Social Isolation and Psychological Distress During the COVID-19 Pandemic: A Cross-National Analysis
Social Isolation and Psychological Distress During the COVID-19 Pandemic: A Cross-National Analysis
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DOI：
10.1093/geront/gnaa168
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发表时间：
2021-02-01
期刊：
影响因子：
5.7
通讯作者：
Jung, Jong Hyun
中科院分区：
文献类型：
--
作者：
Kim, Harris Hyun-soo;Jung, Jong Hyun
背景和目标：2019冠状病毒病（COVID-19）大流行导致全球社会孤立，造成压力和焦虑加剧。研究设计和方法：我们从《2019冠状病毒病大流行中的全球行为和认知》中选取了一部分老年人，这是一项独特的全球在线调查，共有来自62个国家的13，660名参与者参加。我们使用混合效应模型来分析数据。结果：社会隔离（疏远）显着预测了冠状病毒引起的痛苦的不良心理健康状况（p < .01）。在总体水平上，在冠状病毒相关死亡人数较高（p < .10）和国家能力较脆弱（p < .05）的国家之间，平均痛苦程度呈正相关，而在冠状病毒政策较严格的国家之间则呈负相关（p < .05）。最后，我们报告了社会隔离和死亡总数之间的几个跨层次的相互作用（p = 0.025），政策严格（p = 0.065），国家脆弱性（p = 0.061），全球化指数（p = .071）.讨论和影响：我们的研究表明，正确理解COVID-19对老年人心理健康的影响应该考虑国家背景的调节作用。
Background and Objectives: The coronavirus disease 2019 (COVID-19) pandemic resulted in social isolation globally, creating heightened levels of stress and anxiety. This study investigates the link between social isolation and mental well-being in later life, and how it varies across countries.Research Design and Methods: We draw on a subset of older adults from Global Behaviors and Perceptions in the COVID-19 Pandemic, a unique global online survey of 13,660 participants from 62 countries. We use mixed-effects models to analyze the data.Results: Social isolation (distancing) significantly predicts poor mental health operationalized as coronavirus-induced distress (p < .01). At the aggregate level, average distress varies positively across countries with higher numbers of coronavirus-related deaths (p < .10) and more fragile state capacity (p < .05), while varying negatively across those with more stringent anticoronavirus policies (p < .05). Finally, we report several cross-level interactions between social isolation and the total number of deaths (p = .025), policy stringency (p = .065), state fragility (p = .061), and globalization index (p = .071).Discussion and Implications: Our study shows that a proper understanding of the impact of COVID-19 on the mental well-being of older adults should consider the moderating role of national context.