Institute of Social Medicine and Epidemiology, Medical University of Graz, Graz, Austria.
Eur J Public Health. 2021 Feb 1;31(1):44-49. doi: 10.1093/eurpub/ckaa238.
To halt the spread of COVID-19, Austria implemented a 7-week 'lockdown' in March/April 2020. We assess whether the ensuing reduction in social contacts led to increased loneliness among older adults (60+).
Three analyses were conducted: (i) a comparison between pre-pandemic (SHARE: 2013-17) and pandemic (May 2020) levels of loneliness (UCLA-3 scale), (ii) an assessment of the cross-sectional correlation between being affected by COVID-19 restriction measures and loneliness (May 2020) and (iii) a longitudinal analysis of weekly changes (March-June 2020) in loneliness (Corona panel).
We found (i) increased loneliness in 2020 compared with previous years, (ii) a moderate positive association between the number of restriction measures older adults were affected from and their loneliness and (iii) that loneliness was higher during 'lockdown' compared to the subsequent re-opening phase, particularly among those who live alone.
We found evidence that COVID-19 restriction measures in Austria have indeed resulted in increased levels of loneliness among older adults. However, these effects seem to be short-lived, and thus no strong negative consequences for older adults' mental health are expected. Nonetheless, the effects on loneliness, and subsequent mental health issues, could be both more long-lasting and severe if future restriction measures are enacted repeatedly and/or over longer time periods.
为了遏制 COVID-19 的传播,奥地利在 2020 年 3 月/4 月实施了为期 7 周的“封锁”。我们评估了由此导致的社交接触减少是否导致老年人(60 岁以上)的孤独感增加。
进行了三项分析:(i)在大流行(SHARE:2013-17 年)和大流行(2020 年 5 月)期间孤独感(UCLA-3 量表)之间进行比较,(ii)评估受 COVID-19 限制措施影响与孤独感(2020 年 5 月)之间的横断面相关性,以及(iii)孤独感(Corona 小组)每周变化(2020 年 3 月至 6 月)的纵向分析。
我们发现(i)与前几年相比,2020 年孤独感增加,(ii)老年人受限制措施影响的人数与孤独感之间存在中度正相关,以及(iii)与随后的重新开放阶段相比,封锁期间孤独感更高,尤其是那些独居的人。
我们有证据表明,奥地利的 COVID-19 限制措施确实导致老年人的孤独感增加。然而,这些影响似乎是短暂的,因此预计不会对老年人的心理健康产生强烈的负面影响。尽管如此,如果未来再次实施限制措施或时间更长,孤独感及其随后的心理健康问题可能会更加持久和严重。