Mehrunnisa Shiraz, Colin A Capaldi, Laura L Ooi, Karen C Roberts
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Unadjusted and adjusted logistic regression analyses examined the associations between health care barriers (appointment scheduling problems, delaying contacting health care) and high self-rated mental health and perceived worsening mental health compared to before the pandemic, overall and stratified by gender, age group, number of chronic health conditions and household income tertile.</p><p><strong>Results: </strong>Individuals who experienced pandemic-related appointment changes or had appointments not yet scheduled were less likely to have high self-rated mental health (aOR = 0.81 and 0.64, respectively) and more likely to have perceived worsening mental health (aOR = 1.50 and 1.94, respectively) than those with no scheduling problems. Adults who delayed contacting health care for pandemic-related reasons (e.g. fear of infection) or other reasons were less likely to have high self-rated mental health (aOR = 0.52 and 0.45, respectively) and more likely to have perceived worsening mental health (aOR = 2.31 and 2.43, respectively) than those who did not delay. Delaying contacting health care for pandemic-related reasons was associated with less favourable perceived mental health in all subgroups, while the association between perceived mental health and pandemic-related appointment changes was significant in some groups.</p><p><strong>Conclusion: </strong>Health care barriers during the pandemic were associated with less favourable perceived mental health. 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Unadjusted and adjusted logistic regression analyses examined the associations between health care barriers (appointment scheduling problems, delaying contacting health care) and high self-rated mental health and perceived worsening mental health compared to before the pandemic, overall and stratified by gender, age group, number of chronic health conditions and household income tertile.</p><p><strong>Results: </strong>Individuals who experienced pandemic-related appointment changes or had appointments not yet scheduled were less likely to have high self-rated mental health (aOR = 0.81 and 0.64, respectively) and more likely to have perceived worsening mental health (aOR = 1.50 and 1.94, respectively) than those with no scheduling problems. 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引用次数: 0
摘要
导言:在 COVID-19 大流行期间,加拿大面临医疗保健障碍的个人的心理健康感知尚未得到充分研究:我们分析了2021年3月至6月收集的数据,这些数据来自于在过去12个月内报告需要医疗保健服务的成年人,他们参加了大流行期间医疗保健和药品获取情况调查(Survey on Access to Health Care and Pharmaceuticals during the Pandemic)。未调整和调整后的逻辑回归分析研究了与大流行前相比,医疗障碍(预约时间安排问题、延迟联系医疗机构)与高自评心理健康和感知心理健康恶化之间的关联,包括总体关联和按性别、年龄组、慢性疾病数量和家庭收入三等分层的关联:与没有时间安排问题的人相比,经历过与大流行相关的预约变更或尚未安排预约的人较少可能有较高的心理健康自评(aOR = 0.81 和 0.64,分别为 0.81 和 0.64),较多可能有心理健康恶化感(aOR = 1.50 和 1.94,分别为 1.50 和 1.94)。因大流行相关原因(如害怕感染)或其他原因而延迟联系医疗机构的成年人与没有延迟的成年人相比,自我评定心理健康水平较高的可能性较低(aOR = 0.52 和 0.45,分别为 0.52 和 0.45),而认为心理健康恶化的可能性较高(aOR = 2.31 和 2.43,分别为 2.31 和 2.43)。在所有亚组中,因大流行相关原因而延迟联系医护人员与较差的心理健康感知有关,而在某些亚组中,心理健康感知与大流行相关的预约变更之间的关联显著:结论:大流行期间的医疗障碍与较差的心理健康感知有关。这些发现可为医疗资源分配和公共卫生信息传播提供参考。
Health care barriers and perceived mental health among adults in Canada during the COVID-19 pandemic: a population-based cross-sectional study.
Introduction: The perceived mental health of individuals in Canada who faced health care barriers during the COVID-19 pandemic is underexplored.
Methods: We analyzed data collected March to June 2021 from adults who reported needing health care services within the past 12 months in the Survey on Access to Health Care and Pharmaceuticals during the Pandemic. Unadjusted and adjusted logistic regression analyses examined the associations between health care barriers (appointment scheduling problems, delaying contacting health care) and high self-rated mental health and perceived worsening mental health compared to before the pandemic, overall and stratified by gender, age group, number of chronic health conditions and household income tertile.
Results: Individuals who experienced pandemic-related appointment changes or had appointments not yet scheduled were less likely to have high self-rated mental health (aOR = 0.81 and 0.64, respectively) and more likely to have perceived worsening mental health (aOR = 1.50 and 1.94, respectively) than those with no scheduling problems. Adults who delayed contacting health care for pandemic-related reasons (e.g. fear of infection) or other reasons were less likely to have high self-rated mental health (aOR = 0.52 and 0.45, respectively) and more likely to have perceived worsening mental health (aOR = 2.31 and 2.43, respectively) than those who did not delay. Delaying contacting health care for pandemic-related reasons was associated with less favourable perceived mental health in all subgroups, while the association between perceived mental health and pandemic-related appointment changes was significant in some groups.
Conclusion: Health care barriers during the pandemic were associated with less favourable perceived mental health. These findings could inform health care resource allocation and public health messaging.
期刊介绍:
Health Promotion and Chronic Disease Prevention in Canada: Research, Policy and Practice (the HPCDP Journal) is the monthly, online scientific journal of the Health Promotion and Chronic Disease Prevention Branch of the Public Health Agency of Canada. The journal publishes articles on disease prevention, health promotion and health equity in the areas of chronic diseases, injuries and life course health. Content includes research from fields such as public/community health, epidemiology, biostatistics, the behavioural and social sciences, and health services or economics.