The hidden stigma of aging and COVID-19: aggravating factors and strategies to mitigate the impact of the pandemic in older adults, a text mining analysis

Borelli, Wyllians Vendramini; Xavier, Laura de Lima; Ornell, Felipe; Schuch, Jaqueline Bohrer; Diemen, Lísia von

doi:10.1080/13607863.2021.1910793

Cited by 6 publications

(3 citation statements)

References 74 publications

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“… 46 Recent studies highlighted that this population was particularly affected by the pandemic, possibly because measures to control the pandemic increased loneliness, triggering or worsening psychiatric conditions. 47 Moreover, the pandemic may have created barriers to access to mental health care. 48 The increase in suicide among young adults was also evidenced in three regions, all of them with rates in excess of 30% compared to the expected figure.…”

Section: Discussionmentioning

confidence: 99%

Differential impact in suicide mortality during the COVID-19 pandemic in Brazil

Ornell¹,

Benzano²,

Borelli³

et al. 2022

Brazilian Journal of Psychiatry

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Objectives: To compare suicide rates observed in Brazil after the onset of the COVID-19 pandemic with the estimated rate based on suicide deaths between 2010 and 2020, and identify sociodemographic variables associated with this outcome. Methods: Ecological time-series study. Data were obtained from Brazilian Unified Health System Department of Information Technology (DATASUS), with the structural break of the data set in March 2020. The number of actual suicides observed and the number of expected suicides if there were no COVID-19 pandemic were analyzed through bayesian structural time series modeling. Results: The overall incidence of suicides in Brazil remained stable after the start of the COVID-19 pandemic compared to what would be expected. However, there was a significant increase in suicide deaths among women (6.9%) and older adult (9.1%). Analysis by macro-regions of the country showed significant increases in suicide deaths in the Center-West (7.4%), Northeast (5.7%), and Southeast (10%). Stratified analyses revealed differences according to age, sex, education, and skin color. Conclusions: Despite stability in the overall number of suicides, this phenomenon occurs heterogeneously among different population groups and regions of Brazil. Rates have increased in populations with a history of poor access to health, which may have been more severely impacted by the pandemic.

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Section: Discussionmentioning

confidence: 99%

Differential impact in suicide mortality during the COVID-19 pandemic in Brazil

Ornell¹,

Benzano²,

Borelli³

et al. 2022

Brazilian Journal of Psychiatry

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“…As older adults generally rely on face-to-face communication and lack skills in using electronic devices, 13,14 lockdown may largely cut off their connections with the outside world. In addition, older individuals are suffering from ageism as well as devaluing 15,16 during the pandemic and have had more difficulties in coping with the COVID-19 information explosion. 12,17 These problems have great potential to cause or increase mental health problems (e.g., depression and anxiety) among older populations.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of depressive and anxiety symptoms among Chinese older adults during the COVID-19 pandemic: A systematic review and meta-analysis

Yan

Lai

et al. 2022

J Geriatr Psychiatry Neurol

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Background: Estimating the prevalence of depressive and anxiety symptoms among older adults with different health conditions can inform mental health services for this population during the corona virus disease-2019 (COVID-19) pandemic. Method: A search of 12 scientific databases identified 17 studies with 11,237 Chinese older adults who were infected by COVID-19, were generally healthy, or had chronic illnesses. Meta-analysis was used to estimate the overall prevalence of depressive and anxiety symptoms in these three groups. Assessment criteria, region, and time phase of the pandemic were tested as sources of heterogeneity. Results: With an average risk of bias score of 6.71 (range = 6–8), the majority of included studies employed appropriate statistical methods, used validated measurement tools, and had adequate response rates; however, they might have deficiencies in sample frame, sampling method, and sample size. Within the COVID-19, general, and chronic illness groups, the prevalence of depressive symptoms was 27%, 26%, and 61%, respectively, and the prevalence of anxiety symptoms was 14%, 23%, and 85%, respectively. Among generally healthy older adults, anxiety was more prevalent during the Phase 2 (March–April 2020) of the pandemic compared with other time phases. Conclusions: The results have implications for addressing the mental health problems of Chinese older adults, especially those with chronic illnesses, during the COVID-19 pandemic.

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“…14 Furthermore, research highlights the burden of informal caregivers due to the increase in self-quarantine arising from the recent COVID-19 pandemic. 15,16 Lastly, a study in Brazil 17 attempted to analyze the period, frequency and reasons for re-hospitalization at home using the 10-year EHR data of HHC child patients on ventilators. However, few South Korean studies have examined the status and distribution of HHC in tertiary hospitals using the longitudinal 10-year EHR data.…”

Section: Introductionmentioning

confidence: 99%

Examining Characteristics and Service Utilization of South Korean Home Health Care Patients: Secondary Analysis of 10-Year Data From a Tertiary Hospital

Lee

Kim

Heo

et al. 2022

Home Health Care Management & Practice

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This study aimed to identify the characteristics of home health care (HHC) patients, main diagnoses, service type, home visit patterns, and primary caregiver type from a major tertiary hospital in South Korea to provide basic data for tailored nursing care. We used Electronic Health Records (EHRs) data of 1776 patients, from 2011 to 2020, from a premier tertiary hospital in South Korea and conducted secondary data analysis using descriptive statistics, a chi-squared test, and an independent samples t-test. Patients’ mean age (i.e., 50.9% men and 49.1% women) was 74.50 ± 15.48 years. Further, admission to HHC via the outpatient and inpatient department comprised 1047 (59.0%) and 729 patients (41.0%), respectively. Based on the Korean Standard Classification of Diseases, neoplasms (49.9%) were identified as the most common main diagnosis, followed by diseases of the nervous system (10.3%) and musculoskeletal system and connective tissue disease (6.2%). An average of 2.2 homecare nursing services were provided per visit, with lab sampling (43.9%), other intravenous injections (31.0%), and ventilator care (23.0%) being the most frequent services. The total HHC service period for patients via the outpatient department was 76.88 days longer (292.24 vs 215.36 days) than those from the inpatient department. Younger patients were cared for by parents and siblings and older patients by spouses, offspring, and formal caregivers. It is pivotal to identify general characteristics of HHC patients through long-term monitoring and retrospective analysis to provide high-quality and tailored interventions to them.

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The hidden stigma of aging and COVID-19: aggravating factors and strategies to mitigate the impact of the pandemic in older adults, a text mining analysis

Cited by 6 publications

References 74 publications

Differential impact in suicide mortality during the COVID-19 pandemic in Brazil

Differential impact in suicide mortality during the COVID-19 pandemic in Brazil

Prevalence of depressive and anxiety symptoms among Chinese older adults during the COVID-19 pandemic: A systematic review and meta-analysis

Examining Characteristics and Service Utilization of South Korean Home Health Care Patients: Secondary Analysis of 10-Year Data From a Tertiary Hospital

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