Department of Public and Occupational Health, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands.
Public Health Department, Amsterdam, Netherlands.
Int J Public Health. 2022 May 11;67:1604665. doi: 10.3389/ijph.2022.1604665. eCollection 2022.
We assessed the impacts of COVID-19 on multiple life domains across socio-demographic groups in Netherlands. After the first COVID-19 wave, we distributed online questionnaires among 13,031 participants of the multi-ethnic HELIUS cohort. Questionnaires contained questions on changes in income status, healthy behaviors, mental health, and access to non-COVID-19 health care. We then calculated differences in adjusted proportions of participants that reported negative changes across multiple life domains by migration background, age, sex, education, and occupation. 4,450 individuals (35%) responded, of which 4,294 were included. Older populations and men seemed to be less vulnerable to negative changes in multiple life domains during the COVID-19 pandemic as compared to the pre-pandemic period, while populations with a migration background and lower education/occupation groups seemed to be more vulnerable to negative changes. Not all populations vulnerable to SARS-CoV-2 infection and mortality are also more vulnerable to COVID-19 impacts across multiple other life domains. Targeted interventions are needed in socio-demographic groups that are most impacted by COVID-19 in various life domains to prevent a further increase of their already increased risk of chronic diseases after the pandemic.
我们评估了 COVID-19 在荷兰多个社会人口群体的多个生活领域的影响。在第一波 COVID-19 之后，我们在多民族 HELIUS 队列的 13031 名参与者中分发了在线问卷。问卷包含关于收入状况变化、健康行为、心理健康和获得非 COVID-19 医疗保健的问题。然后，我们根据移民背景、年龄、性别、教育程度和职业计算了报告多个生活领域负面变化的参与者的调整比例差异。有 4450 人（35%）做出了回应，其中 4294 人被纳入。与大流行前相比，老年人口和男性在 COVID-19 大流行期间似乎不太容易出现多个生活领域的负面变化，而具有移民背景和较低教育/职业群体的人群似乎更容易出现负面变化。并非所有易感染 SARS-CoV-2 感染和死亡的人群在多个其他生活领域也更容易受到 COVID-19 影响。需要在受 COVID-19 在各个生活领域影响最大的社会人口群体中采取有针对性的干预措施，以防止他们在大流行后已经增加的慢性病风险进一步增加。
