Cohort profile: the COVID-19 Coping Study, a longitudinal mixed-methods study of middle-aged and older adults' mental health and well-being during the COVID-19 pandemic in the USA.
Cohort profile: the COVID-19 Coping Study, a longitudinal mixed-methods study of middle-aged and older adults' mental health and well-being during the COVID-19 pandemic in the USA.
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DOI：
10.1136/bmjopen-2020-044965
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发表时间：
2021-02-10
期刊：
影响因子：
2.9
通讯作者：
Finlay JM
中科院分区：
文献类型：
--
作者：
Kobayashi LC;O'Shea BQ;Kler JS;Nishimura R;Palavicino-Maggio CB;Eastman MR;Vinson YR;Finlay JM
自 2020 年初开始的 COVID-19 大流行已在世界各地造成了大规模的社会、经济、政治和公共卫生动荡。我们建立了一项全国纵向队列研究，即“COVID-19 应对研究”，旨在调查与大流行相关的压力源和生活环境的变化对美国中老年人心理健康和福祉的影响。 2020年4月2日至5月31日，通过在线多框架非概率抽样，从美国所有50个州、哥伦比亚特区和波多黎各招募了6938名年龄≥55岁的成年人。基线样本的平均年龄为 67.3 岁（SD：7.9 岁），其中 64% 为女性。三分之二的成年人表示，过去一周仅出于必要目的才离开家（人口加权比例：69%；95% CI：68% 至 71%）。自大流行开始以来，近五分之一的 55-64 岁工人被安排休假或休假（17%；95%CI：14% 至 20%），而年龄≥75 岁的工人中有三分之一（31%；95%CI：21% 至 44%）。近三分之一的成年人抑郁症（32%；95%CI：30%至34%）、焦虑症（29%；28%至31%）和孤独症（29%；95%CI：27%至31%）筛查呈阳性，且随着年龄的增长，每种疾病的患病率均降低。 COVID-19 应对研究队列的每月和每年随访将评估与社会、行为、经济和其他与 COVID-19 相关的生活环境变化相关的心理健康、认知健康和福祉的纵向变化。将通过网络问卷和电话访谈收集定量和深入的定性访谈数据。队列数据将被存档以供公众使用。
The COVID-19 pandemic, beginning in early 2020, has resulted in massive social, economic, political and public health upheaval around the world. We established a national longitudinal cohort study, the COVID-19 Coping Study, to investigate the effects of pandemic-related stressors and changes in life circumstances on mental health and well-being among middle-aged and older adults in the USA. From 2 April to 31 May 2020, 6938 adults aged ≥55 years were recruited from all 50 US states, the District of Columbia and Puerto Rico using online, multi-frame non-probability-based sampling. Mean age of the baseline sample was 67.3 years (SD: 7.9 years) and 64% were women. Two in three adults reported leaving home only for essential purposes in the past week (population-weighted proportion: 69%; 95% CI: 68% to 71%). Nearly one in five workers aged 55–64 years was placed on a leave of absence or furloughed since the start of the pandemic (17%; 95% CI: 14% to 20%), compared with one in three workers aged ≥75 years (31%; 95% CI: 21% to 44%). Nearly one-third of adults screened positive for each of depression (32%; 95% CI: 30% to 34%), anxiety (29%; 28% to 31%) and loneliness (29%; 95% CI: 27% to 31%), with decreasing prevalence of each with increasing age. Monthly and annual follow-ups of the COVID-19 Coping Study cohort will assess longitudinal changes to mental health, cognitive health and well-being in relation to social, behavioural, economic and other COVID-19-related changes to life circumstances. Quantitative and in-depth qualitative interview data will be collected through online questionnaires and telephone interviews. Cohort data will be archived for public use.
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