Klein Stephanie, Fegert Jörg M, Geprägs Alina, Brähler Elmar, Clemens Vera
Hospital of Child and Adolescent Psychiatry/Psychotherapy, University of Ulm, Ulm, Germany.
Department for Psychosomatic Medicine and Psychotherapy, University Medical Center of Johannes Gutenberg University of Mainz, Mainz, Germany.
Front Psychol. 2022 Mar 11;13:844057. doi: 10.3389/fpsyg.2022.844057. eCollection 2022.
The occurrence of the novel severe acute respiratory syndrome coronavirus-2 (COVID-19) at the end of 2019 comes along with many challenges. Besides worry for one's own health and the well-being of the family, all measures applied to limit the spread of the coronavirus affected daily life. School closures, economic shutdown and contact restrictions have led to high levels of stress. The impact on health and families has been widely discussed. However, population-based data are scarce. Here, we have assessed health, quality of life and intrafamilial relations depending on the COVID-19 pandemic. Using a three-step random-route approach, a population-based sample of 2,515 persons (52.6% female, average age of 50.3 years) was recruited during the second COVID-19 wave in Germany in winter 2020/21. While the majority of participants reported no change in their health status and the relationship with their partner and children, more than half of participants reported a decreased quality of life since the beginning of the pandemic. Female gender, age above 60 years, a low household income, not living with a partner and the experience of childhood adversity were associated with a higher risk for a worsening of health, quality of life and intrafamilial relations. These had already been well-established risk factors ahead of the pandemic. In order to avoid further increase of inequality in our society and more devastating impact of the pandemic on health and intrafamilial relations, low-level support and intervention programs are urgently needed.
2019年末新型严重急性呼吸综合征冠状病毒2（COVID-19）的出现带来了诸多挑战。除了对自身健康和家人幸福的担忧外，为限制冠状病毒传播而采取的所有措施都影响了日常生活。学校关闭、经济停摆和接触限制导致了高度紧张。其对健康和家庭的影响已得到广泛讨论。然而，基于人群的数据却很匮乏。在此，我们根据COVID-19大流行情况评估了健康状况、生活质量和家庭内部关系。采用三步随机抽样法，在2020/21年冬季德国第二波COVID-19疫情期间，招募了一个基于人群的样本，共2515人（女性占52.6%，平均年龄50.3岁）。虽然大多数参与者报告其健康状况以及与伴侣和孩子的关系没有变化，但超过一半的参与者表示自疫情开始以来生活质量有所下降。女性、60岁以上、家庭收入低、未与伴侣同住以及童年逆境经历与健康状况恶化、生活质量下降和家庭内部关系变差的风险较高有关。这些在疫情之前就已经是公认的风险因素。为避免我们社会不平等现象进一步加剧，以及疫情对健康和家庭内部关系造成更具毁灭性的影响，迫切需要低水平的支持和干预项目。
