Loneliness in Japan during the COVID-19 pandemic: Prevalence, correlates and association with mental health.

Loneliness in Japan during the COVID-19 pandemic: Prevalence, correlates and association with mental health.
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DOI:
10.1016/j.psychres.2021.114318
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发表时间:
2022-01
影响因子:
11.3
通讯作者:
Ueda M
Ueda M
中科院分区:
医学2区
文献类型:
--
作者:
Stickley A;Ueda M

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人们越来越认识到孤独感是一个重要的公共卫生问题,在新冠肺炎 (COVID-19) 疫情期间,由于采取了社交距离措施,孤独感可能有所增加。这项研究调查了日本在持续流行期间的孤独感及其与心理健康的关系。对 2020 年 4 月至 12 月期间每月收集的横截面在线调查数据进行了分析。孤独感通过三项孤独量表进行评估。还获得了有关抑郁 (PHQ-9) 和焦虑 (GAD-7) 症状的信息。使用逻辑回归分析来检查关联性。对于合并样本 (N = 9000),当使用 ≥ 6 作为截止分数时,41.1% 的受访者被归类为孤独,而当使用 ≥ 7 作为截止分数时,有 16.5% 的受访者被归类为孤独。在此期间,孤独感的发生率几乎没有变化。年龄较小、男性和社会经济劣势(低收入、财务状况恶化、失业)与孤独感有关。在完全调整的分析中,孤独感与抑郁(比值比 [OR]:5.78,95% 置信区间 [CI]:5.08–6.57)和焦虑症状(OR:5.34,95% CI:4.53–6.29)有关。新冠肺炎 (COVID-19) 大流行期间,日本普遍存在孤独感,这种孤独感与社会经济劣势和心理健康状况较差有关。现在有必要将孤独作为日本的一个公共卫生问题予以关注。
Loneliness, which is increasingly recognised as an important public health problem, may have increased during the COVID-19 pandemic in the wake of social distancing measures. This study examined loneliness in Japan during the ongoing pandemic and its association with mental health. Cross-sectional online survey data that were collected at monthly intervals from April to December 2020 were analysed. Loneliness was assessed with the Three-Item Loneliness Scale. Information was also obtained on depressive (PHQ-9) and anxiety (GAD-7) symptoms. Logistic regression analysis was used to examine associations. For the combined sample (N = 9000), 41.1% of the respondents were categorised as lonely when using ≥ 6 as a cutoff score, and 16.5% when the cutoff was ≥ 7. The prevalence of loneliness changed little across the period. Younger age, male sex and socioeconomic disadvantage (low income, deteriorating financial situation, unemployment) were associated with loneliness. In fully adjusted analyses, loneliness was linked to depressive (odds ratio [OR]: 5.78, 95% confidence interval [CI]: 5.08–6.57) and anxiety symptoms (OR: 5.34, 95% CI: 4.53–6.29). Loneliness is prevalent in Japan during the COVID-19 pandemic and associated with socioeconomic disadvantage and poorer mental health. A focus on loneliness as a public health issue in Japan is now warranted.
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