Socio-economic inequalities in social network, loneliness and mental health during the COVID-19 pandemic.

Socio-economic inequalities in social network, loneliness and mental health during the COVID-19 pandemic.
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DOI:
10.1177/0020764020976694
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发表时间:
2022-03
期刊:
The International journal of social psychiatry
影响因子:
--
通讯作者:
Breakwell GM
Breakwell GM
中科院分区:
其他
文献类型:
--
作者:
Jaspal R;Breakwell GM

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在COVID-19大流行期间,关注隔离和孤独是很重要的,特别是社交距离政策(对某些群体来说,这涉及自我隔离或隔离)可能会加重这些经历并影响心理健康。本研究关注COVID-19大流行期间在社交网络、孤独感和心理健康方面的社会经济不平等。英国西南伦敦自治市旺兹沃斯的214名居民完成了一项关于COVID-19对心理健康影响的在线横断面调查。采用独立样本t检验和多元回归分析数据。中年人报告说,与年轻人相比,他们的社交网络不那么强大,孤独、焦虑和抑郁的情况更多。有长期健康状况的人报告说,与没有长期健康状况的人相比,他们的社交网络不那么强大,更孤独,更多的全科医生(GP)和医院就诊,心理健康状况更差。接受国家财政福利的人报告说,与没有接受福利的人相比,他们较少使用公共场所,社会网络不那么强大,更孤独,更多的家庭医生和医院访问以及更差的心理健康。更大的邻里识别与更强大的社会网络和更好的心理健康结果相关。多元回归分析显示,在控制其他变量的情况下,除了孤独之外,COVID-19的个人风险构成了抑郁和焦虑的额外诱因。作为与疫情相关的一种新的压力源,处于COVID-19风险中的情境和非自愿感知可能会刺激焦虑和抑郁情绪,随着在日益增长的不信任和不确定性下预测疾病的复发并向公众传达,这将需要得到有效管理。
During the COVID-19 pandemic, a focus on isolation and loneliness is important, especially as social distancing policies (which for some groups involve self-isolation or quarantine) are likely to accentuate these experiences and affect mental health. This study focuses on socio-economic inequalities in social network, loneliness and mental health during the COVID-19 pandemic. Two-hundred and fourteen residents of Wandsworth, a South West London Borough in the United Kingdom completed an online cross-sectional survey on the impact of COVID-19 on mental health. Data were analysed using independent samples t-tests and multiple regression. Middle-aged people reported a less strong social network and more loneliness, anxiety and depression than younger people. People with a long-term health condition reported a less strong social network, more loneliness, more general practitioner (GP) and hospital visits, and poorer mental health than those with no long-term health conditions. People receiving State financial benefits reported less use of public spaces, a less strong social network, more loneliness, more GP and hospital visits and poorer mental health than those not receiving benefits. Greater neighbourhood identification was associated with a stronger social network and better mental health outcomes. Multiple regression analyses showed that, over and above loneliness, perceived personal risk of COVID-19 constitutes an additional precipitant for both depression and anxiety when controlling for other variables. As a novel stressor associated with the pandemic, the situational and involuntary perception of being at risk of COVID-19 may be stimulating anxiety and depressive symptomatology, which will need to be managed effectively as resurgences of the disease are predicted and communicated to the general public under growing mistrust and uncertainty.
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