Faroese Board of Public Health, Faroe Islands.
Centre of Health Science, Faculty of Health, University of the Faroe Islands, Faroe Islands.
Scand J Public Health. 2023 Jul;51(5):648-655. doi: 10.1177/14034948231176708. Epub 2023 Jun 2.
Detrimental effects on health and well-being were reported during the COVID-19-induced lockdown periods in several countries, but these associations have not been studied in small-scale island societies. This study aimed to examine the lockdown period's impact on general well-being, perceived stress and activity levels in the Faroe Islands.
We used cross-sectional data from two extensive population-based surveys of the general health conducted in November 2019 (the pre-COVID survey; =2906), and four to six weeks into the first national lockdown (the lockdown survey; =1204).
A larger proportion of participants in the lockdown survey versus pre-COVID survey displayed excellent/very good self-rated health (68.1% vs. 62.0%; <0.001), and the same pattern was observed for reporting good quality of life (85.7% vs. 82.7%; <0.05). These associations remained statistically significant in a logistic regression model after adjusting for characteristics for which varying impact of the pandemic has been shown. Indicators of health behaviour showed that larger proportions of participants kept active during the lockdown survey versus pre-COVID survey, and these differences were statistically significant for physical, mental and spiritual activities (<0.001). On the other hand, similar stress levels in the pre-COVID/lockdown periods were observed, but stratified analysis showed that participants with a high-stress level displayed better self-rated health in the lockdown period compared to the pre-COVID period (=0.001).
在多个国家因 COVID-19 而实施封锁期间,有报道称这对健康和幸福感产生了不利影响,但这些关联尚未在小规模岛屿社会中进行研究。本研究旨在探讨法罗群岛封锁期间对整体幸福感、感知压力和活动水平的影响。
我们使用了 2019 年 11 月进行的两次广泛的基于人群的一般健康调查中的横断面数据,一次是在 COVID 之前(即预 COVID 调查,n=2906),另一次是在第一次全国封锁的四周至六周期间(即封锁调查,n=1204)。
与预 COVID 调查相比,封锁调查中有更大比例的参与者报告了极好/非常好的自我评估健康状况(68.1% vs. 62.0%;<0.001),并且报告生活质量良好的比例也呈现出相同的模式(85.7% vs. 82.7%;<0.05)。在调整了已显示出受大流行不同影响的特征后,这些关联在逻辑回归模型中仍然具有统计学意义。健康行为指标表明,与预 COVID 调查相比,在封锁调查中有更大比例的参与者保持了活跃,这些差异在身体、心理和精神活动方面具有统计学意义(<0.001)。另一方面,在预 COVID/封锁期间观察到了相似的压力水平,但分层分析表明,与预 COVID 时期相比,高压力水平的参与者在封锁时期的自我评估健康状况更好(=0.001)。