■已经报道了COVID-19的感知益处和危害,但是它们是否会影响应对大流行和心理健康的信心仍然不确定。
■检查COVID-19的感知益处和危害与应对大流行和心理健康症状的信心之间的关系。
于2021年2月22日至3月23日对7535名香港成年人进行了一项基于人群的调查,当时COVID-19的第四波浪潮得到了控制。关于社会人口特征的信息,COVID-19的感知益处(10种选择)和危害(12种选择),应对大流行的信心(范围0-10),孤独(范围0-4),收集焦虑(一般焦虑障碍-2,范围0-6)和抑郁(患者健康问卷-2,范围0-6)。潜在特征分析用于确定COVID-19的感知益处和危害的组合模式。组合模式与应对COVID-19、孤独感、焦虑,使用线性回归(β系数)校正社会人口统计学特征来检查抑郁症。
■感知到的益处和危害的组合模式被分类为益处(n=4,338,59.3%),伤害(n=995,14.0%),和矛盾组(n=2,202,26.7%)。与矛盾组相比,受益组的置信水平显著较高(调整后的β0.46,95%CI0.33至0.58),和较低水平的孤独感(-0.35,-0.40至-0.29),焦虑(-0.67,0.76至-0.59),和抑郁症(-0.65,-0.73至-0.57)。伤害组的信心水平明显较低(-0.35,-0.53至-0.16),和更高的孤独感(0.38,0.30到0.45),焦虑(0.84,0.73至0.96),和抑郁症(0.95,0.84至1.07)。
■从COVID-19中获得更大的好处与更好的心理健康和应对大流行的信心有关。
Both perceived benefits and harms of COVID-19 have been reported, but whether they affect confidence in coping with the pandemic and mental health remains uncertain.
To examine the association of perceived benefits and harms of COVID-19 with confidence in coping with the pandemic and mental health symptoms.
A population-based survey was conducted on 7,535 Hong Kong adults from 22 February to 23 March 2021, when the 4th wave of COVID-19 was under control. Information on sociodemographic characteristics, perceived benefits (10 options) and harms (12 options) of COVID-19, confidence in coping with the pandemic (range 0-10), loneliness (range 0-4), anxiety (General Anxiety Disorders-2, range 0-6) and depression (Patient Health Questionnaire-2, range 0-6) was collected. Latent profile analysis was used to identify the combined patterns of perceived benefits and harms of COVID-19. The associations of combined patterns with confidence in coping with COVID-19, loneliness, anxiety, and depression were examined using linear regression (β coefficient) adjusting for sociodemographic characteristics.
The combined patterns of perceived benefits and harms were classified into benefit (n = 4,338, 59.3%), harm (n = 995, 14.0%), and ambivalent (n = 2,202, 26.7%) groups. Compared with the ambivalent group, the benefit group had a significantly higher level of confidence (adjusted β 0.46, 95% CI 0.33 to 0.58), and lower levels of loneliness (-0.35, -0.40 to-0.29), anxiety (-0.67, 0.76 to-0.59), and depression (-0.65, -0.73 to-0.57). The harm group had a significantly lower level of confidence (-0.35, -0.53 to-0.16), and higher levels of loneliness (0.38, 0.30 to 0.45), anxiety (0.84, 0.73 to 0.96), and depression (0.95, 0.84 to 1.07).
Perceived greater benefit from COVID-19 was associated with better mental health and stronger confidence in coping with the pandemic.