Risk-benefit and cost-utility analysis for COVID-19 lockdown in Belgium: the impact on mental health and wellbeing.

Feys, Frederik; Brokken, Sam; Peuter, Steven De

doi:10.31234/osf.io/xczb3

Cited by 6 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings suggest that an important contributing factor to increases in worry is the perception that one might incur several negative costs or consequences as a result of contracting COVID-19. Investigators are now beginning to uncover the economic toll of COVID-19 through productivity losses ( 46 ), specifically with regards to the cost of unmet mental health needs during the pandemic ( 47 ), which bolsters the importance of disseminating mental health interventions where possible. Targeting catastrophizing has been an integral part of cognitive-behavioral interventions for worry ( 48 ) and maybe effective in reducing worry at the time of the current pandemic.…”

Section: Discussionmentioning

confidence: 99%

Online Survey of the Impact of COVID-19 Risk and Cost Estimates on Worry and Health Behavior Compliance in Young Adults

Imbriano

Larsen

Mackin

et al. 2021

Front. Public Health

View full text Add to dashboard Cite

The novel coronavirus COVID-19 pandemic is associated with elevated rates of anxiety and relatively lower compliance with public health guidelines in younger adults. To develop strategies for reducing anxiety and increasing adherence with health guidelines, it is important to understand the factors that contribute to anxiety and health compliance in the context of COVID-19. Earlier research has shown that greater perceived risk of negative events and their costs are associated with increased anxiety and compliance with health behaviors, but it is unclear what role they play in a novel pandemic surrounded by uncertainty. In the present study we measured (1) perceived risk as the self-reported probability of being infected and experiencing serious symptoms due to COVID-19 and (2) perceived cost as financial, real-world, physical, social, and emotional consequences of being infected with COVID-19. Worry was assessed using the Penn State Worry Questionnaire (PWSQ) and health compliance was measured as endorsement of the World Health Organization (WHO) health directives for COVID-19. Our results showed that greater perceived risk and costs of contracting the COVID-19 virus were associated with greater worry and while only costs were associated with greater compliance with health behaviors. Neither self-reported worry nor its interaction with cost estimates was associated with increased engagement in health behaviors. Our results provide important insight into decision making mechanisms involved in both increased anxiety and health compliance in COVID-19 and have implications for developing psychoeducational and psychotherapeutic strategies to target both domains.

show abstract

Section: Discussionmentioning

confidence: 99%

Online Survey of the Impact of COVID-19 Risk and Cost Estimates on Worry and Health Behavior Compliance in Young Adults

Imbriano

Larsen

Mackin

et al. 2021

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…This approach is in accordance with the standard mechanism of cost-effectiveness analysis. Specifically, lockdowns negatively impact individuals' Quality Adjusted Life Years (QALY) by increasing mental and physical health burden [39,40]. In addition, solely from the losses in productivity, 1 week of national lockdown is equivalent to ~35,000 years of loss by World Health Organization (WHO) criteria for a cost-effective intervention [4,41].…”

Section: Model Simulationsmentioning

confidence: 99%

Human mobility and poverty as key drivers of COVID-19 transmission and control

et al. 2021

View full text Add to dashboard Cite

Background Applying heavy nationwide restrictions is a powerful method to curtail COVID-19 transmission but poses a significant humanitarian and economic crisis. Thus, it is essential to improve our understanding of COVID-19 transmission, and develop more focused and effective strategies. As human mobility drives transmission, data from cellphone devices can be utilized to achieve these goals. Methods We analyzed aggregated and anonymized mobility data from the cell phone devices of> 3 million users between February 1, 2020, to May 16, 2020 — in which several movement restrictions were applied and lifted in Israel. We integrated these mobility patterns into age-, risk- and region-structured transmission model. Calibrated to coronavirus incidence in 250 regions covering Israel, we evaluated the efficacy and effectiveness in decreasing morbidity and mortality of applying localized and temporal lockdowns (stay-at-home order). Results Poorer regions exhibited lower and slower compliance with the restrictions. Our transmission model further indicated that individuals from impoverished areas were associated with high transmission rates. Considering a horizon of 1–3 years, we found that to reduce COVID-19 mortality, school closure has an adverse effect, while interventions focusing on the elderly are the most efficient. We also found that applying localized and temporal lockdowns during regional outbreaks reduces the overall mortality and morbidity compared to nationwide lockdowns. These trends were consistent across vast ranges of epidemiological parameters, and potential seasonal forcing. Conclusions More resources should be devoted to helping impoverished regions. Utilizing cellphone data despite being anonymized and aggregated can help policymakers worldwide identify hotspots and apply designated strategies against future COVID-19 outbreaks.

show abstract

“…Further, their carers have often had to balance working from home, childcare and homeschooling, generally without being able to access a support network from family, friends or professional childminders 30 . Single occupancy and single parent households have also likely been disproportionately affected as the complete absence of social face-to-face interactions for many months may impact mental wellbeing 31 , 32 . To address this, households with one adult have been allowed to form a ‘support bubble’ with another household in England and Northern Ireland since 13th June 33 .…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of social bubbles as part of a Covid-19 lockdown exit strategy, a modelling study

Leng

White²,

Hilton³

et al. 2020

Wellcome Open Res

View full text Add to dashboard Cite

Background: During the coronavirus disease 2019 (COVID-19) lockdown, contact clustering in social bubbles may allow extending contacts beyond the household at minimal additional risk and hence has been considered as part of modified lockdown policy or a gradual lockdown exit strategy. We estimated the impact of such strategies on epidemic and mortality risk using the UK as a case study. Methods: We used an individual based model for a synthetic population similar to the UK, stratified into transmission risks from the community, within the household and from other households in the same social bubble. The base case considers a situation where non-essential shops and schools are closed, the secondary household attack rate is 20% and the initial reproduction number is 0.8. We simulate social bubble strategies (where two households form an exclusive pair) for households including children, for single occupancy households, and for all households. We test the sensitivity of results to a range of alternative model assumptions and parameters. Results: Clustering contacts outside the household into exclusive bubbles is an effective strategy of increasing contacts while limiting the associated increase in epidemic risk. In the base case, social bubbles reduced fatalities by 42% compared to an unclustered increase of contacts. We find that if all households were to form social bubbles the reproduction number would likely increase to above the epidemic threshold of R=1. Strategies allowing households with young children or single occupancy households to form social bubbles increased the reproduction number by less than 11%. The corresponding increase in mortality is proportional to the increase in the epidemic risk but is focussed in older adults irrespective of inclusion in social bubbles. Conclusions: If managed appropriately, social bubbles can be an effective way of extending contacts beyond the household while limiting the increase in epidemic risk.

show abstract

Risk-benefit and cost-utility analysis for COVID-19 lockdown in Belgium: the impact on mental health and wellbeing.

Cited by 6 publications

References 6 publications

Online Survey of the Impact of COVID-19 Risk and Cost Estimates on Worry and Health Behavior Compliance in Young Adults

Online Survey of the Impact of COVID-19 Risk and Cost Estimates on Worry and Health Behavior Compliance in Young Adults

Human mobility and poverty as key drivers of COVID-19 transmission and control

The effectiveness of social bubbles as part of a Covid-19 lockdown exit strategy, a modelling study

Contact Info

Product

Resources

About