Psychological health among older adult women in the United States during the COVID-19 pandemic.
Psychological health among older adult women in the United States during the COVID-19 pandemic.
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COVID-19 大流行期间美国老年女性的心理健康状况。
DOI：
10.1080/08952841.2023.2188039
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发表时间：
2023
影响因子：
1.5
通讯作者：
Kilpela,LisaSmith
中科院分区：
文献类型：
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作者：
Marshall,VictoriaB;Hooper,SavannahC;Becker,CarolynBlack;Keel,PamelaK;Kilpela,LisaSmith
这项研究考察了老年女性在新冠肺炎大流行之前和期间的心理健康差异。在社区居住的参与者(N= 227)包括大流行前组中60-94岁的n= 67名妇女和大流行期间组中60-85岁的n= 160名妇女，她们完成了评估精神健康和生活质量的自我报告措施。我们比较了大流行前和大流行期间人群的心理健康和生活质量指数。结果表明，大流行期间组的焦虑程度高于大流行前组(F= 4.94，p=0.027)。没有出现其他显著的差异。考虑到这场大流行在整个SES中的不同影响，我们进行了探索性分析，调查了不同收入群体的差异。在控制了教育和种族的情况下，在大流行前的人群中，收入较低的女性报告的身体功能比中收入和高收入群体更差。在大流行期间组中，收入较低的女性报告比高收入个体更严重的焦虑、更差的睡眠和更差的生活质量(身体功能、身体问题、活力和疼痛造成的角色限制)。总体而言，报告收入较低的女性的心理健康和生活质量比高收入的女性更差，特别是在大流行期间。这表明，收入可能会为老年女性抵御新冠肺炎疫情的负面心理后果起到缓冲作用。
This study examined differences in mental health in older adult women before versus during the COVID-19 pandemic. Participants who were community dwelling (N= 227) includedn= 67 women aged 60–94 in the pre-pandemic group andn= 160 women aged 60–85 in the peri-pandemic group who completed self-report measures assessing mental health and quality of life (QOL). We compared mental health and QOL indices across the pre- and peri-pandemic groups. Results indicated that the peri-pandemic group reported higher anxiety (F= 4.94,p= .027) than the pre-pandemic group. No other significant differences emerged. Given the differential effects in this pandemic across SES, we conducted exploratory analyses investigating differences by income group. Controlling for education and race, within the pre-pandemic group, women with lower income reported worse physical function compared to the mid- and high-income groups. Within the peri-pandemic group, women with lower income reported worse anxiety, poorer sleep, and poorer QOL (physical function, role limitations due to physical problems, vitality, and pain) than high-income individuals. Overall, women who reported lower income reported worse mental health and QOL than those with high-income, especially during the pandemic. This indicates that income might act as a buffer for older women against negative psychological outcomes of the COVID-19 pandemic.