Centre for Longitudinal Studies (CLS), University College London, United Kingdom.
MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, United Kingdom.
Ind Health. 2022 Jul 31;60(4):345-359. doi: 10.2486/indhealth.2022-0081. Epub 2022 May 19.
Little is known about the relationship between homeworking and mental health during the Covid-19 pandemic and how it might differ by keyworker status. To understand this relationship, we use longitudinal data collected over three time points during the pandemic from three British cohort studies born in 1958 (National Child Development Study), 1970 (British Cohort Study) and 1989-90 (Next Step) as well as from a population-based study stratified by four age groups (Understanding Society). We estimate the association between life satisfaction, anxiety, depression, and psychological distress and homeworking by key worker status using mixed effects models with maximum likelihood estimation to account for repeated measurements across the pandemic, allowing intercepts to vary across individuals after controlling for a set of covariates including pre-pandemic home working propensities and loneliness. Results show that key workers working from home showed the greatest decline in mental health outcomes relative to other groups. Pre-pandemic homeworking did not significantly change the nature of such a relationship and loneliness slightly attenuated some of the effects. Finally, mental health outcomes varied across age-groups and time points. The discussion emphasises the need to pay attention to key workers when assessing the relationship between mental health and homeworking.
在新冠疫情期间,人们对居家办公与心理健康之间的关系知之甚少,也不清楚这种关系在关键岗位人员中的表现有何不同。为了理解这种关系,我们使用了在疫情期间三个时间点收集的来自三个英国队列研究的纵向数据,这些研究是在 1958 年(国家儿童发展研究)、1970 年(英国队列研究)和 1989-90 年(下一步)出生的人群中进行的,以及来自按四个年龄组分层的基于人群的研究(理解社会)。我们使用混合效应模型和最大似然估计来估计生活满意度、焦虑、抑郁和心理困扰与关键岗位人员居家办公之间的关系,以考虑到在疫情期间的重复测量,在控制了一组协变量(包括疫情前居家办公倾向和孤独感)后,允许截距在个体之间变化。结果表明,与其他群体相比,在家办公的关键岗位人员心理健康状况的下降幅度最大。疫情前居家办公并没有显著改变这种关系的性质,孤独感略微减弱了其中一些影响。最后,心理健康结果在年龄组和时间点之间存在差异。讨论强调,在评估心理健康与居家办公之间的关系时,需要关注关键岗位人员。