Media Influence on Anxiety, Health Utility, and Health Beliefs Early in the SARS-CoV-2 Pandemic-a Survey Study.

Media Influence on Anxiety, Health Utility, and Health Beliefs Early in the SARS-CoV-2 Pandemic-a Survey Study.
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DOI:
10.1007/s11606-020-06554-y
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发表时间:
2021-05
影响因子:
5.7
通讯作者:
Munblit D
Munblit D
中科院分区:
医学2区
文献类型:
--
作者:
Greenhawt M;Kimball S;DunnGalvin A;Abrams EM;Shaker MS;Mosnaim G;Comberiati P;Nekliudov NA;Blyuss O;Teufel M;Munblit D

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新冠肺炎大流行的心理影响和应对措施知之甚少。在具有全国代表性的美国成年人样本中,了解大流行和应对措施对焦虑和健康效用的影响。2020年4月底进行了一次明确的横断面调查。概率权重是使用2018年美国社区调查和综合公共使用微数据系列估计中的估计来分配的。18-85岁的美国成年人拥有固定电话、支持短信的手机或互联网接入。包括30个问题的7个分半调查块,评估人口统计学、新冠肺炎相关的健康态度,以及一般自我效能感、焦虑、抑郁、个性和一般健康效用的标准化测量。状态/特质焦虑得分、EQ-5D-3L视觉模拟量表(VAS)得分以及这些得分的人口统计学预测因素。在4,855名受访者中,56.7%的人每天多次查看新冠肺炎相关新闻,84.4%的人每天至少查看一次。只有65.7%的人希望为自己接种SARS-CoV-2疫苗,70.1%的人希望为孩子接种。状态焦虑均分(S焦虑)显著高于特质焦虑均分(44.9,95%CI43.5~46.3vs.41.6,95%CI38.7~44.5;p = 0.03),均显著高于已发表的常模。在调整后的回归模型中,看新闻的频率越低,S焦虑得分就越低。人群的平均EQ-5D-3L VAS评分显著低于美国标准数据(71.4 CI 67.4-75.5,STD。错误2与社会平均水平80,STD。错误0.1%;p < 0.001)。EQ-5D-3L VAS得分是双峰的(每小时最高,不观看),在调整后的模型中,随着媒体观众的减少,EQ-5D-3L VAS得分显著降低。在具有全国代表性的样本中,与非大流行的标准数据相比,S焦虑症的得分较高,而EQ-5D-3L的VAS得分较低,这表明大流行具有潜在的有害急性影响。根据EQ-5D-3L VAS评分,日常收看媒体越频繁,S焦虑程度越高,但也预示着更高的健康效用。网上版载有补充材料,可在10.1007/s11606-020-06554-y查阅。
The psychological effects from the COVID-19 pandemic and response are poorly understood. To understand the effects of the pandemic and response on anxiety and health utility in a nationally representative sample of US adults. A de-identified, cross-sectional survey was administered at the end of April 2020. Probability weights were assigned using estimates from the 2018 American Community Survey and Integrated Public Use Microdata Series Estimates. US adults 18–85 years of age with landline, texting-enabled cellphone, or internet access. Seven split-half survey blocks of 30 questions, assessing demographics, COVID-19-related health attitudes, and standardized measures of generalized self-efficacy, anxiety, depression, personality, and generic health utility. State/Trait anxiety scores, EQ-5D-3L Visual Analog Scale (VAS) score, and demographic predictors of these scores. Among 4855 respondents, 56.7% checked COVID-19-related news several times daily, and 84.4% at least once daily. Only 65.7% desired SARS-CoV-2 vaccination for themselves, and 70.1% for their child. Mean state anxiety (S-anxiety) score was significantly higher than mean trait anxiety (T-anxiety) score (44.9, 95%CI 43.5–46.3 vs. 41.6, 95%CI 38.7–44.5; p = 0.03), with both scores significantly higher than previously published norms. In an adjusted regression model, less frequent news viewing was associated with significantly lower S-anxiety score. Mean EQ-5D-3L VAS score for the population was significantly lower vs. established US normative data (71.4 CI 67.4–75.5, std. error 2 vs. societal mean 80, std. error 0.1; p < 0.001). EQ-5D-3L VAS score was bimodal (highest with hourly and no viewing) and significantly reduced with less media viewership in an adjusted model. Among a nationally representative sample, there were higher S-anxiety and lower EQ-5D-3L VAS scores compared to non-pandemic normative data, indicative of a potential detrimental acute effect of the pandemic. More frequent daily media viewership was significantly associated with higher S-anxiety but also predictive of higher health utility, as measured by EQ-5D-3L VAS scores. The online version contains supplementary material available at 10.1007/s11606-020-06554-y.
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