Blavatnik School of Government, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford, OX2 6GG, UK.
School of Social and Political Science, University of Edinburgh, 15a George Square, Edinburgh, EH8 9LD, UK.
Sci Rep. 2023 Aug 11;13(1):13094. doi: 10.1038/s41598-023-39004-w.
Evidence is building regarding the association between government implemented public health measures aimed at combating COVID-19 and their impacts on health. This study investigated the relationship between the stringency of public health measures implemented in Canada and self-reported mental health, physical health, stress, and wellbeing among a random sample of 6647 Canadians 18 years of age and older. The analysis was based on self-reported health data from the Canadian Perspectives on Environmental Noise Survey. This data was combined with the Oxford COVID-19 Government Response Tracker database, which included overall stringency index (SI), and four of its sub-components, i.e., school and business closures, restrictions on gatherings, and stay at home policies. Adjusted multivariate logistic regression models indicated that the magnitude of the overall SI was associated with higher or lower odds of reporting worse physical health, mental health, stress and/or overall wellbeing, depending on the measure evaluated. Similarly, policy directed at the four sub-components had varying impacts on the odds of reporting worse health, depending on the sub-component, the strength of the policy restriction, and the health outcome evaluated. The association between the strength of the public health measures and self-reported health, and how this may inform future policy, is discussed.
越来越多的证据表明，政府实施的旨在抗击 COVID-19 的公共卫生措施与其对健康的影响之间存在关联。本研究调查了加拿大实施的公共卫生措施的严格程度与随机抽取的 6647 名 18 岁及以上加拿大公民的自我报告的心理健康、身体健康、压力和幸福感之间的关系。该分析基于加拿大环境噪声调查的自我报告健康数据。该数据与牛津 COVID-19 政府反应追踪器数据库相结合，该数据库包括总体严格指数 (SI) 及其四个子组件，即学校和企业关闭、聚会限制和居家政策。调整后的多变量逻辑回归模型表明，总体 SI 的大小与报告身体健康、心理健康、压力和/或整体幸福感更差或更好的几率有关，具体取决于评估的指标。同样，针对四个子组件的政策也根据子组件、政策限制的力度以及评估的健康结果对报告健康状况恶化的几率产生不同的影响。本文讨论了公共卫生措施的力度与自我报告的健康之间的关联，以及这如何为未来的政策提供信息。
