People with Suspected COVID-19 Symptoms Were More Likely Depressed and Had Lower Health-Related Quality of Life: The Potential Benefit of Health Literacy

People with Suspected COVID-19 Symptoms Were More Likely Depressed and Had Lower Health-Related Quality of Life: The Potential Benefit of Health Literacy
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DOI:
10.3390/jcm9040965
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发表时间:
2020-04-01
影响因子:
3.9
通讯作者:
Duong, Tuyen Van
Duong, Tuyen Van
中科院分区:
医学2区
文献类型:
--
作者:
Nguyen, Hoang C.;Nguyen, Minh H.;Duong, Tuyen Van

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2019冠状病毒病(COVID-19)疫情影响人们的健康和健康相关生活质量(HRQoL),特别是那些有疑似COVID-19症状(S-COVID-19-S)的人。我们研究了修改健康素养(HL)对抑郁症和HRQoL的影响。于2020年2月14日至3月2日进行了一项横断面研究。从越南9家医院和卫生中心的门诊部招募了3947名参与者。访谈采用打印的问卷进行,包括参与者的特征,临床参数,健康行为,HL,抑郁症和HRQoL。S-COVID-19-S患者抑郁的可能性较高(OR,2.88; p <0.001),HRQoL评分较低(B,-7.92; p <0.001)。与没有S-COVID-19-S和低HL的人相比,S-COVID-19-S和低HL的人抑郁的可能性高9.70倍(p <0.001),HRQoL评分降低20.62(p <0.001),对于没有S-COVID-19-S的人,HL评分增加1分导致抑郁可能性降低5%(p <0.001)和HRQoL评分高0.45(p <0.001),而对于S-COVID-19-S患者,HL评分增加1分,抑郁可能性降低4%(p = 0.004),HRQoL评分升高0.43分(p <0.001)。患有S-COVID-19-S的人比没有的人有更高的抑郁可能性和更低的HRQoL。HL在流行期间对抑郁症和HRQoL具有保护作用。
The coronavirus disease 2019 (COVID-19) epidemic affects people's health and health-related quality of life (HRQoL), especially in those who have suspected COVID-19 symptoms (S-COVID-19-S). We examined the effect of modifications of health literacy (HL) on depression and HRQoL. A cross-sectional study was conducted from 14 February to 2 March 2020. 3947 participants were recruited from outpatient departments of nine hospitals and health centers across Vietnam. The interviews were conducted using printed questionnaires including participants' characteristics, clinical parameters, health behaviors, HL, depression, and HRQoL. People with S-COVID-19-S had a higher depression likelihood (OR, 2.88; p < 0.001), lower HRQoL-score (B, -7.92; p < 0.001). In comparison to people without S-COVID-19-S and low HL, those with S-COVID-19-S and low HL had 9.70 times higher depression likelihood (p < 0.001), 20.62 lower HRQoL-score (p < 0.001), for the people without S-COVID-19-S, 1 score increment of HL resulted in 5% lower depression likelihood (p < 0.001) and 0.45 higher HRQoL-score (p < 0.001), while for those people with S-COVID-19-S, 1 score increment of HL resulted in a 4% lower depression likelihood (p = 0.004) and 0.43 higher HRQoL-score (p < 0.001). People with S-COVID-19-S had a higher depression likelihood and lower HRQoL than those without. HL shows a protective effect on depression and HRQoL during the epidemic.