scholarly journals Pre-pandemic mental and physical health as predictors of COVID-19 vaccine hesitancy: evidence from a UK-wide cohort study

2021 ◽  
Author(s):  
George David Batty ◽  
Ian Deary ◽  
Drew Altschul
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Physical Health ◽  
General Health Questionnaire ◽  
Vaccine Hesitancy ◽  
Symptom Scale ◽  
Individual Level ◽  
Successful Testing ◽  
The Uk ◽  
Mental And Physical Health

Importance: Although several predictors of COVID-19 vaccine hesitancy have been identified, the role of physical health has not been well-examined, and the association with mental health is unknown. Objective: To examine the association of pre-pandemic mental health, physical health, and shielding with vaccine hesitancy after the announcement of the successful testing of the Oxford University/AstraZeneca vaccine. Design, Setting, and Participants: We used individual-level data from a pandemic-focused investigation (COVID Survey), a prospective cohort study nested within the UK Understanding Society (Main Survey) project. In the week immediately following the announcement of successful testing of the first efficacious inoculation (November/December 2020), data on vaccine intentionality were collected in 12,035 individuals aged 16-95 years. Pre-pandemic, study members had responded to enquiries about diagnoses of mental and physical health, completed the 12-item General Health Questionnaire for symptoms of psychological distress (anxiety and depression), and indicated whether they or someone in their household was shielding. Main outcome measures: Self-reported intention to take up a vaccination for COVID-19. To summarise our results, we computed odds ratios with accompanying 95% confidence intervals for indices of health and shielding adjusted for selected covariates. Results: In an analytical sample of 11,955 people (6741 women), 15.4% indicated that they were vaccine hesitant. Relative to their disease-free counterparts, shielding was associated with a 24% lower risk of being hesitant (odds ratio; 95% confidence interval: 0.76; 0.59, 0.96), after adjustment for a range of covariates which included age, education, and ethnicity. Corresponding results for cardiometabolic disease were 22% (0.78; 0.64, 0.95), and for respiratory disease were 26% (0.74; 0.59, 0.93). Having a pre-pandemic diagnosis of anxiety or depression, or a high score on the distress symptom scale, were all unrelated to the willingness to take up a vaccine. Conclusions and relevance: People who have been prioritised for COVID-19 vaccination owing to a physical condition are more likely to take it up. These effects were not apparent for indices of mental health.

scholarly journals Assessing the perceived changes in neighborhood physical and social environments and how they are associated with Chinese internal migrants’ mental health

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Min Yang ◽  
Julian Hagenauer ◽  
Martin Dijst ◽  
Marco Helbich
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
General Health Questionnaire ◽  
Variable Importance ◽  
Neighborhood Environment ◽  
Minor Role ◽  
Social Environments ◽  
Reverse Causality ◽  
Registration System ◽  
Individual Level

Abstract Background Migrants experience substantial changes in their neighborhood physical and social environments along their migration journeys, but little is known about how perceived changes in their neighborhood environment pre- and post-migration correlate with their mental health. Our aim was to examine the associations between recalled changes in the perceived neighborhood physical and social environments and migrants’ mental health in the host city. Methods We used cross-sectional data on 591 migrants in Shenzhen, China. We assessed their risk of mental illness using the General Health Questionnaire (GHQ). Neighborhood perceptions were collected retrospectively pre- and post-migration. We used random forests to analyze possibly non-linear associations between GHQ scores and changes in the neighborhood environment, variable importance, and for exploratory analysis of variable interactions. Results Perceived changes in neighborhood aesthetics, safety, and green space were non-linearly associated with migrants’ mental health: A decline in these characteristics was associated with poor mental health, while improvements in them were unrelated to mental health benefits. Variable importance showed that change in safety was the most influential neighborhood characteristic, although individual-level characteristics—such as self-reported physical health, personal income, and hukou (i.e., the Chinese household registration system)—appeared to be more important to explain GHQ scores and also strongly interacted with other variables. For physical health, we found different associations between changes in the neighborhood provoked by migration and mental health. Conclusion Our findings suggest that perceived degradations in the physical environment are related to poorer post-migration mental health. In addition, it seems that perceived changes in the neighborhood environment play a minor role compared to individual-level characteristics, in particular migrants’ physical health condition. Replication of our findings in longitudinal settings is needed to exclude reverse causality.

