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新冠大流行期间的健康相关生活质量:来自两项荷兰基于人群的队列研究的限制性措施影响。

Health-related quality of life during the COVID-19 pandemic: The impact of restrictive measures using data from two Dutch population-based cohort studies.

机构信息

Centre for Infectious Disease Control, National Institute for Public Health and Environment (RIVM), Bilthoven, the Netherlands.

Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht (UMCU), Utrecht, the Netherlands.

出版信息

PLoS One. 2024 Mar 18;19(3):e0300324. doi: 10.1371/journal.pone.0300324. eCollection 2024.


DOI:10.1371/journal.pone.0300324
PMID:38498510
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10947685/
Abstract

OBJECTIVES: We describe health-related quality of life during the COVID-19 pandemic in the general Dutch population and correlations with restrictive measures. METHODS: Data were obtained from 18-85 year-old participants of two population-based cohort studies (February 2021-July 2022): PIENTER Corona (n = 8,019) and VASCO (n = 45,413). Per cohort, mean scores of mental and physical health and health utility from the SF-12 were calculated by age group, sex and presence of a medical risk condition. Spearman correlations with stringency of measures were calculated. RESULTS: Both cohorts showed comparable results. Participants <30 years had lowest health utility and mental health score, and highest physical health score. Health utility and mental health score increased with age (up to 79 years), while physical health score decreased with age. Women and participants with a medical risk condition scored lower than their counterparts. Fluctuations were small over time but most pronounced among participants <60 years, and correlated weakly, but mostly positively with measure stringency. CONCLUSIONS: During the Dutch COVID-19 epidemic, health utility and mental health scores were lower and fluctuated strongest among young adults compared to older adults. In our study population, age, sex and presence of a medical risk condition seemed to have more impact on health scores than stringency of COVID-19 non-pharmaceutical interventions.

摘要

目的:我们描述了在 COVID-19 大流行期间荷兰普通人群的健康相关生活质量及其与限制措施的相关性。

方法:数据来自两项基于人群的队列研究的 18-85 岁参与者:PIENTER Corona(n=8019)和 VASCO(n=45413)。对于每个队列,根据年龄组、性别和存在医疗风险状况,计算了 SF-12 的心理健康和身体健康以及健康效用的平均得分。计算了与措施严格性的 Spearman 相关性。

结果:两个队列均显示出相似的结果。<30 岁的参与者的健康效用和心理健康评分最低,身体健康评分最高。健康效用和心理健康评分随年龄增长而增加(最高至 79 岁),而身体健康评分随年龄增长而降低。女性和存在医疗风险状况的参与者的评分低于其同龄人。随着时间的推移波动较小,但在<60 岁的参与者中最为明显,与措施严格性呈弱相关,但大多呈正相关。

结论:在荷兰 COVID-19 疫情期间,与老年人相比,年轻成年人的健康效用和心理健康评分较低,波动较大。在我们的研究人群中,年龄、性别和存在医疗风险状况似乎对健康评分的影响大于 COVID-19 非药物干预措施的严格性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b6/10947685/c072be2a5ffa/pone.0300324.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b6/10947685/0ba173228270/pone.0300324.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b6/10947685/f80547fb5633/pone.0300324.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b6/10947685/1e5a80e5cb14/pone.0300324.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b6/10947685/896b65915d23/pone.0300324.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b6/10947685/c072be2a5ffa/pone.0300324.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b6/10947685/0ba173228270/pone.0300324.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b6/10947685/f80547fb5633/pone.0300324.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b6/10947685/1e5a80e5cb14/pone.0300324.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b6/10947685/896b65915d23/pone.0300324.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b6/10947685/c072be2a5ffa/pone.0300324.g005.jpg

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本文引用的文献

[1]
Cohort profile: an observational population-based cohort study on COVID-19 vaccine effectiveness in the Netherlands - the VAccine Study COVID-19 (VASCO).

BMJ Open. 2024-10-14

[2]
Correlated physical and mental health composite scores for the RAND-36 and RAND-12 health surveys: can we keep them simple?

Health Qual Life Outcomes. 2022-6-3

[3]
Divergent decennial trends in mental health according to age reveal poorer mental health for young people: repeated cross-sectional population-based surveys from the HUNT Study, Norway.

BMJ Open. 2022-5-18

[4]
Policy stringency and mental health during the COVID-19 pandemic: a longitudinal analysis of data from 15 countries.

Lancet Public Health. 2022-5

[5]
The impact of the COVID-19 pandemic on cancer care.

Nat Cancer. 2020-6

[6]
Estimating the minimal clinically important difference for the Physical Component Summary of the Short Form 36 for patients with stroke.

J Int Med Res. 2021-12

[7]
Sex differences in quality of life and depressive symptoms among middle-aged and elderly Europeans: results from the SHARE survey.

Aging Ment Health. 2023-1

[8]
Health-related quality of life among breast cancer patients compared to cancer survivors and age-matched women in the general population in Vietnam.

Qual Life Res. 2022-3

[9]
Associations Between Measures of Social Distancing and Severe Acute Respiratory Syndrome Coronavirus 2 Seropositivity: A Nationwide Population-based Study in the Netherlands.

Clin Infect Dis. 2021-12-16

[10]
Concerns, quality of life, access to care and productivity of the general population during the first 8 weeks of the coronavirus lockdown in Belgium and the Netherlands.

BMC Health Serv Res. 2021-3-12

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