The effect of COVID-19 pandemic-related financial challenges on mental health and well-being among US older adults.
The effect of COVID-19 pandemic-related financial challenges on mental health and well-being among US older adults.
复制标题
DOI：
10.1111/jgs.17808
复制
发表时间：
2022-06
影响因子：
6.3
通讯作者：
Szanton, Sarah L.
中科院分区：
文献类型：
--
作者：
Samuel, Laura J.;Dwivedi, Pallavi;Hladek, Melissa;Cudjoe, Thomas K. M.;Drazich, Brittany F.;Li, Qiwei;Szanton, Sarah L.
尽管在COVID-19大流行期间面临巨大的财政挑战，但在估计其对老年人心理健康和福祉的影响方面存在差距。国家健康和老龄化趋势研究是一项正在进行的美国老年人全国代表性队列研究。结果包括与COVID-19相关的心理健康（8个项目的平均得分，从1到4不等）、COVID-19期间的睡眠质量、COVID-19期间的孤独感、COVID-19期间的独处时间以及COVID-19期间的幸福感。风险包括COVID-19期间的收入下降及COVID-19导致的财务困难。倾向评分加权产生了大流行之前的人口统计学、社会经济学、家庭、健康和幸福特征的协变量平衡，以估计平均治疗效果。抽样权重解释了研究设计和无应答。在加权和调整分析中（n = 3257），COVID-19期间的收入下降和COVID-19导致的财务困难与COVID-19相关的心理健康状况较差相关（分别为B =-0.159，p < 0.001和B =-0.381，p < 0.001），睡眠质量较差（OR = 0.63，95%CI：0.46，0.86和OR = 0.42，95%CI：0.30，0.58），孤独感更强（OR = 1.53，95%CI：1.16，2.02和OR = 2.72，95%CI：1.96，3.77），给自己的时间更少（OR = 0.54，95%CI：0.40，0.72和OR = 0.37，95%CI：0.27，0.51）。与大流行相关的财务挑战与更差的心理健康和福祉相关，无论大流行前的特征如何，这表明它们是老年人健康的独特社会决定因素。需要及时干预，以支持面临大流行相关财务挑战的老年人。
Despite profound financial challenges during the COVID‐19 pandemic, there is a gap in estimating their effects on mental health and well‐being among older adults. The National Health and Aging Trends Study is an ongoing nationally representative cohort study of US older adults. Outcomes included mental health related to COVID‐19 (scores averaged across eight items ranging from one to four), sleep quality during COVID‐19, loneliness during COVID‐19, having time to yourself during COVID‐19, and hopefulness during COVID‐19. Exposures included income decline during COVID‐19 and financial difficulty due to COVID‐19. Propensity score weighting produced covariate balance for demographic, socioeconomic, household, health, and well‐being characteristics that preceded the pandemic to estimate the average treatment effect. Sampling weights accounted for study design and non‐response. In weighted and adjusted analyses (n = 3257), both income decline during COVID‐19 and financial difficulty due to COVID‐19 were associated with poorer mental health related to COVID‐19 (b = −0.159, p < 0.001 and b = −0.381, p < 0.001, respectively), poorer quality sleep (OR = 0.63, 95% CI: 0.46, 0.86 and OR = 0.42, 95% CI: 0.30, 0.58, respectively), more loneliness (OR = 1.53, 95% CI: 1.16, 2.02 and OR = 2.72, 95% CI: 1.96, 3.77, respectively), and less time to yourself (OR = 0.54, 95% CI: 0.40, 0.72 and OR = 0.37, 95% CI: 0.27, 0.51, respectively) during COVID‐19. Pandemic‐related financial challenges are associated with worse mental health and well‐being regardless of pre‐pandemic characteristics, suggesting that they are distinct social determinants of health for older adults. Timely intervention is needed to support older adults experiencing pandemic‐related financial challenges.
登录
查看更多内容
自我报告的睡眠问题可能会增加残疾风险：美国中年发展调查的结果。
影响因子：
6.3
作者：
Friedman EM
通讯作者：
Friedman EM
DOI：
10.15585/mmwr.mm6915e3
发表时间：
2020-04-17
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Garg S;Kim L;Whitaker M;O'Halloran A;Cummings C;Holstein R;Prill M;Chai SJ;Kirley PD;Alden NB;Kawasaki B;Yousey-Hindes K;Niccolai L;Anderson EJ;Openo KP;Weigel A;Monroe ML;Ryan P;Henderson J;Kim S;Como-Sabetti K;Lynfield R;Sosin D;Torres S;Muse A;Bennett NM;Billing L;Sutton M;West N;Schaffner W;Talbot HK;Aquino C;George A;Budd A;Brammer L;Langley G;Hall AJ;Fry A
通讯作者：
Fry A
DOI：
10.1177/0733464821996527
发表时间：
2021-08
期刊：
Journal of applied gerontology : the official journal of the Southern Gerontological Society
影响因子：
--
作者：
Polenick CA;Perbix EA;Salwi SM;Maust DT;Birditt KS;Brooks JM
通讯作者：
Brooks JM
DOI：
10.1111/rssb.12027
发表时间：
2014-01-01
影响因子：
5.8
作者：
Imai, Kosuke;Ratkovic, Marc
通讯作者：
Ratkovic, Marc
影响因子：
12.7
作者：
Dunlop, DD;Manheim, LM;Chang, RW
通讯作者：
Chang, RW