scholarly journals The cost of mental and physical health disability in childhood and adolescence to families in the UK: findings from a repeated cross-sectional survey using propensity score matching

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018729 ◽  
Author(s):  
Francesca Solmi ◽  
Mariya Melnychuk ◽  
Stephen Morris
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Childhood And Adolescence ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Family ◽  
Additional Costs ◽  
The Uk ◽  
The Cost ◽  
Mental And Physical Health

ObjectiveIn the UK, families of disabled children are entitled to receive disability benefits to help meet costs associated with caring for their child. Evidence of actual costs incurred is scant, especially for mental health disability. In this study, we aimed to quantify the cost of mental and physical health disability in childhood and adolescence to families in the UK using the concept of compensating variation (CV).DesignRepeated cross-sectional survey.SettingThe UK general populationParticipants85 212 children drawn from 8 waves of the Family Resources Survey.OutcomesUsing propensity score matching we matched families with a disabled child to similar families without a disabled child and calculated the extra income the former require to achieve the same living standards as the latter, that is, their CV. We calculated the additional costs specifically associated with several definitions of mental health and physical health disability.ResultsFamilies of a child with any mental health disability, regardless of the presence of physical health comorbidity, needed an additional £49.31 (95% CI: 21.95 to 76.67) and, for more severe disabilities, an additional £57.56 (95% CI: 17.69 to 97.44) per week to achieve the same living standards of families without a disabled child. This difference was greater for more deprived families, who needed between £59.28 (95% CI: 41.38 to 77.18) and £81.26 (95% CI: 53.35 to 109.38) more per week depending on the extent of mental health disability. Families of children with physical health disabilities, with or without mental health disabilities, required an additional £35.86 (95% CI: 13.77 to 57.96) per week, with economically deprived families requiring an extra £42.18 (95% CI: 26.38 to 57.97) per week.ConclusionsMental and physical health disabilities among children and adolescents were associated with high additional costs for the family, especially for those from deprived economic backgrounds. Means testing could help achieve a more equitable redistribution of disability benefit.

scholarly journals Bi-directional associations between religious attendance and mental health: findings from a British birth cohort study

2021 ◽  
pp. jech-2021-216943
Author(s):  
Aradhna Kaushal ◽  
Mai Stafford ◽  
Dorina Cadar ◽  
Marcus Richards
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Birth Cohort ◽  
General Health Questionnaire ◽  
Poor Mental Health ◽  
Religious Attendance ◽  
Birth Cohort Study ◽  
Future Research ◽  
Underlying Mechanisms ◽  
The Uk

BackgroundThere is evidence that religious attendance is associated with positive outcomes for mental health; however, there are few longitudinal studies, and even fewer, which take into account the possibility of bi-directional associations. This study aimed to investigate bi-directional associations between religious attendance and mental health.MethodsParticipants were 2125 study members who provided data at age 68–69 from the Medical Research Council National Survey of Health and Development (1946 British birth cohort study). Mental health was assessed using the 28-item General Health Questionnaire at ages 53, 60–64 and 68–69. Religious attendance was measured using a 4-point scale (weekly=3, monthly=2, less than monthly=1 or never=0) at ages 43, 60–64 and 68–69. Cross-lagged path analysis was used to assess reciprocal associations between mental health and religious attendance, adjusting for gender and education.ResultsPrevious religious attendance was strongly related to later attendance (r=0.62–0.74). Similarly, mental health at baseline was strongly associated with subsequent mental health scores (r=0.46–0.54). Poor mental health at age 53 and 60–64 was associated with more frequent religious attendance at age 60–64 (b=0.04; 95% CI: 0.02 to 0.06; p<0.05), and 68–69 (b=0.03; 95% CI: 0.02 to 0.06; p<0.05), respectively. There was no evidence that religious attendance at age 43, 60–64 or 68–69 was associated with later or concurrent mental health.ConclusionUsing birth cohort data from the UK, it was found that poor mental health was associated with later religious attendance but not vice versa. Future research should confirm these novel findings and explore the underlying mechanisms between religious attendance and mental health.

