Department of Psychological Medicine, The University of Auckland, Auckland.
Department of Anatomy and Medical Imaging, The University of Auckland, Auckland.
N Z Med J. 2023 Mar 24;136(1572):46-60. doi: 10.26635/6965.6003.
To determine whether self-reported mood or self-rated health were affected in community-dwelling adults with chronic illness following COVID-19 lockdown.
This was a repeated cross-sectional study using secondary data. We included New Zealanders aged 40+ who underwent International Residential Instrument (interRAI) assessments in the year prior to COVID-19 lockdown (25 March 2019-24 March 2020) or in the year following COVID-19 lockdown (25 March 2020-24 March 2021). Pairwise comparisons were made between each pre-lockdown quarter and its respective post-lockdown quarter to account for seasonality patterns. Data from 45,553 (pre-lockdown) and 45,349 (post-lockdown) assessments were analysed. Outcomes (self-reported mood, self-rated health) were stratified by socio-demographic variables.
Self-reported mood improved in the first quarter post-lockdown among those aged 80+, as well as among women, people of European ethnicity, those living alone and those living in more deprived areas. Self-rated health improved in these same groups, as well as among those aged 65-79, and among men. No differences in self-reported mood or self-rated health were found in the second, third, or fourth quarters post-lockdown.
Self-reported mood and self-rated health of community-dwelling adults with chronic illness were not negatively affected following COVID-19 lockdown, and temporarily improved among some sub-groups. However, the longer-term impacts of the COVID-19 pandemic need to be closely monitored.
确定在经历了 COVID-19 封锁之后，社区中患有慢性病的成年人的情绪自我报告或健康自评是否受到影响。
这是一项使用二次数据的重复横断面研究。我们纳入了在 COVID-19 封锁之前（2019 年 3 月 25 日至 2020 年 3 月 24 日）或在 COVID-19 封锁之后（2020 年 3 月 25 日至 2021 年 3 月 24 日）的一年中接受过国际居住仪器（interRAI）评估的 40 岁及以上的新西兰人。我们对每个封锁前季度与其各自的封锁后季度进行了配对比较，以考虑季节性模式。分析了来自 45553 次（封锁前）和 45349 次（封锁后）评估的数据。根据社会人口统计学变量对（自我报告的情绪、自我评估的健康）结果进行分层。
在 80 岁及以上的人群中，以及在女性、欧洲裔人群、独居人群和生活在较贫困地区的人群中，封锁后第一个季度的自我报告情绪有所改善。在这些相同的人群中，以及在 65-79 岁的人群中和男性中，自我评估的健康状况也有所改善。在封锁后的第二、第三和第四个季度，自我报告的情绪或自我评估的健康状况没有差异。
在 COVID-19 封锁之后，社区中患有慢性病的成年人的自我报告情绪和自我评估健康状况没有受到负面影响，并且在一些亚组中暂时有所改善。然而，需要密切监测 COVID-19 大流行的长期影响。
