文章基本信息

标题：Mental health, financial, and social outcomes among older adults with probable COVID-19 infection: A longitudinal cohort study
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作者：Eleonora Iob ; Andrew Steptoe ; Paola Zaninotto 等
期刊名称：Proceedings of the National Academy of Sciences
印刷版ISSN：0027-8424
电子版ISSN：1091-6490
出版年度：2022
卷号：119
期号：27
DOI：10.1073/pnas.2200816119
语种：English
出版社：The National Academy of Sciences of the United States of America
摘要：Significance Longitudinal evidence on the impact that contracting COVID-19 may have on the individual’s mental health, personal finances, and social relationships is scarce. Using longitudinal data from the English Longitudinal Study of Aging, this study shows that older adults with probable COVID-19 infection experienced higher levels of depression and anxiety, poorer quality of life, elevated feelings of loneliness, and greater financial difficulties compared with those without probable infection. The associations were independent of prepandemic mental health and financial circumstances, and they were evident both in the acute phase of the infection and up to 6 months later. These results suggest that the adverse psychosocial impact of COVID-19 infection is long-lasting and more broadly present across the population. We investigated the immediate and longer-term impact (over 4-6 months) of probable COVID-19 infection on mental health, wellbeing, financial hardship, and social interactions among older people living in England. Data were analysed from 5146 older adults participating in the English Longitudinal Study of Ageing who provided data before the pandemic (2018-19) and at two COVID-19 assessments in 2020 (June-July and November-December). The associations of probable COVID-19 infection (first COVID-19 assessment) with depression, anxiety, poor quality of life (QoL), loneliness, financial hardship, and social contact with family/friends at the first and second COVID-19 assessments were tested using linear/logistic regression and were adjusted for pre-pandemic outcome measures. Participants with probable infection had higher levels of depression and anxiety, poorer QoL, and greater loneliness scores compared with those without probable infection at both the first (OR depression = 1.62, P-value = 0.005; OR anxiety = 1.59, P-value = 0.049; b poorQoL = 1.34, P < 0.001; b loneliness = 0.49, P < 0.001) and second (OR depression = 1.56, P-value = 0.003; OR anxiety = 1.55, P-value = 0.041; b poorQoL = 1.38, P-value < 0.001; b loneliness = 0.31, P-value = 0.024) COVID-19 assessments. Participants with probable infection also experienced greater financial difficulties than those without infection at the first assessment (OR = 1.50, P-value = 0.011). Probable COVID-19 infection is associated with longer-term deterioration of mental health and wellbeing and short-term increases in financial hardship among older adults. It is important to monitor the mental health of older people affected by COVID-19 and provide additional support to those in need.
关键词：enCOVID-19 infectionmental healthfinancial hardshipsocial connectionsolder adults