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Sub-Health Status Survey and Influential Factor Analysis in Chinese during Coronavirus Disease 2019 Pandemic
Yanbin Pan1, Jianlong Yan2,3, Wanxian Lu4
1Department of Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Insights
During the COVID-19 pandemic, over 63% of Chinese adults experienced sub-health status (SHS), with physiological factors most affected. Targeted interventions are needed for at-risk groups like men and urban workers.
Area of Science:
- Public Health
- Epidemiology
- Psychology
Background:
- The Coronavirus disease 2019 (COVID-19) pandemic created high physiological, psychological, and social stress.
- Sub-health status (SHS) is defined as a state of low-quality health.
Purpose of the Study:
- To investigate the prevalence and influencing factors of sub-health status (SHS) in China during the COVID-19 pandemic.
Main Methods:
- A large-scale cross-sectional survey was conducted from March 6-11, 2020.
- Convenient sampling and an SHS assessment scale were utilized.
- Ordinal logistic regression analysis identified factors affecting SHS.
Main Results:
- 10,715 subjects (63.7%) reported SHS, predominantly moderate.
- Physiological factors contributed most to SHS, followed by psychological and social factors.
- Risk factors included being male, an only child, a worker, or a farmer; protective factors included rural living, retiree status, and higher education.
Conclusions:
- A significant portion of the Chinese population experienced poor health during the COVID-19 pandemic.
- Public health initiatives should address SHS in vulnerable groups, including men, only children, urban workers, and farmers.
- Continued attention is required for individuals with higher education levels during and after the pandemic.
Purpose:
This study aimed to investigate sub-health status (SHS) of people living in China during the Coronavirus disease 2019 (COVID-19) COVID-19 pandemic. COVID-19 is a severe acute respiratory syndrome coronavirus (SARS-CoV) infection-induced acute infectious disease, which is featured by universal susceptibility and strong infectivity, and SHS (a status of low quality health) refers to a status of low-quality health. COVID-19 has gradually developed into a global pandemic, making the public in a high stress situation in physiological, psychological and social states in the short term.
Methods:
From March 6 to 11, 2020, a large-scale cross-sectional survey was conducted by convenient sampling, and SHS assessment scale was used in the questionnaire. The ordinal logistic regression analysis was used to identify the factors affecting SHS.
Results:
In this study, 17,078 questionnaires were delivered with 16,820 effective questionnaires collected, and 10,715 subjects (63.7%) were found with SHS, with moderate SHS primarily. Physiological sub-scale scored the highest, followed by psychological and social sub-scales. Ordinal logistic regression analysis indicated that man, only-child, workers and farmers were risk factors of SHS. Protective factors of SHS included living in rural areas and townships, laid-off retirees and education degree.
Conclusion:
It shows many people in China place in a poor health status during COVID-19 pandemic. It is necessary that relevant departments pay more attention to people with poor health such as men, only-child, urban people, workers and farmers, and groups with high education degree during and after pandemic stabilization.
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