探索英国东米德兰兹地区首次全国性“封锁”期间救护车接诊的男性心理健康紧急事件受 COVID-19 大流行的影响。
Exploring the Impact of the COVID-19 Pandemic on Male Mental Health Emergencies Attended by Ambulances During the First National "Lockdown" in the East Midlands of the United Kingdom.
机构信息
DIRE Research Group, Department of Geography, University of Lincoln, Lincoln, UK.
Community and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincoln, UK†.
出版信息
Am J Mens Health. 2022 Mar-Apr;16(2):15579883221082428. doi: 10.1177/15579883221082428.
The novel coronavirus disease 2019 (COVID-19) pandemic and associated mitigation strategies such as "lockdown" are having widespread adverse psychological effects, including increased levels of anxiety and depression. Most research using self-reported data highlights the pandemic's impact on the psychological well-being of females, whereas data for mental health emergency presentations may reflect the impact on male mental health more accurately. We analyzed records of male mental health emergencies occurring in the East Midlands of the United Kingdom during the first national "lockdown." We computed two binary logistic regression models to (a) compare male mental health emergencies occurring during "lockdown," 2020 (5,779) with those occurring in the same period in 2019 ( = 4,744) and (b) compare male ( = 5,779) and female ( = 7,695) mental health emergencies occurring during "lockdown." Comparisons considered the characteristics of mental health emergencies recorded by ambulance clinicians (Primary Impressions), and the socioeconomic characteristics of communities where emergencies use the Index of Multiple Deprivation. We found that during "lockdown," male emergencies were more likely to involve acute anxiety (odds ratio [OR]: 1.42) and less likely to involve intentional drug overdose (OR: 0.86) or attempted suicide (OR: 0.71) compared with 2019. Compared with females, male emergencies were more likely to involve acute behavioral disturbance (OR: 1.99) and less likely to involve anxiety (OR: 0.67), attempted suicide (OR: 0.83), or intentional drug overdose (OR: 0.76). Compared with 2019, and compared with females, males experiencing mental health emergencies during "lockdown" were more likely to present in areas of high deprivation. Understanding the presentation of male mental health emergencies could inform improved patient care pathways.
新型冠状病毒病 2019（COVID-19）大流行和相关的缓解策略，如“封锁”，正在产生广泛的不良心理影响，包括焦虑和抑郁水平的增加。大多数使用自我报告数据的研究都强调了大流行对女性心理健康的影响，而心理健康紧急情况的数据可能更准确地反映了男性心理健康的影响。我们分析了英国东米德兰兹地区在第一次全国“封锁”期间男性心理健康紧急情况的记录。我们计算了两个二项逻辑回归模型，以（a）比较发生在“封锁”期间的 2020 年男性心理健康紧急情况（5779 例）与 2019 年同期发生的紧急情况（4744 例），（b）比较“封锁”期间发生的男性（5779 例）和女性（7695 例）心理健康紧急情况。比较考虑了救护车临床医生记录的心理健康紧急情况的特征（主要印象），以及紧急情况使用多种剥夺指数的社区的社会经济特征。我们发现，与 2019 年相比，“封锁”期间男性紧急情况更可能涉及急性焦虑（优势比[OR]：1.42），而不太可能涉及故意药物过量（OR：0.86）或企图自杀（OR：0.71）。与女性相比，男性紧急情况更可能涉及急性行为障碍（OR：1.99），而不太可能涉及焦虑（OR：0.67）、企图自杀（OR：0.83）或故意药物过量（OR：0.76）。与 2019 年相比，与女性相比，在“封锁”期间经历心理健康紧急情况的男性更有可能在高贫困地区就诊。了解男性心理健康紧急情况的表现可以为改善患者护理途径提供信息。
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