Trajectories of resilience and mental distress to global major disruptions

Trends in Cognitive Sciences, Journal Year: 2022, Volume and Issue: 26(12), P. 1171 - 1189

Published: Oct. 24, 2022

Language: Английский

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COVID-19 and mental health in 8 low- and middle-income countries: A prospective cohort study

PLoS Medicine, Journal Year: 2023, Volume and Issue: 20(4), P. e1004081 - e1004081

Published: April 6, 2023

Background The Coronavirus Disease 2019 (COVID-19) pandemic and associated mitigation policies created a global economic health crisis of unprecedented depth scale, raising the estimated prevalence depression by more than quarter in high-income countries. Low- middle-income countries (LMICs) suffered negative effects on living standards most severely. However, consequences for mental LMICs have received less attention. Therefore, this study assesses association between COVID-19 8 LMICs. Methods findings We conducted prospective cohort to examine correlation 10 populations from Asia, Africa, South America. analysis included 21,162 individuals (mean age 38.01 years, 64% female) who were interviewed at least once pre- as well post-pandemic. total number survey waves ranged 2 17 7.1). Our individual-level primary outcome measure was based validated screening tools weighted index questions, dependent sample. Sample-specific estimates 95% confidence intervals (CIs) periods using linear regressions with individual fixed effects, controlling independent time trends seasonal variation where possible. In addition, regression discontinuity design used samples multiple surveys just before after onset pandemic. aggregated sample-specific coefficients random-effects model, distinguishing short (0 4 months) longer term (4+ months). aggregation showed that symptoms are increase 0.29 standard deviations (SDs) (95% CI [−.47, −.11], p -value = 0.002) months following This change equivalent moving 50th 63rd percentile our median Although aggregate is correlated decline 0.21 SD [−0.07, −.34], 0.003) period thereafter, average recovery 0.07 [−0.09, .22], 0.41) not statistically significant. observed consistent across robust alternative specifications. Two limitations all representative national population, measures differ samples. Conclusions Controlling seasonality, we documented large, significant, health, especially during early lockdown. magnitude comparable (but opposite) cash transfers multifaceted antipoverty programs Absent policy interventions, could be lasting legacy depression, particularly settings limited support services, such many also demonstrated fluctuates agricultural crop cycles, deteriorating “lean”, pre-harvest recovering thereafter. Ignoring variations may lead unreliable inferences about health.

Language: Английский

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Levels of Depression and Anxiety Among Informal Caregivers During the COVID-19 Pandemic: A Study Based on the Canadian Longitudinal Study on Aging

The Journals of Gerontology Series B, Journal Year: 2022, Volume and Issue: 77(9), P. 1740 - 1757

Published: Feb. 9, 2022

Studies on informal caregiving during the coronavirus disease 2019 (COVID-19) pandemic have mainly focused subgroups of caregivers using cross-sectional or convenience samples, limiting generalizability findings. Conversely, this longitudinal study examines effects and factors depressive symptoms anxiety over 9 months among in Canada.

Language: Английский

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Increased prevalence of loneliness and associated risk factors during the COVID-19 pandemic: findings from the Canadian Longitudinal Study on Aging (CLSA)

BMC Public Health, Journal Year: 2023, Volume and Issue: 23(1)

