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新冠疫情对老年人抑郁的影响:面板数据分析。

Effect of the COVID-19 pandemic on depression in older adults: A panel data analysis.

机构信息

Department of Quantitative Methods for Economics and Business, University of Granada, Campus Universitario de Cartuja, Granada 18071, Spain.

Department of Applied Economics, University of Granada, Campus Universitario de Cartuja, Granada 18071, Spain.

出版信息

Health Policy. 2022 Sep;126(9):865-871. doi: 10.1016/j.healthpol.2022.07.001. Epub 2022 Jul 10.

Abstract

BACKGROUND

This paper investigates the impact of the COVID-19 pandemic on depression in the older population, an especially vulnerable group for which to date there is limited empirical research.

METHODS

We employ a panel data consisting of seven waves of the English Longitudinal Study of Ageing (2010-2020). The breadth and depth of the data considered enabled us to control for individual fixed effects, to adjust for pre-pandemic trends in depression levels and to perform a heterogeneity analysis, depending on the intensity of the lockdown measures implemented and relevant socioeconomic characteristics.

RESULTS

We find that, following the COVID-19 pandemic, study participants reported a statistically significant increase in the depressive symptoms by around 0.7 over 8 points as measured by the Centre for Epidemiologic Studies Depression (CES-D) index. The estimated coefficients were larger in November than in July, for individuals who lost their job, retired and women. Interestingly, we observed that mental health has worsened substantially relative to the pre-pandemic period across all income groups of the older population, suggesting a limited role of income as a protective mechanism for mental health.

CONCLUSIONS

Our findings provide compelling evidence that depression levels amongst older adults have worsened considerably following the COVID-19 pandemic, and that factors other than income, such as social interactions, may be highly relevant for well-being in later life.

摘要

背景

本研究旨在调查 COVID-19 大流行对老年人群体抑郁的影响。老年人群体是一个特别脆弱的群体,迄今为止,针对这一群体的实证研究有限。

方法

我们采用了一个包含七个波次的英国老龄化纵向研究(2010-2020 年)的面板数据。该数据的广度和深度使我们能够控制个体固定效应,调整抑郁水平的大流行前趋势,并根据实施的封锁措施的强度和相关社会经济特征进行异质性分析。

结果

我们发现,在 COVID-19 大流行之后,研究参与者报告称,他们的抑郁症状在 8 点的 CES-D 指数上增加了约 0.7 分,这具有统计学意义。对于失业、退休和女性个体来说,11 月的估计系数大于 7 月。有趣的是,我们观察到,与大流行前相比,所有老年人群体的收入群体的心理健康状况都明显恶化,这表明收入作为心理健康保护机制的作用有限。

结论

我们的研究结果提供了令人信服的证据,表明 COVID-19 大流行后,老年人群体的抑郁水平显著恶化,而社交互动等除收入以外的因素可能对晚年的幸福感具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6385/9271012/be8aae7dcf20/gr1_lrg.jpg

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