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澳大利亚维多利亚州为期 4 个月的全社区 COVID-19 封锁对健康的影响:一项前瞻性纵向研究的结果。

The health impacts of a 4-month long community-wide COVID-19 lockdown: Findings from a prospective longitudinal study in the state of Victoria, Australia.

机构信息

School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Centre for Health Economics, Monash University, Melbourne, Australia.

出版信息

PLoS One. 2022 Apr 7;17(4):e0266650. doi: 10.1371/journal.pone.0266650. eCollection 2022.

Abstract

OBJECTIVES

To determine health impacts during, and following, an extended community lockdown and COVID-19 outbreak in the Australian state of Victoria, compared with the rest of Australia.

METHODS

A national cohort of 898 working-age Australians enrolled in a longitudinal cohort study, completing surveys before, during, and after a 112-day community lockdown in Victoria (8 July- 27 October 2020). Outcomes included psychological distress, mental and physical health, work, social interactions and finances. Regression models examined health changes during and following lockdown.

RESULTS

The Victorian lockdown led to increased psychological distress. Health impacts coincided with greater social isolation and work loss. Following the extended lockdown, mental health, work and social interactions recovered to an extent whereby no significant long-lasting effects were identified in Victoria compared to the rest of Australia.

CONCLUSION

The Victorian community lockdown had adverse health consequences, which reversed upon release from lockdown. Governments should weigh all potential health impacts of lockdown. Services and programs to reduce the negative impacts of lockdown may include increases in mental health care, encouraging safe social interactions and supports to maintain employment relationships.

摘要

目的

与澳大利亚其他地区相比,确定在维多利亚州(澳大利亚州名)延长社区封锁和 COVID-19 爆发期间和之后的健康影响。

方法

在维多利亚州为期 112 天的社区封锁(2020 年 7 月 8 日至 10 月 27 日)期间,对参加纵向队列研究的 898 名澳大利亚工作年龄的澳大利亚人进行了全国性队列研究。在封锁之前、期间和之后完成调查。结果包括心理困扰、身心健康、工作、社交互动和财务状况。回归模型检查了封锁期间和之后的健康变化。

结果

维多利亚州的封锁导致心理困扰增加。健康影响与更大的社会隔离和工作损失同时发生。在延长的封锁之后,心理健康、工作和社会互动在一定程度上得到了恢复,与澳大利亚其他地区相比,维多利亚州没有发现明显的长期影响。

结论

维多利亚州的社区封锁对健康产生了不利影响,封锁解除后这种影响得到了逆转。政府应权衡封锁对所有潜在健康的影响。减少封锁负面影响的服务和计划可能包括增加精神保健、鼓励安全的社交互动和支持保持就业关系。

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