Association between social connectedness and stress or anxiety among older cancer survivors during the 2020-2021 winter surge of the COVID-19 pandemic.
Association between social connectedness and stress or anxiety among older cancer survivors during the 2020-2021 winter surge of the COVID-19 pandemic.
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DOI：
10.1016/j.jgo.2022.10.005
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发表时间：
2023-01
影响因子：
3
通讯作者：
Yu, James B.
中科院分区：
文献类型：
--
作者：
Poghosyan, Hermine;Margaryan, Yeva;Jeon, Sangchoon;Edelman, E. Jennifer;Yu, James B.
我们的目标是估计在2020-2021年冬季COVID-19大流行期间，与家人和朋友的社会联系率相对下降，压力或焦虑率增加，并调查具有全国代表性的有癌症史老年人样本中社会联系与压力或焦虑之间的关联。我们使用了来自Medicare Current Beneficiaries Survey COVID-19 Winter 2021 Community Supplement的基于人群的全国代表性横断面数据。研究队列包括65岁及以上的社区生活医疗保险受益人，他们自我报告癌症史（皮肤癌除外）（n = 1650）。样本权重用于解释复杂的调查设计，结果可推广到850万有癌症史的医疗保险受益人。结果是，在2020-2021年冬季COVID-19大流行激增期间，人们自我报告感到压力或焦虑。自变量为社交联系，定义为在2020-2021年冬季COVID-19疫情激增期间，与家人和朋友的社交联系减少。我们进行了加权描述性统计和多变量逻辑回归分析。整体而言，42. 5%的受惠人表示与家人及朋友的社交联系减少，37. 8%的受惠人表示在2020-2021年冬季COVID-19疫情激增期间感到压力或焦虑增加。在调整所有协变量后，与那些与家人和朋友的社会联系更多或大致相同的人相比，报告社会联系减少的参与者的压力或焦虑感增加的几率高出154%（调整后的比值比[AOD] = 2.54，95%置信区间[CI] = 2.00-3.20，p ≤0.001）。与非西班牙裔白色受益人相比，那些自称为西班牙裔的受益人的压力或焦虑感增加的几率也更高（AOR = 1.35，95% CI = 1.10-1.73，p = 0.016），女性vs.男性（AOR = 1.85，95%CI = 1.43-2.38，p ≤0.001），以及报告抑郁症病史vs未报告抑郁症病史的患者（AOR = 2.55，95%CI = 1.86-3.48，p ≤0.000）。估计有360万有癌症史的老年人报告与家人和朋友的社交联系减少，320万人报告在2020-2021年冬季COVID-19大流行期间压力或焦虑感增加。识别这些成年人并将他们转介到适当的支持性护理资源和服务，对于帮助他们科普负面情绪至关重要。
Our goal was to estimate a relative decreased rate of social connectedness to family and friends, increased rate of stress or anxiety during the 2020–2021 winter surge of the COVID-19 pandemic, and investigate the association between social connectedness and stress or anxiety among a nationally representative sample of older adults with cancer history. We used population-based, nationally representative cross-sectional data from the Medicare Current Beneficiary Survey COVID-19 Winter 2021 Community Supplement. The study cohort included community-living Medicare beneficiaries aged 65 years and older who self-reported cancer history (other than skin cancer) (n = 1650). Sample weights were applied to account for the complex survey design, with results generalizable to 8.5 million Medicare beneficiaries with cancer history. The outcome was self-reported feelings of stress or anxiety during the 2020–2021 winter surge of the COVID-19 pandemic. The independent variable was social connectedness, defined as feeling less socially connected to family and friends during the 2020–2021 winter surge of the COVID-19 pandemic. We conducted weighted descriptive statistics and multivariable logistic regression analyses. Overall, 42.5% of beneficiaries reported decreased social connectedness to family and friends, and 37.8% reported increased feelings of stress or anxiety during the 2020–2021 winter surge of the COVID-19 pandemic. After adjusting for all covariates, participants who reported decreased social connectedness had 154% higher odds of increased feelings of stress or anxiety (adjusted odds ratio [AOD] = 2.54, 95% confidence interval [CI] = 2.00–3.20, p ≤0.001) compared to those who reported more or about the same social connectedness to family and friends. The odds of increased feelings of stress or anxiety were also higher for those who self-reported as Hispanic vs. non-Hispanic White beneficiaries (AOR = 1.35, 95% CI = 1.10–1.73, p = .016), women vs. men (AOR = 1.85, 95%CI = 1.43–2.38, p ≤0.001), and those who reported depression history vs. not reporting depression history (AOR = 2.55, 95% CI = 1.86–3.48, p ≤0.000). An estimated 3.6 million older adults with cancer history reported decreased social connectedness to family and friends, and 3.2 million reported increased feelings of stress or anxiety during the 2020–2021 winter surge of the COVID-19 pandemic. Identifying these adults and referring them to appropriate supportive care resources and services are essential to help them cope with negative feelings.
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影响因子：
4
作者：
Javellana, Melissa;Hlubocky, Fay J.;Lee, Nita K.
通讯作者：
Lee, Nita K.
DOI：
10.1136/bmj.a2338
发表时间：
2008-12-04
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Fowler JH;Christakis NA
通讯作者：
Christakis NA
影响因子：
2.7
作者：
Fitzgerald, Peter;Lo, Chris;Rodin, Gary
通讯作者：
Rodin, Gary
影响因子：
12.6
作者：
Holt-Lunstad, Julianne;Smith, Timothy B.;Stephenson, David
通讯作者：
Stephenson, David
影响因子：
158.5
作者：
Christakis, Nicholas A.;Fowler, James H.
通讯作者：
Fowler, James H.