COVID-19 大流行：居家隔离、社交距离和“封城”措施的健康影响——系统综述的系统评价。
COVID-19 pandemic: health impact of staying at home, social distancing and 'lockdown' measures-a systematic review of systematic reviews.
机构信息
Local Health Unit of Reggio Emilia, Via Giovanni Amendola, 2, 42122, Reggio Emilia, Italy.
London School of Hygiene & Tropical Medicine London, WC1H 9SH, 15-17 Tavistock Place, United Kingdom.
出版信息
J Public Health (Oxf). 2021 Sep 22;43(3):e462-e481. doi: 10.1093/pubmed/fdab102.
BACKGROUND
To systematically review the evidence published in systematic reviews (SR) on the health impact of staying at home, social distancing and lockdown measures. We followed a systematic review approach, in line with PRISMA guidelines.
METHODS
In October 2020, we searched the databases Cochrane Database of Systematic Reviews, Ovid Medline, Ovid Embase and Web of Science, using a pre-defined search strategy.
RESULTS
The literature search yielded an initial list of 2172 records. After screening of titles and abstracts, followed by full-text screening, 51 articles were retained and included in the analysis. All of them referred to the first wave of the coronavirus disease 2019 pandemic. The direct health impact that was covered in the greatest number (25) of SR related to mental health, followed by 13 SR on healthcare delivery and 12 on infection control. The predominant areas of indirect health impacts covered by the included studies relate to the economic and social impacts. Only three articles mentioned the negative impact on education.
CONCLUSIONS
The focus of SR so far has been uneven, with mental health receiving the most attention. The impact of measures to contain the spread of the virus can be direct and indirect, having both intended and unintended consequences.
背景
系统地回顾已发表的系统评价（SR）中关于居家、社交隔离和封锁措施对健康影响的证据。我们遵循系统评价方法，符合 PRISMA 指南。
方法
2020 年 10 月，我们使用预先定义的搜索策略，在 Cochrane 系统评价数据库、Ovid Medline、Ovid Embase 和 Web of Science 中进行了搜索。
结果
文献检索产生了最初的 2172 条记录。经过标题和摘要筛选，随后进行全文筛选，保留了 51 篇文章进行分析。它们全部涉及到 2019 年冠状病毒病的第一波疫情。在数量最多的（25 篇）SR 中直接涉及到心理健康，其次是 13 篇关于医疗保健提供的 SR 和 12 篇关于感染控制的 SR。所包括研究涵盖的间接健康影响的主要领域与经济和社会影响有关。只有三篇文章提到了对教育的负面影响。
结论
迄今为止，SR 的重点不均衡，心理健康受到了最多的关注。控制病毒传播措施的影响可能是直接的和间接的，既有预期的后果，也有意外的后果。
Zotero 插件