scholarly journals The English national cohort study of flooding and health: cross-sectional analysis of mental health outcomes at year one

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Thomas David Waite ◽  
Katerina Chaintarli ◽  
Charles R. Beck ◽  
Angie Bone ◽  
Richard Amlôt ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Health Outcomes ◽  
Mental Health Outcomes ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
National Cohort ◽  
Sectional Analysis

scholarly journals Mental Health of Keyworkers in the UK during the COVID-19 Pandemic: a Cross-sectional Analysis of a Community Cohort

2020 ◽  
Author(s):  
Kieran Ayling ◽  
Ru Jia ◽  
Trudie Chalder ◽  
Adam Massey ◽  
Elizabeth Broadbent ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Psychological Factors ◽  
Health Impact ◽  
Mental Health Outcomes ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Health And Social Care ◽  
The Uk ◽  
Sectional Analysis

AbstractObjectivesPrevious pandemics have resulted in high levels of psychological morbidity among frontline workers. Here we report on the early mental health impact of the COVID-19 pandemic on keyworkers in the UK, as assessed during the first six weeks of nationwide social distancing measures being introduced. Comparisons are made with non-keyworkers, and psychological factors that may be protective to keyworkers’ mental health are explored.DesignCross-sectional analysis of a community cohort study.MethodsDuring April 2020, keyworkers (n=1559) and non-keyworkers (n=1436) completed online measures of depression, anxiety, and stress levels as well as explanatory demographic and psychological factors hypothesised to be related to these mental health outcomes.ResultsKeyworkers reported significantly higher depression, anxiety, and stress than pre-pandemic population norms. Compared to non-keyworkers, keyworkers were more likely to worry about COVID-19 and perceived they were at higher risk from the virus. This was particularly evident for health and social care keyworkers. Younger keyworkers and those in a clinically increased risk group were more likely to report poorer mental health. Lower positive mood, greater loneliness and worrying more about COVID-19 were all associated with poorer mental health outcomes amongst keyworkers.ConclusionsThe mental health impact of the COVID-19 pandemic on keyworkers in the UK has been substantial. Worry about COVID-19 and perceived risk from COVID-19 in keyworkers are understandable given potential increased exposure to the virus. Younger and clinically vulnerable keyworkers may benefit most from any interventions that seek to mitigate the negative mental health impacts of the pandemic.

scholarly journals Mental health in the UK during the COVID-19 pandemic: cross-sectional analyses from a community cohort study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e040620 ◽  
Author(s):  
Ru Jia ◽  
Kieran Ayling ◽  
Trudie Chalder ◽  
Adam Massey ◽  
Elizabeth Broadbent ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Health Outcomes ◽  
Online Survey ◽  
Positive Mood ◽  
Mental Health Outcomes ◽  
Cross Sectional ◽  
Increased Risk ◽  
Modifiable Factors ◽  
Multivariable Models

ObjectivesPrevious pandemics have resulted in significant consequences for mental health. Here, we report the mental health sequelae of the COVID-19 pandemic in a UK cohort and examine modifiable and non-modifiable explanatory factors associated with mental health outcomes. We focus on the first wave of data collection, which examined short-term consequences for mental health, as reported during the first 4–6 weeks of social distancing measures being introduced.DesignCross-sectional online survey.SettingCommunity cohort study.ParticipantsN=3097 adults aged ≥18 years were recruited through a mainstream and social media campaign between 3 April 2020 and 30 April 2020. The cohort was predominantly female (n=2618); mean age 44 years; 10% (n=296) from minority ethnic groups; 50% (n=1559) described themselves as key workers and 20% (n=649) identified as having clinical risk factors putting them at increased risk of COVID-19.Main outcome measuresDepression, anxiety and stress scores.ResultsMean scores for depression (x- =7.69, SD=6.0), stress (x- =6.48, SD=3.3) and anxiety (x- = 6.48, SD=3.3) significantly exceeded population norms (all p<0.0001). Analysis of non-modifiable factors hypothesised to be associated with mental health outcomes indicated that being younger, female and in a recognised COVID-19 risk group were associated with increased stress, anxiety and depression, with the final multivariable models accounting for 7%–14% of variance. When adding modifiable factors, significant independent effects emerged for positive mood, perceived loneliness and worry about getting COVID-19 for all outcomes, with the final multivariable models accounting for 54%–57% of total variance.ConclusionsIncreased psychological morbidity was evident in this UK sample and found to be more common in younger people, women and in individuals who identified as being in recognised COVID-19 risk groups. Public health and mental health interventions able to ameliorate perceptions of risk of COVID-19, worry about COVID-19 loneliness and boost positive mood may be effective.

