像一个钟一样清晰? 在Covid-19期间的政策严格性和老年人健康
Jules Dupuy1, Thomas Barnay2, Eric Defebvre3
1ERUDITE, Université Paris-Est Créteil, Créteil, France; ENS Paris-Saclay, Gif-sur-Yvette, France.
Social science & medicine (1982)
|April 18, 2024
概括
欧洲的COVID-19限制政策与老年人自我健康评估 (SAH) 有着复杂的关系. 最初有害的,高度严格的政策可能会保护SAH,但这种影响根据个人的健康状况而异.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 随着COVID-19的流行,需要采取前所未有的公共卫生干预措施,包括广泛的限制政策.
- 了解这些政策对老年人的健康和福祉的影响,对于有效的公共卫生战略至关重要.
- 自我评估健康 (SAH) 是整体健康状况的关键指标,也是老年人群死亡率和发病率的预测指标.
研究的目的:
- 调查COVID-19限制政策对欧洲老年人自我健康评估 (SAH) 的影响.
- 检查政策严格性和COVID-19感染在调节SAH恶化中的相互作用.
- 根据个人先前存在的健康状况来确定政策的差异性影响.
主要方法:
- 利用了2019年10月至2021年8月欧洲健康,衰老和退休调查 (SHARE) 的数据,涵盖了9034名50岁以上的成年人.
- 整合了牛津冠状病毒政府响应追踪器 (OxCGRT) 的政策严格性指数.
- 采用调整的探针和递归的双变量探针模型来分析政策严格性,COVID-19感染和SAH之间的关联,测试内源性.
主要成果:
- 在政策严格性和SAH退化之间观察到一种非线性,钟形的关系:在低严格性的水平上,限制是有害的,但在一个临界点之后,它变得具有保护性.
- COVID-19感染缓解了政策严格性和SAH之间的关联.
- 严格政策的影响不均,对具有先前存在的脆弱性的人来说变得有害,逆转了这个子组的典型钟曲线.
结论:
- 政策的严格性表现出一个复杂的,非线性关联与感知健康的老年欧洲人在疫情期间.
- 限制政策的有效性和影响取决于严格程度和个人的健康状况.
- 在广泛的政策应用和针对弱势老年人群的有针对性的支持之间存在潜在的权衡.
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