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Associations of Underlying Health Conditions With Anxiety and Depression Among Outpatients: Modification Effects of Suspected COVID-19 Symptoms, Health-Related and Preventive Behaviors.
Nguyen, Minh H; Pham, Thu T M; Pham, Linh V; Phan, Dung T; Tran, Tien V; Nguyen, Hoang C; Nguyen, Huu C; Ha, Tung H; Dao, Hung K; Nguyen, Phuoc B; Trinh, Manh V; Do, Thinh V; Nguyen, Hung Q; Nguyen, Thao T P; Nguyen, Nhan P T; Tran, Cuong Q; Tran, Khanh V; Duong, Trang T; Nguyen, Tan T; Pham, Khue M; Nguyen, Lam V; Vo, Tam T; Do, Binh N; Dang, Nga H; Le, Thuy T; Do, Ngoc T; Nguyen, Hoai T T; Mai, Thuy T T; Ha, Dung T; Ngo, Huong T M; Nguyen, Kien T; Bai, Chyi-Huey; Duong, Tuyen Van.
  • Nguyen MH; International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
  • Pham TTM; Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam.
  • Pham LV; School of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan.
  • Phan DT; Department of Pulmonary and Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong, Vietnam.
  • Tran TV; Director Office, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong, Vietnam.
  • Nguyen HC; Faculty of Nursing, Hanoi University of Business and Technology, Hanoi, Vietnam.
  • Nguyen HC; Nursing Office, Thien an Obstetrics and Gynecology Hospital, Hanoi, Vietnam.
  • Ha TH; Department of Infectious Diseases, Vietnam Military Medical University, Hanoi, Vietnam.
  • Dao HK; Director Office, Military Hospital 103, Hanoi, Vietnam.
  • Nguyen PB; Director Office, Thai Nguyen National Hospital, Thai Nguyen, Vietnam.
  • Trinh MV; President Office, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam.
  • Do TV; Director Office, E Hospital, Hanoi, Vietnam.
  • Nguyen HQ; Department of Thoracic and Cardiovascular Surgery, E Hospital, Hanoi, Vietnam.
  • Nguyen TTP; Director Office, General Hospital of Agricultural, Hanoi, Vietnam.
  • Nguyen NPT; Director Office, Bac Ninh Obstetrics and Pediatrics Hospital, Bac Ninh, Vietnam.
  • Tran CQ; Director Office, Kien An Hospital, Hai Phong, Vietnam.
  • Tran KV; Director Office, Quang Ninh General Hospital, Quang Ninh, Vietnam.
  • Duong TT; Director Office, Bai Chay Hospital, Quang Ninh, Vietnam.
  • Nguyen TT; Director Office, Quang Ninh Obstetrics and Pediatrics Hospital, Quang Ninh, Vietnam.
  • Pham KM; Health Management Training Institute, Hue University of Medicine and Pharmacy, Thua Thien Hue, Vietnam.
  • Nguyen LV; Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary.
  • Vo TT; General Planning Department, Da Nang Oncology Hospital, Da Nang, Vietnam.
  • Do BN; Director Office, Thu Duc District Health Center, Ho Chi Minh City, Vietnam.
  • Dang NH; Faculty of Health, Mekong University, Vinh Long, Vietnam.
  • Le TT; Director Office, Hospital District 2, Ho Chi Minh City, Vietnam.
  • Do NT; Nursing Office, Tan Phu District Hospital, Ho Chi Minh City, Vietnam.
  • Nguyen HTT; Department of Orthopedics, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.
  • Mai TTT; Director Office, Can Tho University of Medicine and Pharmacy Hospital, Can Tho, Vietnam.
  • Ha DT; Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam.
  • Ngo HTM; President Office, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam.
  • Nguyen KT; Aesthetic Plastic Surgery & Skin Care Center, Can Tho University of Medicine and Pharmacy Hospital, Can Tho, Vietnam.
  • Bai CH; President Office, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.
  • Duong TV; Director Office, Trieu Phong District Health Center, Quang Tri, Vietnam.
Int J Public Health ; 66: 634904, 2021.
Article in English | MEDLINE | ID: covidwho-1282431
ABSTRACT

Objectives:

We explored the association of underlying health conditions (UHC) with depression and anxiety, and examined the modification effects of suspected COVID-19 symptoms (S-COVID-19-S), health-related behaviors (HB), and preventive behaviors (PB).

Methods:

A cross-sectional study was conducted on 8,291 outpatients aged 18-85 years, in 18 hospitals and health centers across Vietnam from 14th February to May 31, 2020. We collected the data regarding participant's characteristics, UHC, HB, PB, depression, and anxiety.

Results:

People with UHC had higher odds of depression (OR = 2.11; p < 0.001) and anxiety (OR = 2.86; p < 0.001) than those without UHC. The odds of depression and anxiety were significantly higher for those with UHC and S-COVID-19-S (p < 0.001); and were significantly lower for those had UHC and interacted with "unchanged/more" physical activity (p < 0.001), or "unchanged/more" drinking (p < 0.001 for only anxiety), or "unchanged/healthier" eating (p < 0.001), and high PB score (p < 0.001), as compared to those without UHC and without S-COVID-19-S, "never/stopped/less" physical activity, drinking, "less healthy" eating, and low PB score, respectively.

Conclusion:

S-COVID-19-S worsen psychological health in patients with UHC. Physical activity, drinking, healthier eating, and high PB score were protective factors.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Outpatients / Comorbidity / Depression / COVID-19 Type of study: Diagnostic study / Prevalence study / Qualitative research / Randomized controlled trials / Risk factors Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Asia Language: English Journal: Int J Public Health Journal subject: Public Health Year: 2021 Document Type: Article Affiliation country: Ijph.2021.634904

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Outpatients / Comorbidity / Depression / COVID-19 Type of study: Diagnostic study / Prevalence study / Qualitative research / Randomized controlled trials / Risk factors Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Asia Language: English Journal: Int J Public Health Journal subject: Public Health Year: 2021 Document Type: Article Affiliation country: Ijph.2021.634904