Living alone and mental health: parallel analyses in UK longitudinal population surveys and electronic health records prior to and during the COVID-19 pandemic.
Living alone and mental health: parallel analyses in UK longitudinal population surveys and electronic health records prior to and during the COVID-19 pandemic.
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DOI：
10.1136/bmjment-2023-300842
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发表时间：
2023-08
期刊：
影响因子：
--
通讯作者：
Patalay, Praveetha
中科院分区：
文献类型：
--
作者：
McElroy, Eoin;Herrett, Emily;Patel, Kishan;Piehlmaier, Dominik M.;Di Gessa, Giorgio;Huggins, Charlotte;Green, Michael J.;Kwong, Alex S. F.;Thompson, Ellen J.;Zhu, Jingmin;Mansfield, Kathryn E.;Silverwood, Richard J.;Mansfield, Rosie;Maddock, Jane;Mathur, Rohini;Costello, Ruth E.;Matthews, Anthony;Tazare, John;Henderson, Alasdair;Wing, Kevin;Bridges, Lucy;Bacon, Sebastian;Mehrkar, Amir;Shaw, Richard John;Wels, Jacques;Katikireddi, Srinivasa Vittal;Chaturvedi, Nish;Tomlinson, Laurie A.;Patalay, Praveetha
独居者的精神疾病水平更高;然而，目前尚不清楚COVID-19大流行是否对这一人群产生了不成比例的负面影响。描述在COVID-19大流行之前和期间，英国独居者和与他人同住者之间的心理健康差距。在最近的大流行前扫描和大流行期间的三个时期评估的10项前瞻性纵向人口调查（LPS）中自我报告的心理困扰和生活满意度。在2018年3月至2022年1月期间，在OpenSAFELY-TPP的电子医疗记录（EHR）中记录了常见和严重精神疾病的诊断。在37544名LPS参与者中，汇总模型显示，大流行前独居者的心理困扰更大（标准化平均差异（SMD）：0.09（95%CI：0.04; 0.14）;相对风险：1.25（95%CI：1.12; 1.39）），生活满意度更低（SMD：-0.22（95%CI：-0.30;-0.15））。这一差距在大流行期间没有改变。在对约1600万条记录的EHR分析中，精神健康状况在独居者中更常见（例如，抑郁症26例（95% CI：18至33）和严重精神疾病58例（95% CI：54至62），每10万人中更多）。对于常见的精神健康障碍，电子健康记录中记录病例的差距在大流行期间缩小了。独居的人心理健康状况较差，生活满意度较低。在大流行期间，这种自我报告的痛苦差距仍然存在;然而，在服务使用方面的差距有所缩小。更大的心理健康需求和潜在的更大障碍，为那些谁独居精神卫生保健需要考虑在医疗保健规划。
People who live alone experience greater levels of mental illness; however, it is unclear whether the COVID-19 pandemic had a disproportionately negative impact on this demographic. To describe the mental health gap between those who live alone and with others in the UK prior to and during the COVID-19 pandemic. Self-reported psychological distress and life satisfaction in 10 prospective longitudinal population surveys (LPSs) assessed in the nearest pre-pandemic sweep and three periods during the pandemic. Recorded diagnosis of common and severe mental illnesses between March 2018 and January 2022 in electronic healthcare records (EHRs) within the OpenSAFELY-TPP. In 37 544 LPS participants, pooled models showed greater psychological distress (standardised mean difference (SMD): 0.09 (95% CI: 0.04; 0.14); relative risk: 1.25 (95% CI: 1.12; 1.39)) and lower life satisfaction (SMD: −0.22 (95% CI: −0.30; −0.15)) for those living alone pre-pandemic. This gap did not change during the pandemic. In the EHR analysis of c.16 million records, mental health conditions were more common in those who lived alone (eg, depression 26 (95% CI: 18 to 33) and severe mental illness 58 (95% CI: 54 to 62) more cases more per 100 000). For common mental health disorders, the gap in recorded cases in EHRs narrowed during the pandemic. People living alone have poorer mental health and lower life satisfaction. During the pandemic, this gap in self-reported distress remained; however, there was a narrowing of the gap in service use. Greater mental health need and potentially greater barriers to mental healthcare access for those who live alone need to be considered in healthcare planning.
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