scholarly journals Pre-pandemic Cognitive Function and COVID-19 Vaccine Hesitancy: Prospective Cohort Study

2021 ◽  
Author(s):  
George David Batty
Keyword(s):  
Cohort Study ◽  
Cognitive Function ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Full Range ◽  
Vaccine Hesitancy ◽  
Ability Test ◽  
Individual Level ◽  
New Findings ◽  
Successful Testing

Importance: Whereas several predictors of COVID-19 vaccine hesitancy have been examined, the role of cognitive function following the widely publicised development of an inoculation is unknown. Objective: To test the association between scores from an array of cognitive function tests and self-reported vaccine hesitancy after the announcement of the successful testing of the Oxford University/AstraZeneca vaccine. Design, Setting, and Participants: We used individual-level data from a pandemic-focused study (COVID Survey), a prospective cohort study nested within Understanding Society (Main Survey). In the week immediately following the announcement of successful testing of the first efficacious inoculation (November/December 2020), data on vaccine intentionality were collected in 11740 individuals (6702 women) aged 16-95. Pre-pandemic scores on general cognitive function, ascertained from a battery of six tests, were captured in 2011/12 wave of the Main Survey. Main Outcomes and Measures: Self-reported intention to take up a vaccination for COVID-19. To summarise our results, we computed odds ratios with accompanying 95% confidence intervals for general cognitive function adjusted for selected covariates. Results: Of the study sample, 17.2% (N=1842) indicated they were hesitant about having the vaccine. After adjustment for age, sex, and ethnicity, study members with a lower baseline cognition score were markedly more likely to be vaccine hesitant (odds ratio per standard deviation lower score in cognition; 95% confidence interval: 1.76; 1.62, 1.90). Adjustment for mental and physical health plus household shielding status had no impact on these results, whereas controlling for educational attainment led to partial attenuation but the probability of hesitancy was still elevated (1.52; 1.37, 1.67). There was a linear association for vaccine hesitancy across the full range of cognition scores (p for trend: p<0.0001). Conclusions and Relevance: Erroneous social media reports might have complicated personal decision-making, leading to people with lower cognitive ability test scores being vaccine-hesitant. With people with lower cognition also experiencing higher rates of COVID-19 in studies conducted prior to vaccine distribution, these new findings are suggestive of a potential additional disease burden.

scholarly journals The impact of work loss on mental and physical health during the COVID-19 pandemic: Findings from a prospective cohort study

2020 ◽  
Author(s):  
Daniel Griffiths ◽  
Luke Sheehan ◽  
Caryn Van Vreden ◽  
Dennis Petrie ◽  
Genevieve Grant ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Psychological Distress ◽  
Physical Health ◽  
Social Interactions ◽  
Financial Resources ◽  
Work Loss ◽  
High Psychological Distress ◽  
Prospective Longitudinal ◽  
Mental And Physical Health

Objective: To determine if losing work during the COVID-19 pandemic is associated with mental and physical health. To determine if social interactions and financial resources moderate the relationship between work loss and health. Design: Baseline data from a prospective longitudinal cohort study. Setting: Australia, 27th March to 12th June 2020. Participants: Australians aged 18+ years, employed in a paid job prior to the COVID-19 pandemic who responded to an online or telephone survey. Main Outcome Measures: Kessler-6 score > 18 indicating high psychological distress. Short Form 12 (SF-12) mental health or physical health component score <= 45 indicating poor mental or physical health. Results: 2,603 respondents including groups who had lost their job (N=541), were not working but remained employed (N=613), were working less (N=789) and whose work was unaffected (N=789). Three groups experiencing work loss had greater odds of high psychological distress (AOR=2.22-3.66), poor mental (AOR=1.78-2.27) and physical health (AOR=2.10-2.12) than the unaffected work group. Poor mental health was more common than poor physical health. The odds of high psychological distress (AOR=5.43-8.36), poor mental (AOR=1.92-4.53) and physical health (AOR=1.93-3.90) were increased in those reporting fewer social interactions or less financial resources. Conclusion: Losing work during the COVID-19 pandemic is associated with mental and physical health problems, and this relationship is moderated by social interactions and financial resources. Responses that increase financial security and enhance social connections may partially alleviate the health impacts of work loss.

