据拟合良好：χ2/df = 2.221，AGFI = 0.910，NFI = 0.907，CFI = 0.933，RMSEA = 0.052。结果表明，生活用品和社会活动的可及性感知对心理健康状况有滞后影响。波内效应显示，在疫情高峰期，生活必需品的可及性（0.619，p < 0.01）和社交活动的可及性（0.545，p < 0.01）显著影响被调查者的心理健康，而在疫情解除后，社交活动的可及性显著影响被调查者的心理健康（0.779，p < 0.01）。在任何一波调查中，对医疗保健等公共服务的可及性的感知都没有显著影响受访者的心理健康。COVID-19遏制政策在不同人群中产生了不同的心理后果。在取消强制性公交车QR码之前，由于无法获得日常必需品和社交活动，残疾人经历了心理健康问题，而富裕人群在疫情爆发早期的心理健康状况较好，并在行动限制放松后迅速恢复了心理健康。日常生活必需品和社会活动的可获得性降低可能是心理健康问题的根本原因。2019冠状病毒病大流行期间，相对的可及性剥夺加剧了精神卫生不平等。
Individuals have experienced various degrees of accessibility loss during the COVID-19 pandemic, which may consequently have influenced their mental health. Although efforts have been made to understand the mental health consequences of the pandemic and corresponding containment measures, the impacts of accessibility loss remain underexplored. Based on 186 family interviews, a 569-respondent panel survey was designed and distributed monthly from February to October 2020 in Kunming, China. A 3-wave cross-lagged panel model was developed to understand the causal relationship between mental health and perceived accessibility of daily necessities, key services, and social activities. Goodness-of-fit indicators imply that the hypothesised model fits the observed data well: χ2/df = 2.221, AGFI = 0.910, NFI = 0.907, CFI = 0.933, RMSEA = 0.052. The results indicate that perceived accessibility of daily necessities and social activities had lagged effects on mental health status. The within-wave effects show that perceived accessibility of daily necessities (0.619, p < 0.01) and social activities (0.545, p < 0.01) significantly influenced respondents' mental health during the peak of the pandemic whilst perceived accessibility of social activities dominantly influenced their mental health after restrictions were lifted (0.779, p < 0.01). Perceived accessibility of public services such as healthcare did not significantly influence respondents’ mental health in any wave. COVID-19 containment policies had different mental outcomes across population groups. Disadvantaged people experienced mental health issues due to accessibility loss for daily necessities and social activities until the lifting of compulsory QR-code-for-buses, whilst better-off populations had better mental health during the early phase of the outbreak and rapidly recovered their mental health after mobility restrictions eased. Reduced perceived accessibility of daily necessities and social activities may be an underlying cause of mental health problems. Relative accessibility deprivation exacerbated mental health inequities during the COVID-19 pandemic.
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作者：
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