Older People's Nonphysical Contacts and Depression During the COVID-19 Lockdown

Older People's Nonphysical Contacts and Depression During the COVID-19 Lockdown
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DOI:
10.1093/geront/gnaa144
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发表时间:
2021-03-01
期刊:
影响因子:
5.7
通讯作者:
Sole-Auro, Aida
Sole-Auro, Aida
中科院分区:
医学1区
文献类型:
--
作者:
Arpino, Bruno;Pasqualini, Marta;Sole-Auro, Aida

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背景和目的:为了减缓SARS-CoV-2病毒的传播,许多国家已经采取了限制身体接触的措施。我们研究了代际和其他类型的非身体接触在多大程度上降低了50岁以上人群在封锁期间感觉到的抑郁情绪增加的风险。研究设计和方法:我们于2020年4月,即封锁开始约一个月后,在法国、意大利和西班牙实施了一项基于配额抽样的在线小组调查。我们的分析基于Logistic回归模型,并使用分层后的权重。结果:在3个被考虑的国家中,大约50%的50岁以上的人在封锁期间比平时更经常感到悲伤或抑郁。与经历非身体接触减少的老年人相比,在封锁期间增加或保持与非同居个人的非身体接触不变的老年人感受到的抑郁情绪增加的风险较低。非身体接触对代际关系的有益影响更大。在封锁开始之前,70岁以上、居住在西班牙且不是独居的人受到的影响在性别上相似,而且更强。讨论和影响:在新冠肺炎大流行的下一个阶段,或者在未来任何类似的大流行期间,政策制定者可能会采取措施,在减少病毒传播的必要性和允许有限的身体接触的必要性之间取得平衡。可以鼓励远距离的社交联系,以此作为保持社交亲近的一种手段,而不是身体上的距离。
Background and Objectives: With the goal of slowing down the spread of the SARS-CoV-2 virus, restrictions to physical contacts have been taken in many countries. We examine to what extent intergenerational and other types of nonphysical contacts have reduced the risk of increased perceived depressive feelings during the lockdown for people aged 50+.Research Design and Methods: We implemented an online panel survey based on quota sampling in France, Italy, and Spain in April 2020, about 1 month after the start of the lockdown. Our analyses are based on logistic regression models and use post-stratification weights.Results: About 50% of individuals aged 50+ felt sad or depressed more often than usual during the lockdown in the 3 considered countries. Older people who increased or maintained unchanged nonphysical contacts with noncoresident individuals during the lockdown were at a lower risk of increased perceived depressive feelings compared to those who experienced a reduction in nonphysical contacts. The beneficial effect of nonphysical contacts was stronger for intergenerational relationships. The effects were similar by gender and stronger among individuals aged 70+, living in Spain and not living alone before the start of the lockdown.Discussion and Implications: In the next phases of the COVID-19 pandemic, or during any future similar pandemic, policy makers may implement measures that balance the need to reduce the spread of the virus with the necessity of allowing for limited physical contacts. Social contacts at a distance may be encouraged as a means to keep social closeness, while being physically distant.