Which young women are not being vaccinated against HPV? Cross-sectional analysis of a UK national cohort study

Vaccine ◽  
2021 ◽  
Author(s):  
Helen Bedford ◽  
Nicola Firman ◽  
Jo Waller ◽  
Laura Marlow ◽  
Alice Forster ◽  
...  
Keyword(s):  
Cohort Study ◽  
Young Women ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
National Cohort ◽  
Sectional Analysis

scholarly journals Acute psychological impact of coronavirus disease 2019 outbreak among psychiatric professionals in China: a multicentre, cross-sectional, web-based study

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e047828
Author(s):  
Xin Guo ◽  
Robert McCutcheon ◽  
Toby Pillinger ◽  
Atheeshaan Arumuham ◽  
Jianhua Chen ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Mental Stress ◽  
Structural Equation ◽  
Psychiatric Symptoms ◽  
Mental Health Outcomes ◽  
Considerable Proportion ◽  
Cross Sectional ◽  
Event Scale ◽  
Symptoms Of Depression

ObjectivesTo assess the magnitude of mental health outcomes and associated factors among psychiatric professionals in mental health services during COVID-19 in China.Design, setting and participantsThis cross-sectional, survey-based, region-stratified study collected demographic data and mental health measurements from psychiatric professionals in 34 hospitals between 29 January and 7 February 2020, in China. Hospitals equipped with fever clinics or deployed on wards for patients with COVID-19 were eligible.Primary outcome and measuresThe severity of symptoms of depression, anxiety, insomnia and distress were assessed by the Chinese versions of 9-item Patient Health Questionnaire, 7-item Generalised Anxiety Disorder, 7-item Insomnia Severity Index and 22-item Impact of Event Scale-Revised, respectively. Multivariable logistic regression and structural equation modelling was performed to identify factors associated with mental health outcomes.ResultsA total of 610 psychiatric professionals were included. 29.8% were employed in Wuhan, and 22.5% were frontline workers. A considerable proportion of participants reported symptoms of depression (461 (75.6%)), anxiety (282 (46.2%)), insomnia (336 (55.1%)) and mental stress (481 (78.9%)). Psychiatric symptoms were associated with worrying about infection (eg, OR 2.36 (95% CI 1.27 to 4.39) for anxiety), risks of exposure to COVID-19 (eg, having inadequate personal protection equipment, OR 2.43 (1.32 to 4.47) for depression) and self-perceived physical health (eg, OR 3.22 (2.24 to 4.64) for mental stress). Information sources of COVID-19 were also found to be both positively (eg, information from relatives, OR 2.16 (1.46 to 3.21) for mental stress) and negatively (eg, information from TV, OR 0.52 (0.35 to 0.77) for mental stress) associated with mental stress. There is preliminary evidence that mental health might benefit from greater availability of mental healthcare services. The structural equation model analysis indicated that worrying about infection may be the primary mediator via which risk of exposure to COVID-19 pandemic affects the mental health of psychiatric professionals.ConclusionsThe current findings demonstrate several pathways via which the COVID-19 pandemic may have negatively affected the mental health of psychiatric professionals in China.

scholarly journals Association between food insecurity and access to a mental health professional: cross-sectional analysis of NHANES 2007–2014

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nina Camille Burruss ◽  
Marina Girgis ◽  
Karen Elizabeth Green ◽  
Lingyi Lu ◽  
Deepak Palakshappa
Keyword(s):  
Mental Health ◽  
Health Professional ◽  
Food Insecurity ◽  
Mental Health Professional ◽  
The United States ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
The Past ◽  
Cross Sectional Analysis ◽  
Sectional Analysis

Abstract Background To determine if individuals with food insecurity (FI) were less likely to have seen a mental health professional (MHP) within the past year than individuals without FI. Methods This is a cross-sectional analysis of data from the National Health and Nutrition Examination Survey (NHANES) conducted in the United States between 2007 and 2014. All participants 20 years of age or older were eligible for this study. We excluded participants who were pregnant, missing FI data, or missing data from the Patient Health Questionnaire (PHQ-9). The primary outcome was self-reported contact with a MHP in the past 12 months. We used multivariable logistic regression models to test the association between FI and contact with a MHP, controlling for all demographic and clinical covariates. Results Of the 19,789 participants, 13.9% were food insecure and 8.1% had major depressive disorder (MDD). In bivariate analysis, participants with FI were significantly more likely to have MDD (5.3% vs 2.8%, p < 0.0001) and to have been seen by a MHP in the preceding 12 months (14.0% vs 6.9%, p < 0.0001). In multivariable models, adults with FI had higher odds of having seen a MHP (OR = 1.32, CI: 1.07, 1.64). Conclusions This study demonstrates that individuals with FI were significantly more likely to have seen a MHP in the preceding 12 months compared to individuals without FI. Given the growing interest in addressing unmet social needs in healthcare settings, this data suggests that visits with MHPs may be a valuable opportunity to screen for and intervene on FI.

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