在 COVID-19 大流行期间，中低收入国家老年人的心理困扰：泰国老年人的横断面研究。
Psychological distress during COVID-19 pandemic in low-income and middle-income countries: a cross-sectional study of older persons in Thailand.
机构信息
College of Population Studies, Chulalongkorn University, Bangkok, Thailand.
College of Population Studies, Chulalongkorn University, Bangkok, Thailand
出版信息
BMJ Open. 2021 Apr 30;11(4):e047650. doi: 10.1136/bmjopen-2020-047650.
OBJECTIVE
The COVID-19 situation in Thailand was controlled with various social measures. Much of the information covered in the media and in studies focused on the public health and economic aspects of the pandemic. This study aimed to explore the psychological well-being of older people, which is important especially in an ageing society categorised as low income or middle income due to the limits of economic and healthcare resources.
SETTING
The impact of COVID-19 on older persons in Thailand, an online survey, taken across nine provinces within the five regions of the country.
PARTICIPANTS
Information was collected from 1230 adults aged at least 60 years old.If an older person was illiterate, unable to access the internet or had a disability preventing them from responding to the survey, an intermediary residing in the community conducted the survey interview.
PRIMARY AND SECONDARY OUTCOME MEASURES
The analysis focused on the worries of older adults and the factors associated with psychological distress experienced during the pandemic using logistic regression analysis.
RESULTS
The majority of people aged at least 60 years old experienced psychological distress during COVID-19. Employment loss (OR 1.08, 95% CI 0.78 to 1.38), inadequate income (OR 1.77, 95% CI 1.28 to 2.44) and debt incursion (OR 2.74, 95% CI 1.57 to 4.80) were detrimental to psychological well-being. The negative changes in the perception of their health status (OR 1.92, 95% CI 1.23 to 2.99) and decreased life satisfaction (OR 1.49, 95% CI 0.45 to 1.87) also weighed on older Thais. The protective factors for psychological well-being were residing in rural areas (OR 0.46, 95% CI 0.35 to 0.61) and being married (OR 0.75, 95% CI 0.55 to 1.01).
CONCLUSION
Observing the concerns of the older population is important for introducing policies that can alleviate their precarious financial and health statuses.
目的
泰国通过各种社会措施控制了 COVID-19 疫情。媒体和研究中涵盖的大部分信息都集中在大流行的公共卫生和经济方面。本研究旨在探讨老年人的心理健康，这在老龄化社会中尤为重要，因为这些社会的经济和医疗资源有限，被归类为低收入或中等收入。
背景
COVID-19 对泰国老年人的影响，这是一项在线调查，在该国五个地区的九个省份进行。
参与者
信息收集自至少 1230 名 60 岁以上的成年人。如果老年人不识字、无法上网或因残疾而无法回应调查，则由社区内的中间人进行调查访谈。
主要和次要结果衡量
使用逻辑回归分析，分析侧重于老年人的担忧以及大流行期间与心理困扰相关的因素。
结果
大多数 60 岁以上的人在 COVID-19 期间经历了心理困扰。失业（OR 1.08，95%CI 0.78 至 1.38）、收入不足（OR 1.77，95%CI 1.28 至 2.44）和债务介入（OR 2.74，95%CI 1.57 至 4.80）对心理健康不利。对健康状况的感知发生负面变化（OR 1.92，95%CI 1.23 至 2.99）和生活满意度降低（OR 1.49，95%CI 0.45 至 1.87）也给泰国老年人带来了压力。心理健康的保护因素是居住在农村地区（OR 0.46，95%CI 0.35 至 0.61）和已婚（OR 0.75，95%CI 0.55 至 1.01）。
结论
关注老年人群体的关切对于引入可以减轻他们脆弱的财务和健康状况的政策很重要。
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