Association of Non-Pharmaceutical Interventions to Reduce the Spread of SARS-CoV-2 With Anxiety and Depressive Symptoms: A Multi-National Study of 43 Countries

International Journal of Public Health

卷:67

Luke R. Aldridge¹  Elizabeth A. Stuart¹  Kira E. Riehm¹  Ting-Hsuan Chang¹  Carly P. Lupton-Smith¹  Rachel Presskreischer¹  Elena Badillo Goicoechea¹  Frances M. Wang¹  Esther Kim²  Sarah LaRocca²  Frauke Kreuter⁵ 

[1] Department of Mental Health, Johns Hopkins University, Baltimore, MD, United States;

[2] Facebook, Menlo Park, CA, United States;

[3] Joint Program in Survey Methodology, University of Maryland, College Park, MD, United States;

[4] School of Social Sciences, University of Mannheim, Mannheim, Germany;

[5] Statistical Methods Group, Institute for Employment Research, Nuremberg, Germany;

关键词: anxiety;    COVID-19;    depression;    gender;    non-pharmaceutical interventions;    age;   

DOI  :  10.3389/ijph.2022.1604430

来源: DOAJ

【 摘 要 】

Objectives: To examine the association of non-pharmaceutical interventions (NPIs) with anxiety and depressive symptoms among adults and determine if these associations varied by gender and age.Methods: We combined survey data from 16,177,184 adults from 43 countries who participated in the daily COVID-19 Trends and Impact Survey via Facebook with time-varying NPI data from the Oxford COVID-19 Government Response Tracker between 24 April 2020 and 20 December 2020. Using logistic regression models, we examined the association of [1] overall NPI stringency and [2] seven individual NPIs (school closures, workplace closures, cancellation of public events, restrictions on the size of gatherings, stay-at-home requirements, restrictions on internal movement, and international travel controls) with anxiety and depressive symptoms.Results: More stringent implementation of NPIs was associated with a higher odds of anxiety and depressive symptoms, albeit with very small effect sizes. Individual NPIs had heterogeneous associations with anxiety and depressive symptoms by gender and age.Conclusion: Governments worldwide should be prepared to address the possible mental health consequences of stringent NPI implementation with both universal and targeted interventions for vulnerable groups.

【 授权许可】

Unknown