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孤独感对澳大利亚 COVID-19 大流行期间健康相关因素的影响:一项回顾性研究。

Impact of loneliness on health-related factors in Australia during the COVID-19 pandemic: A retrospective study.

机构信息

Iverson Health Innovation Research Institute, Swinburne University of Technology, Hawthorn, Australia.

Centre for Mental Health, Swinburne University of Technology, Hawthorn, Australia.

出版信息

Health Soc Care Community. 2022 Nov;30(6):e5293-e5304. doi: 10.1111/hsc.13948. Epub 2022 Jul 28.

Abstract

COVID-19 pandemic and its associated social and physical distancing restrictions may have had a severe impact on health. In the present study, we investigate the changes in physical, social and mental health, as well as the health literacy of Australians subsequent to the onset of COVID-19 pandemic, and examine the influence of loneliness on these health-related factors. Using a retrospective cross-sectional study design, 607 Australian adults completed a self-report online survey which assessed their health-related factors before and after onset of the COVID-19 pandemic (data collected between June 2020 to November 2020). Australians reported statistically significant increase in a number of (poorer) health-related factors (e.g., weight gain, sleeping difficulties, poor somatic health, higher loneliness, more issues navigating the healthcare system) post onset of COVID-19 pandemic. Further, after adjusting for covariates, higher loneliness during pandemic predicted poorer health-related outcomes (e.g., more somatic health complaints, poorer quality of diet, poorer social support for health). The COVID-19 pandemic and its associated social and physical distancing restrictions may have contributed towards poorer health-related factors among Australian adults. Further, increased loneliness during the pandemic may have further worsened physical health and health literacy outcomes among Australians.

摘要

COVID-19 大流行及其相关的社会和物理距离限制可能对健康造成严重影响。在本研究中,我们调查了 COVID-19 大流行后澳大利亚人身体、社会和心理健康的变化,以及健康素养的变化,并探讨了孤独感对这些健康相关因素的影响。使用回顾性横断面研究设计,607 名澳大利亚成年人完成了一项自我报告的在线调查,该调查评估了他们在 COVID-19 大流行前后的健康相关因素(数据收集于 2020 年 6 月至 2020 年 11 月之间)。澳大利亚人报告说,在 COVID-19 大流行之后,许多(较差的)健康相关因素(例如体重增加、睡眠困难、身体健康状况较差、孤独感增加、在医疗保健系统中导航的问题更多)出现了统计学上显著增加。此外,在调整了协变量后,大流行期间较高的孤独感预示着较差的健康相关结果(例如,更多的躯体健康投诉、较差的饮食质量、较差的健康社会支持)。COVID-19 大流行及其相关的社会和物理距离限制可能导致澳大利亚成年人的健康相关因素恶化。此外,大流行期间孤独感的增加可能进一步恶化了澳大利亚人的身体健康和健康素养结果。

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