scholarly journals The impact of the COVID-19 pandemic on mental health in the general population: a comparison between Germany and the UK

2020 ◽  
Author(s):  
Franziska Knolle ◽  
Lisa Ronan ◽  
Graham K Murray
Keyword(s):  
Mental Health ◽  
General Population ◽  
Physical Health ◽  
Mental Health Problems ◽  
Well Being ◽  
Work Place ◽  
Financial Situation ◽  
The Uk ◽  
The Impact ◽  
Mental And Physical Health

In March 2020 the SARS-CoV-2infection (COVID-19) was declared a pandemic. In response to its world-wide outbreak radical measures were taken by governments across the world including curfew, quarantine, travel bans, social distancing, work place and school closures, etc, to reduce the transmission of the virus. These measures led to dramatic social and economic changes for the general population, in addition to the fears and worries related to the disease and its contraction. First studies report the impact of the pandemic on mental well-being of the general population showing increased levels of anxiety, stress and depression. In this study, we compare the impact of the pandemic on two European countries: the UK and Germany, which reported their first cases within a week. 241 residents of the UK and 541 residents of Germany filled in an online survey, including questions on COVID-19 exposure, impact on financial situation and work, substance and media consumption, self-reported mental and physical health, as well as including two clinical questionnaires, the general mental health Symptom Check List-27 (SCL-27) and the Schizotypal Personality Questionnaire. Data collection was completed between 27/04/20-31/05/20. We found distinct differences between the two countries. UK responders reported a stronger direct impact on their health, financial situation and their families. UK responders had higher clinical scores on the SCL-27, with a higher percentage being above cut-off. Interestingly, however, we found that German responders were less hopeful for an end of the pandemic and more concerned about their life-stability. Generally, we found that a younger age, being female, lower education, poorer mental and physical health before the pandemic, as well as more social media and substance consumption was associated with a higher clinical risk. This research shows strong differences between two economically and culturally similar countries, but as 25% of both German and UK responders reported a subjective worsening of the general psychological symptoms and 20-50% of German and UK responders reached the clinical cut-off for depressive, dysthymic and anxieties, it specifically shows the need for health emergency tailored intervention systems to assist not only people vulnerable for mental health problems, but also large proportions of the general public.

scholarly journals Bibliotherapy in practice: a person-centred approach to using books for mental health and dementia in the community

2020 ◽  
pp. medhum-2020-011898 ◽  
Author(s):  
Liz Brewster ◽  
Sarah McNicol
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Qualitative Research Design ◽  
The North ◽  
Value Judgements ◽  
Physical Health Problems ◽  
The Uk ◽  
Mental And Physical Health

Bibliotherapy is the use of texts to provide support for people with mental and physical health problems. It is widely seen to have beneficial outcomes but there is still disagreement about how best to deliver bibliotherapy in practice. This article explores one method of delivering bibliotherapy which has evolved over the past 20 years in the North of England, the Kirklees approach. Using a multimethod qualitative research design including reflective observations, interviews and document analysis, the article examines how bibliotherapy has been delivered to people with mental health problems and dementia in a volunteer-led scheme. As an inherently flexible and adaptable approach, bibliotherapy in practice in Kirklees is best defined by its ethos, rather than a prescriptive list of its activities, as is the case for many alternative approaches to bibliotherapy. It is an approach to bibliotherapy which is person-centred; avoids value judgements of texts and responses to them; is often co-produced with group participants; is about making a contribution (in a variety of ways); and emphasises social connection. This separates it from other current models of bibliotherapy operating in the UK, and demonstrates how it may be tailored to the requirements of those experiencing diverse mental and physical health conditions. A more responsive form of bibliotherapy, as outlined here, has the potential to provide support across the community.

scholarly journals Associations between mental health competence and indicators of physical health and cognitive development in eleven year olds: findings from the UK Millennium Cohort Study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Steven Hope ◽  
Emeline Rougeaux ◽  
Jessica Deighton ◽  
Catherine Law ◽  
Anna Pearce
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Cognitive Development ◽  
Physical Health ◽  
Verbal Ability ◽  
Millennium Cohort Study ◽  
Unintentional Injuries ◽  
Healthy Development ◽  
Uk Millennium Cohort Study ◽  
The Uk

