PDF(Pubmed)
Abstract：
The COVID-19 pandemic and its prevention policies have taken a toll on Canadians, and certain subgroups may have been disproportionately affected, including those with non-communicable diseases (NCDs; e.g., heart and lung disease) due to their risk of COVID-19 complications and women due to excess domestic workload associated with traditional caregiver roles during the pandemic.
We investigated the impacts of COVID-19 on mental health, lifestyle habits, and access to healthcare among Canadians with NCDs compared to those without, and the extent to which women with NCDs were disproportionately affected.
As part of the iCARE study ( www.icarestudy.com ), data from eight cross-sectional Canadian representative samples (total n = 24,028) was collected via online surveys between June 4, 2020 to February 2, 2022 and analyzed using general linear models.
A total of 45.6% (n = 10,570) of survey respondents indicated having at least one physician-diagnosed NCD, the most common of which were hypertension (24.3%), chronic lung disease (13.3%) and diabetes (12.0%). In fully adjusted models, those with NCDs were 1.18-1.24 times more likely to report feeling lonely, irritable/frustrated, and angry \'to a great extent\' compared to those without (p\'s < 0.001). Similarly, those with NCDs were 1.22-1.24 times more likely to report worse eating and drinking habits and cancelling medical appointments/avoiding the emergency department compared to those without (p\'s < 0.001). Moreover, although there were no sex differences in access to medical care, women with NCDs were more likely to report feeling anxious and depressed, and report drinking less alcohol, compared to men with NCDs (p\'s < 0.01).
Results suggest that people with NCDs in general and women in general have been disproportionately more impacted by the pandemic, and that women with NCDs have suffered greater psychological distress (i.e., feeling anxious, depressed) compared to men, and men with NCDs reported having increased their alcohol consumption more since the start of COVID-19 compared to women. Findings point to potential intervention targets among people with NCDs (e.g., prioritizing access to medical care during a pandemic, increasing social support for this population and mental health support).
We investigated the impacts of COVID-19 on mental health, lifestyle habits, and access to healthcare among Canadians with NCDs compared to those without, and the extent to which women with NCDs were disproportionately affected.
As part of the iCARE study ( www.icarestudy.com ), data from eight cross-sectional Canadian representative samples (total n = 24,028) was collected via online surveys between June 4, 2020 to February 2, 2022 and analyzed using general linear models.
A total of 45.6% (n = 10,570) of survey respondents indicated having at least one physician-diagnosed NCD, the most common of which were hypertension (24.3%), chronic lung disease (13.3%) and diabetes (12.0%). In fully adjusted models, those with NCDs were 1.18-1.24 times more likely to report feeling lonely, irritable/frustrated, and angry \'to a great extent\' compared to those without (p\'s < 0.001). Similarly, those with NCDs were 1.22-1.24 times more likely to report worse eating and drinking habits and cancelling medical appointments/avoiding the emergency department compared to those without (p\'s < 0.001). Moreover, although there were no sex differences in access to medical care, women with NCDs were more likely to report feeling anxious and depressed, and report drinking less alcohol, compared to men with NCDs (p\'s < 0.01).
Results suggest that people with NCDs in general and women in general have been disproportionately more impacted by the pandemic, and that women with NCDs have suffered greater psychological distress (i.e., feeling anxious, depressed) compared to men, and men with NCDs reported having increased their alcohol consumption more since the start of COVID-19 compared to women. Findings point to potential intervention targets among people with NCDs (e.g., prioritizing access to medical care during a pandemic, increasing social support for this population and mental health support).
摘要：
背景：COVID-19大流行及其预防政策对加拿大人造成了影响，某些亚组可能受到不成比例的影响，包括非传染性疾病患者(非传染性疾病；例如，心脏和肺部疾病），原因是她们发生COVID-19并发症的风险，以及在大流行期间与传统照顾者角色相关的过度家庭工作量。
目的：我们调查了COVID-19对心理健康的影响，生活习惯,与非传染性疾病相比，患有非传染性疾病的加拿大人获得医疗保健的机会，以及非传染性疾病妇女受到不成比例影响的程度。
方法：作为iCARE研究的一部分（www.icarestudy.com),通过2020年6月4日至2022年2月2日之间的在线调查收集了来自加拿大8个横断面代表性样本(总n=24,028)的数据,并使用一般线性模型进行了分析.
结果：总共45.6%(n=10,570)的调查受访者表示至少有一名医生诊断为非传染性疾病，其中最常见的是高血压（24.3％），慢性肺病(13.3%)和糖尿病(12.0%)。在完全调整的模型中，患有非传染性疾病的人报告感到孤独的可能性是1.18-1.24倍，烦躁/沮丧，与没有的人相比，“在很大程度上”和“愤怒”(p<0.001)。同样，与没有非传染性疾病的患者相比,患有非传染性疾病的患者报告不良饮食习惯和取消医疗预约/避免急诊的可能性是其1.22-1.24倍(p<0.001).此外，尽管在获得医疗服务方面没有性别差异，患有非传染性疾病的女性更有可能报告感到焦虑和抑郁，并报告少饮酒，与患有非传染性疾病的男性相比（p<0.01）。
结论：结果表明，总体非传染性疾病患者和总体妇女受到大流行的影响更大，患有非传染性疾病的妇女遭受了更大的心理困扰(即，感到焦虑，沮丧)与男人相比，与女性相比，患有非传染性疾病的男性报告称，自COVID-19开始以来，他们的饮酒量增加得更多。调查结果指出了非传染性疾病患者的潜在干预目标(例如，在大流行期间优先获得医疗保健，增加对这一人群的社会支持和心理健康支持)。
目的：我们调查了COVID-19对心理健康的影响，生活习惯,与非传染性疾病相比，患有非传染性疾病的加拿大人获得医疗保健的机会，以及非传染性疾病妇女受到不成比例影响的程度。
方法：作为iCARE研究的一部分（www.icarestudy.com),通过2020年6月4日至2022年2月2日之间的在线调查收集了来自加拿大8个横断面代表性样本(总n=24,028)的数据,并使用一般线性模型进行了分析.
结果：总共45.6%(n=10,570)的调查受访者表示至少有一名医生诊断为非传染性疾病，其中最常见的是高血压（24.3％），慢性肺病(13.3%)和糖尿病(12.0%)。在完全调整的模型中，患有非传染性疾病的人报告感到孤独的可能性是1.18-1.24倍，烦躁/沮丧，与没有的人相比，“在很大程度上”和“愤怒”(p<0.001)。同样，与没有非传染性疾病的患者相比,患有非传染性疾病的患者报告不良饮食习惯和取消医疗预约/避免急诊的可能性是其1.22-1.24倍(p<0.001).此外，尽管在获得医疗服务方面没有性别差异，患有非传染性疾病的女性更有可能报告感到焦虑和抑郁，并报告少饮酒，与患有非传染性疾病的男性相比（p<0.01）。
结论：结果表明，总体非传染性疾病患者和总体妇女受到大流行的影响更大，患有非传染性疾病的妇女遭受了更大的心理困扰(即，感到焦虑，沮丧)与男人相比，与女性相比，患有非传染性疾病的男性报告称，自COVID-19开始以来，他们的饮酒量增加得更多。调查结果指出了非传染性疾病患者的潜在干预目标(例如，在大流行期间优先获得医疗保健，增加对这一人群的社会支持和心理健康支持)。
