Worsened self-rated health in the course of the COVID-19 pandemic among older adults in Europe.
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...
| Published in: | European Journal of Public Health Vol. 33; no. 6; pp. 1148 - 1155 |
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| Main Authors: | , |
| Format: | research tables/charts Journal Article |
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Oxford University Press / USA
Dec2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174108328&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174108328 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Dec2023 vid: 33 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 174108328 174108328 174108328 10.1093/eurpub/ckad143 174108328 ppf: 1148 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Worsened self-rated health in the course of the COVID-19 pandemic among older adults in Europe. aug: au: Lüdecke, Daniel von dem Knesebeck, Olaf affil: Institute of Medical Sociology, University Medical Center Hamburg-Eppendorf , Hamburg, Germany sug: subj: COVID-19 Pandemic In Old Age Self Concept In Old Age Health In Old Age Infection Control Human Europe Logistic Regression Odds Ratio Confidence Intervals Healthcare Disparities Adverse Health Care Event Questionnaires Descriptive Statistics Funding Source Aged Aged: 65+ years ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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