Maciariello David, Corna Laurie, Amati Rebecca, Albanese Emiliano, Cavalli Stefano
Centre of Competence on Ageing, Department of Business Economics, Health & Social Care, University of Applied Sciences and Arts of Southern Switzerland (SUPSI), Manno, Switzerland.
Institute of Public Health, Università della Svizzera Italiana (USI), Lugano, Switzerland.
J Aging Soc Policy. 2024 Nov;36(6):1299-1317. doi: 10.1080/08959420.2023.2235884. Epub 2023 Aug 3.
From the outset of the pandemic, Swiss federal authorities implemented numerous public health measures to contain the spread of SARS-CoV-2. In southern Switzerland, Canton Ticino legislated additional measures, some of which specifically targeted people aged 65 and over. We assessed how older adults perceived and experienced the introduction of these age-specific measures using data from a large, randomized sample of community-dwelling older adults aged 65+ collected between October 2020 and February 2021. We analyzed 788 open-ended responses on the experience of the introduction of the measures using a qualitative thematic analysis. At the individual level, 45% of the sample had a mostly positive experience, 29% had a mostly negative experience, 10% identified positive and negative aspects and 16% reported neither. We next assessed factors distinguishing the different types of experiences using bivariate and multivariate models. Older adults who were younger, unpartnered, had lower levels of education and higher levels of depressive symptoms and loneliness were more likely to report negative experiences. Our findings suggest the need to provide clear communication to older adults that accounts for the heterogeneity of this population, and to consider the potential for policies to have negative implications for those with fewer personal resources.
自疫情开始以来,瑞士联邦当局实施了多项公共卫生措施以遏制SARS-CoV-2的传播。在瑞士南部,提契诺州制定了额外措施,其中一些措施专门针对65岁及以上的人群。我们利用2020年10月至2021年2月期间收集的来自65岁及以上社区居住老年人的大型随机样本数据,评估了老年人对这些针对特定年龄措施的认知和体验。我们使用定性主题分析方法分析了788条关于措施实施体验的开放式回复。在个体层面,45%的样本体验大多为积极,29%大多为消极,10%同时指出了积极和消极方面,16%表示两者皆无。接下来,我们使用双变量和多变量模型评估了区分不同类型体验的因素。年龄较小、未婚、教育程度较低、抑郁症状和孤独感水平较高的老年人更有可能报告消极体验。我们的研究结果表明,有必要向老年人提供清晰的信息,充分考虑该人群的异质性,并考虑政策对个人资源较少者可能产生的负面影响。