At Which Area Level Does COVID-19 Infection Matter Most for an Individual’s Self-Rated Health? A Multilevel Fixed-Effects Model Analysis in Japan

Oshio, Takashi; Kimura, Hiromi; Nishizaki, Toshimi; Kuwahara, Susumu

doi:10.3390/ijerph19158918

Cited by 2 publications

(1 citation statement)

References 34 publications

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“…Widespread occurrences of infectious diseases were closely related to symptoms of psychological distress, such as depression and anxiety, which had negative effects on SRH among older people. 12 , 13 Not only the perceived threat but also the actual COVID-19-affectedness played a role with regard to SRH. Studies showed that short- and long-term negative health consequences can result from COVID-19 infections.…”

Section: Introductionmentioning

confidence: 99%

Worsened self-rated health in the course of the COVID-19 pandemic among older adults in Europe

Lüdecke

Knesebeck

2023

European Journal of Public Health

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Background Governments across Europe deployed non-pharmaceutical interventions to mitigate the spread of coronavirus disease 2019 (COVID-19), which not only showed clear benefits but also had negative consequences on peoples’ health. Health inequalities increased, disproportionally affecting people with higher age or lower education. This study analyzed associations between social factors and worsened self-rated health of elderly people in the course of the COVID-19 pandemic, taking different stringencies of government mandates as well as infection rates into account. Methods Data stem from the European SHARE survey. The main outcome was a binary indicator of worsened self-rated health. Analyses included data from two waves (2020 and 2021) during the pandemic (N = 48 356 participants, N = 96 712 observations). Predictors were age, sex, education and living together with a partner, and two macro indicators that reflected the stringency of government response mandates and COVID-19 infection rates. Data were analyzed using logistic mixed-effects regression models. Results Older age [odds ratio (OR) 1.73, confidence interval (CI) 1.65–1.81] and female sex (OR 1.26, CI 1.20–1.32) were positively associated and higher education (OR 0.74, CI 0.70–0.79) was negatively associated with worsened self-rated health. Not living together with a partner showed higher odds of worsened self-rated health (OR 1.30, CI 1.24–1.36). Inequalities increased from 2020 to 2021. Associations between worsened self-rated health and government response mandates or infection rates were inconsistent. Conclusion Self-rated health worsened in the course of the pandemic and health disparities increased. Possible future pandemics require targeted interventions to minimize adverse health outcomes, in particular among old, potentially isolated, and deprived people.

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Section: Introductionmentioning

confidence: 99%

Worsened self-rated health in the course of the COVID-19 pandemic among older adults in Europe

Lüdecke

Knesebeck

2023

European Journal of Public Health

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Evolutions of Self-Rated Health and Social Interactions during the COVID-19 Pandemic Affected by Pre-Pandemic Conditions: Evidence from a Four-Wave Survey

Oshio

Kimura

Nakazawa

et al. 2023

IJERPH

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The Coronavirus disease 2019 (COVID-19) pandemic has affected individuals’ self-rated health (SRH) and social interactions, but their evolution during the pandemic needs further investigation. The present study addressed this issue using longitudinal data from 13,887 observations of 4177 individuals obtained from a four-wave nationwide, population-based survey conducted between January and February 2019 (before the pandemic) and November 2022. We compared the evolutions of SRH and social interactions during the pandemic between individuals who interacted with others before the pandemic and those who did not. Three noteworthy findings were obtained. First, deterioration in SRH in response to the declared state of emergency was concentrated on individuals with no pre-pandemic interaction with others. Second, SRH generally improved during the pandemic, although the improvement was more remarkable among previously isolated individuals. Third, the pandemic has promoted social interactions among previously isolated individuals and reduced such chances among those who previously interacted with others. These findings underscore the importance of pre-pandemic social interactions as key determinants of responding to pandemic-related shocks.

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At Which Area Level Does COVID-19 Infection Matter Most for an Individual’s Self-Rated Health? A Multilevel Fixed-Effects Model Analysis in Japan

Cited by 2 publications

References 34 publications

Worsened self-rated health in the course of the COVID-19 pandemic among older adults in Europe

Worsened self-rated health in the course of the COVID-19 pandemic among older adults in Europe

Evolutions of Self-Rated Health and Social Interactions during the COVID-19 Pandemic Affected by Pre-Pandemic Conditions: Evidence from a Four-Wave Survey

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