Published: May 12, 2023

Abstract Background Older adults have been disproportionately impacted by COVID-19 and related preventative measures undertaken during the pandemic. Given clear evidence of relationship between loneliness health outcomes, it is imperative to better understand if, how, has changed for older pandemic, whom most. Method We used “pre-pandemic” data collected 2015–2018 ( n = 44,817) “during pandemic” Sept 29-Dec 29, 2020 24,114) from community-living participating in Canadian Longitudinal Study on Aging. Loneliness was measured using 3-item UCLA Scale. Weighted generalized estimating equations estimated prevalence pre-pandemic Lagged logistic regression models examined individual-level factors associated with Results found adjusted increased 50.5% (95% CI: 48.0%-53.1%) pandemic compared 30.75% 28.72%-32.85%) pre-pandemic. more women (22.3% vs. 17.0%), those urban areas (20.8% 14.6%), less 75 years (16.1% 19.8% or all other age groups). strongly (aOR 4.87; 95% CI 4.49–5.28) individual level sociodemographic [age < 55 + 1.41; 1.23–1.63), 1.34; 1.25–1.43), no post-secondary education 0.73; 0.61–0.86)], living conditions [living alone 1.39; 1.27–1.52) 1.18; 1.07–1.30)], status [depression 2.08; 1.88–2.30) having two, ≥ three chronic 1.16; 1.03–1.31 aOR 1.20–1.50)], behaviours [regular drinker non-drinker 1.15; 1.04–1.28)], pandemic-related [essential worker 0.77; 0.69–0.87), spending time than usual weekdays 1.32; 1.19–1.46) weekends 1.27; 1.14–1.41) same amount alone]. Conclusions As noted various did not impact subgroups population way respect loneliness. Our results suggest that public aimed at reducing a should incorporate multifactor interventions fostering positive consider targeting high risk

Language: Английский

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A systematic review of individual, social, and societal resilience factors in response to societal challenges and crises

Communications Psychology, Journal Year: 2024, Volume and Issue: 2(1)

Published: Oct. 5, 2024

Language: Английский

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Unmet health care needs during the COVID-19 pandemic among adults: a prospective cohort study in the Canadian Longitudinal Study on Aging

CMAJ Open, Journal Year: 2023, Volume and Issue: 11(1), P. E140 - E151

Published: Jan. 1, 2023

Background:

The COVID-19 pandemic affected access to health care services in Canada; however, limited research examines the influence of social determinants on unmet needs during first year pandemic. objectives this study were describe and investigate association with health.

Methods:

We conducted a prospective cohort 23 972 adults participating Canadian Longitudinal Study Aging (CLSA) (April–December 2020) identify associated Using logistic regression, we assessed between several following 3 outcomes (separately): experiencing any challenges accessing services, not going hospital or seeing doctor when needed, barriers testing for SARS-CoV-2 infection.

Results:

From September December 2020, 25% participants experienced 8% did go see needed 4% faced prevalence all need was lower among older age groups. Differences observed by sex, region, education, income racial background. Immigrants (odds ratio [OR] 1.18, 95% confidence interval [CI] 1.09–1.27) people chronic conditions (OR 1.35, CI 1.27–1.43) had higher odds (immigrants OR 1.26, 1.11–1.43; 1.45, 1.31–1.61). Prepandemic strongly outcomes.

Interpretation:

Substantial reported results have important implications equity.

Language: Английский

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Obesity and adverse childhood experiences in relation to stress during the COVID-19 pandemic: an analysis of the Canadian Longitudinal Study on Aging

International Journal of Obesity, Journal Year: 2023, Volume and Issue: unknown

Published: Jan. 23, 2023

Abstract Background People with obesity are at increased risk of chronic stress, and this may have been exacerbated during the COVID-19 pandemic. Adverse childhood experiences (ACE) also associated both modify stress among people obesity. The objectives study were to evaluate associations between obesity, ACEs, pandemic, determine if association was modified by ACEs. Methods A longitudinal conducted adults aged 50–96 years ( n = 23,972) from Canadian Longitudinal Study on Aging (CLSA) Study. Obesity ACEs collected pre-pandemic (2015–2018), measured Exit Survey (Sept-Dec 2020). We used logistic, Poisson, negative binomial regression estimate relative risks (RRs) 95% confidence intervals (CIs) for outcomes Interaction evaluated additive multiplicative scales. Results more likely experience an increase in overall stressors (class III vs. healthy weight RR 1.19; CI: 1.12–1.27) as well health related RR: 1.25; 1.12–1.39) but did not perceive consequences pandemic negative. (4–8 none 1.38; 1.33–1.44) being 1.32; 1.19–1.47). Conclusions Increased first year observed or long-term need be determined.

