Up and About: Older Adults' Well-being During the COVID-19 Pandemic in a Swedish Longitudinal Study

Up and About: Older Adults' Well-being During the COVID-19 Pandemic in a Swedish Longitudinal Study
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DOI:
10.1093/geronb/gbaa084
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发表时间:
2021-02-01
影响因子:
6.2
通讯作者:
Bjalkebring, Par
Bjalkebring, Par
中科院分区:
医学1区
文献类型:
--
作者:
Kivi, Marie;Hansson, Isabelle;Bjalkebring, Par

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目的:研究COVID-19大流行对以下方面的早期影响:(a)担忧、风险感知和社交距离水平;(B)对幸福感的纵向影响;以及(c)担忧、风险感知和社交距离对幸福感的影响。方法:我们分析了5年来幸福感四个方面的年度变化(2015-2020):生活满意度,财务满意度,自我评价的健康,和孤独的子样本(n = 1,071,年龄65-71)来自瑞典老年人的一项大型调查。2020年3月26日至4月2日收集的数据包括对COVID-19的担忧、风险感知和社交距离的测量。结果:(a)关于COVID-19:44.9%的人担心健康,69.5%的人担心社会后果,25.1%的人担心经济后果; 86.4%的人认为社会风险高,42.3%的人认为感染风险高,71.2%的人认为社会距离高。(b)与往年相比,2020年的幸福感(生活满意度和孤独感)保持稳定,甚至有所增加(自评健康和财务满意度)。(c)对健康和经济后果的更多担忧与所有四项幸福指标的得分较低有关。讨论:在大流行的早期阶段,瑞典老年人平均认为他们的幸福感与前几年一样高,甚至更高。然而,那些更担心的人报告说幸福感较低。我们的研究结果说明了大流行期间老年人的复原力,但也说明了异质性。需要对广泛的健康因素和长期心理后果进行进一步研究。
Objectives: To investigate early effects of the COVID-19 pandemic related to (a) levels of worry, risk perception, and social distancing; (b) longitudinal effects on well-being; and (c) effects of worry, risk perception, and social distancing on well-being.Methods: We analyzed annual changes in four aspects of well-being over 5 years (2015-2020): life satisfaction, financial satisfaction, self-rated health, and loneliness in a subsample (n = 1,071, aged 65-71) from a larger survey of Swedish older adults. The 2020 wave, collected March 26-April 2, included measures of worry, risk perception, and social distancing in response to COVID-19.Results: (a) In relation to COVID-19: 44.9% worried about health, 69.5% about societal consequences, 25.1% about financial consequences; 86.4% perceived a high societal risk, 42.3% a high risk of infection, and 71.2% reported high levels of social distancing. (b) Well-being remained stable (life satisfaction and loneliness) or even increased (self-rated health and financial satisfaction) in 2020 compared to previous years. (c) More worry about health and financial consequences was related to lower scores in all four well-being measures. Higher societal worry and more social distancing were related to higher well-being.Discussion: In the early stage of the pandemic, Swedish older adults on average rated their well-being as high as, or even higher than, previous years. However, those who worried more reported lower well-being. Our findings speak to the resilience, but also heterogeneity, among older adults during the pandemic. Further research, on a broad range of health factors and long-term psychological consequences, is needed.