Varied and unexpected changes in the well-being of seniors in the United States amid the COVID-19 pandemic.

Varied and unexpected changes in the well-being of seniors in the United States amid the COVID-19 pandemic.
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DOI:
10.1371/journal.pone.0252962
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发表时间:
2021
期刊:
影响因子:
3.7
通讯作者:
Stone AA
Stone AA
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Barcellos S;Jacobson M;Stone AA

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最近的证据表明,心理健康在COVID-19大流行期间恶化,但对其他幸福指标的变化知之甚少。我们研究了在美国确认COVID-19社区传播之前和之后,老年人福祉的一系列广泛措施的变化。我们对一个大型的全国性在线小组进行了两波调查,第一波是60至68岁的成年人。我们在每个调查波中测量了抑郁症状,消极情绪,积极情绪,疼痛,生活满意度和自我评估的健康状况。16,644名成年人在我们调查的第一波和第二波中回答了幸福感问题(平均值[SD]:年龄64 [2.6]; 10,165名女性[61%]; 15,161 [91%]白色)。我们找到了大的(20%; p <0.001)抑郁症状发生率增加(1.4个百分点; 95% CI,0.97至1.86)和消极情绪(0.225量表点; 95% CI,0.205至0.245),但自我报告的健康状况没有变化,(12.5%; p <0.001)自我报告疼痛的发生率(5个百分点; 95% CI,-5.8至-4.3)。女性的抑郁症状和负面影响增加更多。患上COVID-19和死于这种疾病的风险较高,与抑郁症状和消极情绪的比率大幅增加以及积极情绪和生活满意度的大幅下降有关。与COVID-19相关的工作/收入损失是预测疼痛减轻的唯一与大流行相关的因素。尽管在COVID-19大流行期间,抑郁症状和情绪恶化,但其他健康指标要么没有受到重大影响,要么甚至有所改善。
Recent evidence suggests that psychological health deteriorated during the COVID-19 pandemic but far less is known about changes in other measures of well-being. We examined changes in a broad set of measures of well-being among seniors just before and after the recognition of community spread of COVID-19 in the United States. We fielded two waves of a survey to a large, national online panel of adults ages 60 to 68 at wave 1. We measured depressive symptoms, negative affect, positive affect, pain, life satisfaction and self-rated health in each survey wave. 16,644 adults answered well-being questions in waves 1 and 2 of our survey (mean[SD]: age 64 [2.6]; 10,165 women [61%]; 15,161 [91%] white). We found large (20%; p<0.001) increases in the rate of depressive symptoms (1.4 percentage points; 95% CI, 0.97 to 1.86) and negative mood (0.225 scale points; 95% CI, 0.205 to 0.245) but no change in self-reported health and a decrease (12.5%; p<0.001) in the rate of self-reported pain (5 percentage points; 95% CI, -5.8 to -4.3). Depressive symptoms and negative affect increased more for women. Higher perceived risk of getting COVID-19 and of dying from the disease were associated with larger increases in the rate of depressive symptoms and negative affect and larger decreases in positive affect and life satsifaction. COVID-19 related job/income loss was the only pandemic-related factor predictive of the decline in pain. Although depressive symptoms and mood worsened during the COVID-19 pandemic, other measures of well-being were either not materially affected or even improved.
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影响因子: 11.1
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