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孤独感在新冠疫情期间:与年龄、性别及其相互作用的关联。

Loneliness in the COVID-19 pandemic: Associations with age, gender and their interaction.

机构信息

Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada; Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada; Department of Pharmacology and Toxicology, University of Toronto, Toronto, Ontario, Canada.

Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

出版信息

J Psychiatr Res. 2021 Apr;136:103-108. doi: 10.1016/j.jpsychires.2021.01.047. Epub 2021 Jan 31.


DOI:10.1016/j.jpsychires.2021.01.047
PMID:33582608
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8635289/
Abstract

Loneliness is associated with mental health and thus is of particular concern in the COVID-19 pandemic, due to physical distancing restrictions and shelter-in-place orders. The current study assessed the associations of age, gender and their interaction with loneliness during the COVID-19 pandemic, controlling for other sociodemographic variables. A pooled sample of 3,012 English-speaking Canadian adults aged 18+ years completed a web-based survey in one of three waves between May 8 and June 23, 2020. Multivariable logistic regression was used to examine the associations of loneliness with age and gender controlling for marital status, household income, education, living alone, employment situation, and survey wave. A likelihood ratio test assessed the model with interaction between age and gender included. Approximately 8.4% of the sample reported feeling lonely 5+ days in the past week. The regression model with main effects found greater odds of loneliness among women than men (AOR = 1.76, 95%CI = 1.32, 2.34) and among all age groups younger than 60 years compared to those aged 60+ years (p = 0.002). In the final regression model, a significant interaction effect between age and gender on loneliness was found. The interaction showed that women had greater odds of loneliness than men among those aged 18-29 years (AOR = 3.53, 95%CI = 1.69, 7.37) and 60+ years (AOR = 2.62, 95%CI = 1.33, 5.17). Special consideration of loneliness among younger and older adult women is needed in service planning. Given inconsistencies with pre-pandemic studies, detailed data collected during the current crisis is essential to inform proactive resource allocation to prevent and treat mental health consequences of the pandemic.

摘要

孤独感与心理健康有关,因此在 COVID-19 大流行期间尤为令人关注,这是由于身体距离限制和就地避难命令。本研究评估了年龄、性别及其与 COVID-19 大流行期间孤独感的相互作用,同时控制了其他社会人口统计学变量。2020 年 5 月 8 日至 6 月 23 日期间,三个波次中的一个波次,共有 3012 名年龄在 18 岁及以上的讲英语的加拿大成年人完成了一项基于网络的调查。多变量逻辑回归用于检查孤独感与年龄和性别之间的关联,同时控制婚姻状况、家庭收入、教育程度、独居、就业状况和调查波次。似然比检验评估了包含年龄和性别相互作用的模型。大约 8.4%的样本报告在过去一周内有 5 天以上感到孤独。具有主要效应的回归模型发现,女性比男性更容易感到孤独(OR = 1.76,95%CI = 1.32,2.34),并且所有年龄组都比 60 岁以上的年龄组更容易感到孤独(p = 0.002)。在最终回归模型中,发现年龄和性别对孤独感的交互作用具有统计学意义。这种交互作用表明,在 18-29 岁和 60 岁以上的女性中,女性比男性更有可能感到孤独(OR = 3.53,95%CI = 1.69,7.37)。在服务计划中,需要特别关注年轻和老年成年女性的孤独感。鉴于与大流行前研究的不一致,在当前危机期间收集详细数据对于为预防和治疗大流行对心理健康的影响提供资源分配至关重要。

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Differential Effects of Pandemic-Related Stressors on Mental Health by Age and Sex.

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[4]
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[5]
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[6]
Women's mental health and COVID-19: increased vulnerability and inequalities.

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[7]
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[8]
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[9]
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[10]
Psychological Wellbeing and Psychological Distress in the Elderly during the COVID-19 Pandemic.

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本文引用的文献

[1]
Loneliness around the world: Age, gender, and cultural differences in loneliness.

Pers Individ Dif. 2021-2-1

[2]
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Public Health. 2020-8-5

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J Gerontol B Psychol Sci Soc Sci. 2021-1-18

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Science. 2020-4-10

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