Language: Английский

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Experiences of a Community-Based Digital Intervention Among Older People Living in a Low-Income Neighborhood: Qualitative Study

JMIR Aging, Journal Year: 2024, Volume and Issue: 7, P. e52292 - e52292

Published: March 9, 2024

Background Older adults worldwide experienced heightened risks of depression, anxiety, loneliness, and poor mental well-being during the COVID-19 pandemic. During this period, digital technology emerged as a means to mitigate social isolation enhance connectedness among older adults. However, adults’ behaviors attitudes toward adoption use are heterogeneous shaped by factors such age, income, education. Few empirical studies have examined how experiencing economic disadvantages perceive learning tools. Objective This study aims examine motivations, experiences, perceptions community-based intervention residing in public rental flats low-income neighborhood. Specifically, we explored their smartphones experiences related age socioeconomic challenges. Methods adopted qualitative methodology. Between December 2020 March 2021, conducted semistructured in-depth interviews with 19 participants aged ≥60 years who had completed intervention. We asked questions about challenges encountered amid pandemic, perceived benefits difficulties smartphone use, participating All were audio recorded analyzed using reflexive thematic approach. Results Although learners stated varying levels motivation learn, most expressed ambivalence utility relevance current needs priorities. While valued interaction volunteers personalized model intervention, they also articulated barriers age-related cognitive physical limitations language illiteracy that hindered sustained these devices. Most importantly, internalization ageist stereotypes being less worthy perception realm privileged other further reduced self-efficacy interest learning. Conclusions To improve for low it is essential explore avenues render tools pertinent daily lives, creating opportunities connections relationship building. Future should investigate relationships between social, economic, health marginality ability access technologies. recommend design implementation interventions prioritize catering preferences various segments adults, while working bridge rather than perpetuate divide.

Language: Английский

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The long-term impact of COVID-19 on mental health and the moderation effect of sex and loneliness amongst resettled refugees: findings from BNLA cohort study

The Lancet Regional Health - Western Pacific, Journal Year: 2025, Volume and Issue: 56, P. 101516 - 101516

Published: March 1, 2025

Vulnerability to mental health problems is well-established in refugees, attributed the interplay between pre-and post-migration stressors. COVID-19 pandemic was recognized as a universal stressor with potential further impact refugees' health. This longitudinal study sought investigate of and its moderators resettled refugees Australia. Data from Waves 1 (2013-2014, pre-pandemic), 5 (2017-2018, pre-pandemic) 6 (2023, post-pandemic) Building New Life Australia were utilized this study. High risk severe illness (HR-SMI) post-traumatic stress disorder (PTSD) measured by K6 PTSD-8 scales. Using generalized linear mixed model, we examined impacts moderation effect sex loneliness. The difference changes predicted probability HR-SMI PTSD across moderator-based subgroups calculated. A total 2399 participated. weighted prevalence (Δ6-5 5.0%) or 3.2%) increased after pandemic, different trend (HR-SMI stable trend; decreased trend). Compared Wave 5, had significant on (AOR 1.54 [95% CI 1.17-2.04]), especially among females (2.04 1.16-3.56]); causing an additional 8.82% change than males. only found respondents loneliness (2.17 1.17-4.05]), 14.92% those without Rates prepandemic four years post-COVID-19 moderated being female. highlights need for ongoing, targeted psycho-social support specific refugee sub-groups. Guangdong Basic Applied Research Foundation (2022B1515020094).

Language: Английский

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The Health Effect of the Clean Energy Transition on Middle-aged and Elderly Farmers: Evidence from Clean Heating Program in China

Journal of Asian Economics, Journal Year: 2025, Volume and Issue: unknown, P. 101924 - 101924

Published: March 1, 2025

Language: Английский

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