COVID-19 Worries and Behavior Changes in Older and Younger Men and Women

COVID-19 Worries and Behavior Changes in Older and Younger Men and Women
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DOI:
10.1093/geronb/gbaa068
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发表时间:
2021-02-01
影响因子:
6.2
通讯作者:
Kim, Hyunji
Kim, Hyunji
中科院分区:
医学1区
文献类型:
--
作者:
Barber, Sarah J.;Kim, Hyunji

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目的:2019冠状病毒病(COVID-19)的病死率在老年人中高于年轻人,男性也高于女性。然而,担心是行为健康变化的关键因素,老年人发生的频率低于年轻人,男性发生的频率低于女性。在此基础上,我们测试了老年人-尤其是老年男性-是否会报告最少的COVID-19担忧以及更少的COVID-19行为变化。方法:从2020年3月23日至31日,我们进行了一项在线问卷调查,评估COVID-19的感知,担忧和行为变化。参与者是美国居民的便利样本,他们是社区居住的年轻人(18-35岁)或老年人(65-81岁)。分析包括146名年轻人(68名男性,78名女性)和156名老年人(82名男性,74名女性)。参与者主要是居住在郊区/城市地区的白色人,并完成了一些大学学业。结果:在美国疫情爆发的早期阶段,老年人认为COVID-19的风险高于年轻人。尽管如此,老年男性对COVID-19的担忧相对低于年轻男性。与其他参与者相比,老年男性实施的行为改变也最少。讨论:需要采取干预措施来增加老年男性的COVID-19行为改变。这些结果也强调了理解对COVID-19的情绪反应的重要性,因为这些反应可以预测他们的行为反应。
Objectives: The case fatality rate of coronavirus disease 2019 (COVID-19) is higher among older adults than younger adults and is also higher among men than women. However, worry, which is a key motivator of behavioral health changes, occurs less frequently for older than younger adults, and less frequently for men than women. Building on this, we tested whether older adults-and particularly older men-would report the least amount of COVID-19 worry and also fewer COVID-19 behavior changes.Method: From March 23-31, 2020, we administered an online questionnaire assessing COVID-19 perceptions, worries, and behavior changes. Participants were a convenience sample of U.S. residents, who were community-dwelling younger adults (18-35) or older adults (65-81). Analyses included 146 younger adults (68 men, 78 women) and 156 older adults (82 men, 74 women). Participants were predominately white, living in suburban/urban areas, and had completed some college.Results: During the early phase of the outbreak in the United States, older adults perceived the risks of COVID-19 to be higher than did younger adults. Despite this, older men were comparatively less worried about COVID-19 than their younger counterparts. Compared with the other participants, older men had also implemented the fewest behavior changes.Discussion: Interventions are needed to increase COVID-19 behavior changes in older men. These results also highlight the importance of understanding emotional responses to COVID-19, as these are predictive of their behavioral responses.