与新冠大流行相关的感知益处和危害与应对信心和心理健康症状的关联：基于香港人群的调查。
Associations of the perceived benefits and harms of COVID-19 with confidence in coping with the pandemic and mental health symptoms: a population-based survey in Hong Kong.
机构信息
School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
Department of General Practice, Health Science Center, Shenzhen University, Shenzhen, Guangdong, China.
出版信息
Front Public Health. 2023 Jun 20;11:1175085. doi: 10.3389/fpubh.2023.1175085. eCollection 2023.
INTRODUCTION
Both perceived benefits and harms of COVID-19 have been reported, but whether they affect confidence in coping with the pandemic and mental health remains uncertain.
OBJECTIVE
To examine the association of perceived benefits and harms of COVID-19 with confidence in coping with the pandemic and mental health symptoms.
METHODS
A population-based survey was conducted on 7,535 Hong Kong adults from 22 February to 23 March 2021, when the 4 wave of COVID-19 was under control. Information on sociodemographic characteristics, perceived benefits (10 options) and harms (12 options) of COVID-19, confidence in coping with the pandemic (range 0-10), loneliness (range 0-4), anxiety (General Anxiety Disorders-2, range 0-6) and depression (Patient Health Questionnaire-2, range 0-6) was collected. Latent profile analysis was used to identify the combined patterns of perceived benefits and harms of COVID-19. The associations of combined patterns with confidence in coping with COVID-19, loneliness, anxiety, and depression were examined using linear regression (β coefficient) adjusting for sociodemographic characteristics.
RESULTS
The combined patterns of perceived benefits and harms were classified into benefit ( = 4,338, 59.3%), harm ( = 995, 14.0%), and ambivalent ( = 2,202, 26.7%) groups. Compared with the ambivalent group, the benefit group had a significantly higher level of confidence (adjusted β 0.46, 95% CI 0.33 to 0.58), and lower levels of loneliness (-0.35, -0.40 to-0.29), anxiety (-0.67, 0.76 to-0.59), and depression (-0.65, -0.73 to-0.57). The harm group had a significantly lower level of confidence (-0.35, -0.53 to-0.16), and higher levels of loneliness (0.38, 0.30 to 0.45), anxiety (0.84, 0.73 to 0.96), and depression (0.95, 0.84 to 1.07).
CONCLUSION
Perceived greater benefit from COVID-19 was associated with better mental health and stronger confidence in coping with the pandemic.
简介
人们已经报告了对 COVID-19 的感知益处和危害，但它们是否会影响应对大流行的信心和心理健康尚不确定。
目的
研究 COVID-19 的感知益处和危害与应对大流行的信心和心理健康症状之间的关联。
方法
2021 年 2 月 22 日至 3 月 23 日，对香港的 7535 名成年人进行了一项基于人群的调查，当时 COVID-19 的第 4 波疫情得到了控制。收集了社会人口统计学特征、COVID-19 的感知益处（10 个选项）和危害（12 个选项）、应对大流行的信心（范围 0-10）、孤独感（范围 0-4）、焦虑症（广泛性焦虑症-2，范围 0-6）和抑郁症（患者健康问卷-2，范围 0-6）。使用潜在剖面分析确定 COVID-19 的感知益处和危害的综合模式。使用线性回归（β系数）调整社会人口统计学特征后，检查综合模式与应对 COVID-19 的信心、孤独感、焦虑症和抑郁症之间的关联。
结果
感知益处和危害的综合模式分为获益（ = 4338，59.3%）、危害（ = 995，14.0%）和矛盾（ = 2202，26.7%）组。与矛盾组相比，获益组的信心水平显著更高（调整后的β0.46，95%CI 0.33-0.58），孤独感水平更低（-0.35，-0.40 至-0.29），焦虑症水平更低（-0.67，0.76 至-0.59），抑郁症水平更低（-0.65，-0.73 至-0.57）。危害组的信心水平显著降低（-0.35，-0.53 至-0.16），孤独感水平更高（0.38，0.30 至 0.45），焦虑症水平更高（0.84，0.73 至 0.96），抑郁症水平更高（0.95，0.84 至 1.07）。
结论
从 COVID-19 中获得更大的益处与更好的心理健康和应对大流行的信心增强有关。
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