Pedro Ana Rita, Gama Ana, Soares Patrícia, Moniz Marta, Laires Pedro A, Dias Sónia
NOVA National School of Public Health, Public Health Research Centre, Universidade NOVA de Lisboa, Lisbon, Portugal.
Comprehensive Health Research Center (CHRC), Lisbon, Portugal.
Port J Public Health. 2021 Mar 1:1-9. doi: 10.1159/000513740.
The COVID-19 pandemic brought new challenges to the global community, reinforcing the role of public health in society. The main measures to combat it had (and still have) a huge impact on the daily lives of citizens. This investigation aimed to identify and monitor the population's perceptions about how it faced this period and the impact on health, well-being, and daily life. In this study, we describe the main trends observed throughout the COVID-19 pandemic in terms of mental health status, confidence in the capacity of the health services to respond to the pandemic, and the use of health services by participants. The online survey collected responses from 171,947 individuals ≥16 years of age in Portugal, over a period of 15 weeks that started on 21 March 2020. Participants could fill the questionnaire once or weekly, which enabled us to analyse trends and variations in responses. Overall, 81% of the respondents reported having felt agitated, anxious, or sad during the COVID-19 pandemic; 19% did not experience these feelings. During the confinement period, the proportion of participants feeling agitated, anxious, or sad every day/almost every day ranged between 20 and 30%, but since the deconfinement this proportion decreased. Around 30% reported having more difficulty getting to sleep or to sleep all night; 28.4% felt more agitated; 25.5% felt sadder, discouraged, or cried more easily; and 24.7% felt unable to do everything they had to do, women more frequently than men. Overall, 65.8% of the participants reported feeling confident or very confident in the health services' capacity to respond to the challenges associated with the pandemic, and this confidence increased over time. Concerning the people who needed a consultation, 35.6% had one in person and 20.8% had one remotely, but almost 44% did not have one due to cancellation by the service (27.2%) or their own decision not to go (16.3%). At this unusual time in which we find ourselves and based on our findings, it is essential to continue monitoring how the population is facing the different phases of the pandemic until it officially ends. Analysing the effects of the pandemic from the point of view of citizens allows for anticipating critical trends and can contribute to preventative action.
新冠疫情给全球社会带来了新挑战，强化了公共卫生在社会中的作用。抗击疫情的主要措施对公民的日常生活产生了（并且仍在产生）巨大影响。本调查旨在识别并监测民众对于如何度过这一时期以及对健康、幸福和日常生活影响的看法。在本研究中，我们描述了在整个新冠疫情期间观察到的关于心理健康状况、对卫生服务应对疫情能力的信心以及参与者对卫生服务利用情况的主要趋势。这项在线调查在2020年3月21日开始的15周内收集了葡萄牙171,947名16岁及以上个人的回复。参与者可以一次性或每周填写问卷，这使我们能够分析回复的趋势和变化。总体而言，81%的受访者报告在新冠疫情期间感到烦躁、焦虑或悲伤；19%没有这些感受。在封锁期间，每天/几乎每天感到烦躁、焦虑或悲伤的参与者比例在20%至30%之间，但自解封以来这一比例有所下降。约30%的人报告入睡或整夜睡眠更困难；28.4%感觉更烦躁；25.5%感觉更悲伤、气馁或更容易哭泣；24.7%感觉无法完成所有必须做的事情，女性比男性更频繁。总体而言，65.8%的参与者报告对卫生服务应对与疫情相关挑战的能力感到有信心或非常有信心，并且这种信心随着时间推移而增强。关于需要咨询的人，35.6%进行了面对面咨询，20.8%进行了远程咨询，但近44%的人由于服务取消（27.2%）或自己决定不去（16.3%）而没有咨询。在我们所处的这个特殊时期，基于我们的研究结果，继续监测民众如何应对疫情的不同阶段直至其正式结束至关重要。从公民的角度分析疫情的影响有助于预测关键趋势，并可为预防行动做出贡献。
