大流行第一波期间对 COVID-19 信息源的信任与基于人群的 CONSTANCES 队列中持续症状的发生：一项前瞻性研究。

Trust in sources of information on COVID-19 at the beginning of the pandemic's first wave and incident persistent symptoms in the population-based CONSTANCES cohort: A prospective study.

机构信息

Université Paris Cité, « Population-based Cohorts Unit », INSERM, Paris Saclay University, UVSQ, UMS 011, Paris, France.

Sorbonne Université, Inserm, Institut Pierre-Louis d'Epidémiologie et de Santé Publique, Paris, France; EA2694, Univ Lille, Centre Hospitalier de Tourcoing, France.

出版信息

J Psychosom Res. 2023 Jun;169:111326. doi: 10.1016/j.jpsychores.2023.111326. Epub 2023 Apr 5.

DOI:10.1016/j.jpsychores.2023.111326

PMID:37037155

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10072983/

Abstract

OBJECTIVE

To examine the association between trust in different sources of information on COVID-19 at the beginning of the pandemic and the burden of incident persistent symptoms.

METHODS

This prospective study used data from the SAPRIS and SAPRIS-Sérologie surveys nested in the French CONSTANCES population-based cohort. Trust in different information sources was measured between April 6 and May 4, 2020. Persistent symptoms that emerged afterwards were self-reported between December 2020 and January 2021. The associated psychological burden was measured with the somatic symptom disorder B criteria scale (SSD-12). The analyses were adjusted for gender, age, education, income, self-rated health, SARS-CoV-2 serology tests, and self-reported COVID-19.

RESULTS

Among 20,985 participants [mean age (SD), 49.0 years (12.7); 50.2% women], those with higher trust in government/journalists at baseline had fewer incident persistent symptoms at follow-up (estimate (SE) for one IQR increase: -0.21 (0.03), p < 0.001). Participants with higher trust in government/journalists and medical doctors/scientists were less likely to have ≥1 symptom (odds ratio (95% confidence interval) for one IQR increase: 0.87 (0.82-0.91) and 0.91 (0.85-0.98), respectively). Among 3372 participants (16.1%) who reported ≥1 symptom, higher trust in government/journalists and medical doctors/scientists predicted lower SSD-12 scores (-0.39 (0.17), p = 0.02 and - 0.85 (0.24), p < 0.001, respectively), whereas higher trust in social media predicted higher scores in those with lower trust in government/journalists (0.90 (0.34), p = 0.008). These associations did not depend upon surrogate markers of infection with SARS-CoV-2.

CONCLUSIONS

Trust in information sources on COVID-19 may be associated with incident persistent symptoms and associated psychological burden, regardless of infection with SARS-CoV-2.

摘要

目的

在大流行初期，研究对不同来源的 COVID-19 信息的信任与持续性症状负担之间的关系。

方法

本前瞻性研究使用了嵌套在法国 CONSTANCES 基于人群的队列中的 SAPRIS 和 SAPRIS-Sérologie 调查的数据。于 2020 年 4 月 6 日至 5 月 4 日之间测量了对不同信息来源的信任。随后在 2020 年 12 月至 2021 年 1 月之间自我报告出现了持续性症状。使用躯体症状障碍 B 标准量表（SSD-12）测量相关的心理负担。分析调整了性别、年龄、教育程度、收入、自我评估健康状况、SARS-CoV-2 血清学检测和自我报告的 COVID-19。

结果

在 20985 名参与者中[平均年龄（标准差），49.0 岁（12.7）；50.2%女性]，基线时对政府/记者信任度较高的人在随访时出现的持续性症状较少（每增加一个 IQR 的估计值（SE）：-0.21（0.03），p <0.001）。对政府/记者和医生/科学家的信任度较高的参与者出现≥1 个症状的可能性较低（置信区间的比值比（OR），每增加一个 IQR：0.87（0.82-0.91）和 0.91（0.85-0.98））。在报告≥1 个症状的 3372 名参与者中（16.1%），对政府/记者和医生/科学家的信任度越高，SSD-12 评分越低（-0.39（0.17），p=0.02 和-0.85（0.24），p<0.001），而对社交媒体的信任度越高，对政府/记者信任度较低者的评分越高（0.90（0.34），p=0.008）。这些关联与 SARS-CoV-2 感染的替代标志物无关。