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老年人在 COVID-19 封锁期间的非身体接触与抑郁。

Older People's Nonphysical Contacts and Depression During the COVID-19 Lockdown.

机构信息

Department of Statistics, Computer Science, Applications, University of Florence, Firenze, Italy.

Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain.

出版信息

Gerontologist. 2021 Feb 23;61(2):176-186. doi: 10.1093/geront/gnaa144.

Abstract

BACKGROUND AND OBJECTIVES

With the goal of slowing down the spread of the SARS-CoV-2 virus, restrictions to physical contacts have been taken in many countries. We examine to what extent intergenerational and other types of nonphysical contacts have reduced the risk of increased perceived depressive feelings during the lockdown for people aged 50+.

RESEARCH DESIGN AND METHODS

We implemented an online panel survey based on quota sampling in France, Italy, and Spain in April 2020, about 1 month after the start of the lockdown. Our analyses are based on logistic regression models and use post-stratification weights.

RESULTS

About 50% of individuals aged 50+ felt sad or depressed more often than usual during the lockdown in the 3 considered countries. Older people who increased or maintained unchanged nonphysical contacts with noncoresident individuals during the lockdown were at a lower risk of increased perceived depressive feelings compared to those who experienced a reduction in nonphysical contacts. The beneficial effect of nonphysical contacts was stronger for intergenerational relationships. The effects were similar by gender and stronger among individuals aged 70+, living in Spain and not living alone before the start of the lockdown.

DISCUSSION AND IMPLICATIONS

In the next phases of the COVID-19 pandemic, or during any future similar pandemic, policy makers may implement measures that balance the need to reduce the spread of the virus with the necessity of allowing for limited physical contacts. Social contacts at a distance may be encouraged as a means to keep social closeness, while being physically distant.

摘要

背景与目的

为了减缓 SARS-CoV-2 病毒的传播,许多国家都采取了限制身体接触的措施。我们研究了代际和其他非身体接触在多大程度上降低了 50 岁以上人群在封锁期间增加抑郁感的风险。

研究设计和方法

我们于 2020 年 4 月在法国、意大利和西班牙实施了一项基于配额抽样的在线面板调查,这是在封锁开始大约一个月后进行的。我们的分析基于逻辑回归模型,并使用事后分层权重。

结果

在这三个考虑的国家中,大约 50%的 50 岁以上的人在封锁期间比平时更频繁地感到悲伤或沮丧。与非物理接触减少的人相比,在封锁期间增加或保持与非同住者非物理接触不变的老年人,感到抑郁感增加的风险较低。非身体接触的有益影响在代际关系中更强。这种影响在性别上没有差异,在封锁前独居的 70 岁以上的人群中更强。

讨论与启示

在 COVID-19 大流行的下一阶段,或在未来任何类似的大流行期间,政策制定者可能会实施一些措施,在减少病毒传播的需求与允许有限身体接触的必要性之间取得平衡。远程社交接触可以作为保持社交亲密感而保持身体距离的一种手段加以鼓励。

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