Center for Population Health Sciences, Hanoi University of Public Health, Hanoi, Vietnam.
Hanoi University of Public Health, Hanoi, Vietnam.
PLoS One. 2020 Dec 18;15(12):e0244170. doi: 10.1371/journal.pone.0244170. eCollection 2020.
Vietnam applied strict quarantine measures to mitigate the rapid transmission of the SARS-COV-2 virus. Central questions were how the COVID-19 pandemic affected health-related quality of life (HRQOL) of the Vietnamese general population, and whether there is any difference in HRQOL among people under different quarantine conditions.
This cross-sectional study was conducted during 1 April- 30 May 2020 when the COVID-19 pandemic was at its peak in Vietnam. Data was collected via an online survey using Google survey tool. A convenient sampling approach was employed, with participants being sorted into three groups: people who were in government quarantine facilities; people who were under self-isolation at their own place; and the general population who did not need enforced quarantine. The Vietnamese EQ-5D-5L instrument was used to measure HRQOL. Differences in HRQOL among people of isolation groups and their socio-demographic characteristics were statistically tested.
A final sample was made of 406 people, including 10 persons from government quarantine facilities, 57 persons under self-isolation at private places, and the rest were the general population. The mean EQ-VAS was reported the highest at 90.5 (SD: 7.98) among people in government quarantine facilities, followed by 88.54 (SD: 12.24) among general population and 86.54 (SD 13.69) among people in self-isolation group. The EQ-5D-5L value was reported the highest among general population at 0.95 (SD: 0.07), followed by 0.94 (SD: 0.12) among people in government quarantine facilities, and 0.93 (SD: 0.13) among people who did self-isolation. Overall, most people, at any level, reported having problems with anxiety and/or depression in all groups.
While there have been some worries and debates on implementing strict quarantine measures can hinder people's quality of life, Vietnam showed an opposite tendency in people's HRQOL even under the highest level of enforcement in the prevention and control of COVID-19.
越南采取严格的检疫措施来减轻 SARS-COV-2 病毒的快速传播。人们关注的核心问题是 COVID-19 大流行如何影响越南普通民众的健康相关生活质量（HRQOL），以及在不同检疫条件下的人群的 HRQOL 是否存在差异。
本横断面研究于 2020 年 4 月 1 日至 5 月 30 日期间进行，当时 COVID-19 大流行在越南正处于高峰期。通过使用 Google 调查工具的在线调查收集数据。采用方便抽样方法，将参与者分为三组：政府隔离设施中的人员；在自己家中进行自我隔离的人员；以及无需强制隔离的普通人群。使用越南 EQ-5D-5L 工具来测量 HRQOL。对隔离组人群的 HRQOL 差异及其社会人口学特征进行统计学检验。
最终样本包括 406 人，其中 10 人来自政府隔离设施，57 人在私人场所进行自我隔离，其余为普通人群。报告的 EQ-VAS 平均值最高，政府隔离设施中的人群为 90.5（SD：7.98），其次是普通人群为 88.54（SD：12.24），自我隔离组人群为 86.54（SD 13.69）。EQ-5D-5L 值在普通人群中报告最高，为 0.95（SD：0.07），其次是政府隔离设施中的人群为 0.94（SD：0.12），自我隔离组人群为 0.93（SD：0.13）。总体而言，在所有组别中，大多数人在焦虑和/或抑郁方面都存在问题。
虽然有人担心和争论实施严格的检疫措施可能会影响人们的生活质量，但越南在 COVID-19 防控中实施最高级别的检疫措施时，人们的 HRQOL 反而呈现出相反的趋势。