Abstract Background Positive mental health may support healthy development in childhood, although few studies have investigated this at a population level. We aimed to construct a measure of mental health competence (MHC), a skills-based assessment of positive mental health, using existing survey items in a representative sample of UK children, and to investigate its overlap with mental health difficulties (MHD), socio-demographic patterning, and relationships with physical health and cognitive development. Methods We analysed the UK Millennium Cohort Study (MCS) when children were aged 11 years. Maternal (n = 12,082) and teacher (n = 6739) reports of prosocial behaviours (PS) and learning skills (LS) were entered into latent class models to create MHC measures. Using descriptive statistics, we examined relationships between MHC and MHD, and the socio-demographic patterning of MHC. Associations between MHC and physical health and cognitive development were examined with relative risk ratios [RRR] (from multinomial models): BMI status (healthy weight, overweight, obesity); unintentional injuries since age 7 (none, 1, 2+); asthma symptoms (none, 1, 2+); and tertiles of test scores for verbal ability, spatial working memory and risk-taking. Models were adjusted for potential confounding. Results Four MHC classes were identified [percentages for maternal and teacher reports, respectively]: high MHC (high PS, high LS) [37%; 39%], high-moderate MHC (high PS, moderate LS) [36%; 26%]; moderate MHC (moderate PS, moderate LS) [19%; 19%]; low MHC (moderate PS, low LS) [8%; 16%]. Higher MHC was less common in socially disadvantaged children. While MHC and MHD were associated, there was sufficient separation to indicate that MHC captures more than the absence of MHD. Compared to children with high MHC, those in other MHC classes tended to have poorer physical health and cognitive development, particularly those with low MHC or high-moderate MHC. For example, children with maternal-report Low MHC were more likely to have experienced 2+ unintentional injuries (RRR: 1.5 [1.1–2.1]) and to have lower verbal ability scores (RRR: 2.5 [1.9–3.2]). Patterns of results were similar for maternal- and teacher-report MHC. Conclusion MHC is not simply the inverse of MHD, and high MHC is associated with better physical health and cognitive development. Findings suggest that interventions to improve MHC may support healthy development, although they require replication.

scholarly journals The association of cognitive performance with mental health and physical functioning strengthens with age: the Whitehall II cohort study

2009 ◽  
Vol 40 (5) ◽  
pp. 837-845 ◽  
Author(s):  
M. Jokela ◽  
A. Singh-Manoux ◽  
J. E. Ferrie ◽  
D. Gimeno ◽  
T. N. Akbaraly ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Physical Health ◽  
Cognitive Performance ◽  
Old Age ◽  
Physical Functioning ◽  
Age Related ◽  
Health Differences ◽  
Mental And Physical Health ◽  
Early Old Age

BackgroundCognitive performance has been associated with mental and physical health, but it is unknown whether the strength of these associations changes with ageing and with age-related social transitions, such as retirement. We examined whether cognitive performance predicted mental and physical health from midlife to early old age.MethodParticipants were 5414 men and 2278 women from the Whitehall II cohort study followed for 15 years between 1991 and 2006. The age range included over the follow-up was from 40 to 75 years. Mental health and physical functioning were measured six times using SF-36 subscales. Cognitive performance was assessed three times using five cognitive tests assessing verbal and numerical reasoning, verbal memory, and phonemic and semantic fluency. Socio-economic status (SES) and retirement were included as covariates.ResultsHigh cognitive performance was associated with better mental health and physical functioning. Mental health differences associated with cognitive performance widened with age from 39 to 76 years of age, whereas physical functioning differences widened only between 39 and 60 years and not after 60 years of age. SES explained part of the widening differences in mental health and physical functioning before age 60. Cognitive performance was more strongly associated with mental health in retired than non-retired participants, which contributed to the widening differences after 60 years of age.ConclusionsThe strength of cognitive performance in predicting mental and physical health may increase from midlife to early old age, and these changes may be related to SES and age-related transitions, such as retirement.

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