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Health-related quality of life and mental well-being of healthy and diseased persons in 8 countries: Does stringency of government response against early COVID-19 matter?
Long, Di; Haagsma, Juanita A; Janssen, Mathieu F; Yfantopoulos, John N; Lubetkin, Erica I; Bonsel, Gouke J.
  • Long D; Department of Public Health, Erasmus MC, Rotterdam, the Netherlands.
  • Haagsma JA; Department of Public Health, Erasmus MC, Rotterdam, the Netherlands.
  • Janssen MF; Section Medical Psychology and Psychotherapy, Department of Psychiatry, Erasmus MC, Rotterdam, the Netherlands.
  • Yfantopoulos JN; MBA - Health Department of Economics, National and Kapodistrian University of Athens, Athens, Greece.
  • Lubetkin EI; Department of Community Health and Social Medicine, CUNY School of Medicine, New York, NY, USA.
  • Bonsel GJ; Department of Public Health, Erasmus MC, Rotterdam, the Netherlands.
SSM Popul Health ; 15: 100913, 2021 Sep.
Article in English | MEDLINE | ID: covidwho-1386635
ABSTRACT

OBJECTIVES:

Our study aimed to (1) assess health-related quality of life (HRQoL) and mental well-being of healthy and diseased persons in the general population during the early stage of the COVID-19 pandemic and (2) examine the relationship between HRQoL and mental well-being and individual characteristics and government response against COVID-19, as measured by the stringency index.

METHODS:

A web-based survey was administered to a cohort of persons from the general population of eight countries Greece, Italy, the Netherlands, Russia, South Africa, Sweden, the United Kingdom (UK) and the United States of America (US) from April 22 to May 5 and May 26 to June 1, 2020. Country-level stringency indices were adopted from the COVID-19 Government Response Tracker. Primary outcomes were HRQoL, measured using the EQ-5D-5L, and mental well-being, measured using the World Health Organization-5 Well-Being (WHO-5).

FINDINGS:

21,354 respondents were included in the study. Diseased respondents had lower EQ-5D-5L and WHO-5 scores compared to healthy respondents. Younger respondents had lower WHO-5 scores than older respondents. The stringency index had a stronger association with the EQ-5D-5L and WHO-5 among diseased respondents compared to healthy respondents. Increasing stringency was associated with an increase in EQ-5D-5L scores but a decrease in the WHO-5 index.

CONCLUSION:

The stringency of government response is inversely related to HRQoL and mental well-being with a small positive relation with HRQoL and strong negative relation with mental well-being. The magnitude of effects differed for healthy and diseased persons and by age but was most favourable for diseased and older persons.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study Language: English Journal: SSM Popul Health Year: 2021 Document Type: Article Affiliation country: J.ssmph.2021.100913

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study Language: English Journal: SSM Popul Health Year: 2021 Document Type: Article Affiliation country: J.ssmph.2021.100913