Changes in health and social well-being in the COVID-19 clinically vulnerable older English population during the pandemic.
Changes in health and social well-being in the COVID-19 clinically vulnerable older English population during the pandemic.
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DOI：
10.1136/jech-2021-216405
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发表时间：
2021-11
影响因子：
6.3
通讯作者：
Price D
中科院分区：
文献类型：
--
作者：
Di Gessa G;Price D
具有特定健康状况和疾病（如糖尿病、肺部和心脏疾病）的人被归类为对COVID-19“临床易感”（CV），即因COVID-19而患严重疾病和死亡的风险较高，并成为屏蔽的目标。然而，关于大流行和屏蔽如何影响CV老年人的健康和社会福祉的证据还很少。我们使用了英国老龄化纵向研究的第9波（2018/2019）和第一个COVID-19子研究（2020年6月/7月）的数据。使用逻辑和线性回归模型，我们调查了流行期间CV与健康和社会福祉之间的关联，同时控制了流行前的结果变量水平。我们还探讨了CV与年龄组（50岁，60岁，70岁，80岁以上）之间的相互作用，以及CV与屏蔽之间的相互作用。CV人群在大流行期间更有可能报告更差的健康和社会福祉结果，即使考虑到大流行前的差异。然而，不同年龄组的健康变化并不一致，与同一年龄组的非CV受访者相比，CV受访者的健康和社会福祉恶化的风险通常更大。与那些没有CV和没有屏蔽的人相比，屏蔽的CV受访者报告了更差的结果。虽然专注于保护CV老年人的政策降低了COVID-19的住院率和死亡率，但政策制定者还应注意理解和解决这一群体的更广泛需求，如果他们的长期健康和社会福祉不受影响的话。
People with specific health profiles and diseases (such as diabetes, lung and heart conditions) have been classified as ‘clinically vulnerable’ (CV) to COVID-19, that is, at higher risk of severe illness and mortality from COVID-19, and were targeted for shielding. However, there is as yet little evidence on how the pandemic and shielding impacted the health and social well-being of CV older people. We used data from wave 9 (2018/2019) and the first COVID-19 substudy (June/July 2020) of the English Longitudinal Study of Ageing. Using logistic and linear regression models, we investigated associations between being CV and health and social well-being during the pandemic, while controlling for prepandemic levels of the outcome variables. We also explored the interactions between CV and age group (50s, 60s, 70s, 80+), and between CV and shielding. CV people were more likely to report worse health and social well-being outcomes during the pandemic, even taking into account prepandemic differences. However, changes in health were not uniform across different age groups, and CV respondents were generally at greater risks of deterioration in health and social well-being compared with those not CV in the same age group. CV respondents who were shielding reported worse outcomes compared with those not CV and not shielding. While policies focusing on shielding CV older people reduce rates of hospitalisation and death from COVID-19, policymakers should also pay attention to understanding and addressing the wider needs of this group if their long-term health and social well-being are not to be compromised.
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DOI：
10.1093/gerona/glv028
发表时间：
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影响因子：
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作者：
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