Response to the COVID-19 Outbreak in Urban Settings in China.
Adult
Aged
Aged, 80 and over
Anxiety
/ epidemiology
COVID-19
/ epidemiology
China
/ epidemiology
Cities
/ epidemiology
Cross-Sectional Studies
Depression
/ epidemiology
Disease Outbreaks
/ statistics & numerical data
Female
Humans
Male
Middle Aged
Pandemics
/ statistics & numerical data
SARS-CoV-2
Stress, Psychological
Surveys and Questionnaires
Urban Population
/ statistics & numerical data
Young Adult
Anxiety
COVID-19
China
Coronavirus
Global health
Health behavior
Social life
Urban
Journal
Journal of urban health : bulletin of the New York Academy of Medicine
ISSN: 1468-2869
Titre abrégé: J Urban Health
Pays: United States
ID NLM: 9809909
Informations de publication
Date de publication:
02 2021
02 2021
Historique:
accepted:
10
11
2020
pubmed:
2
12
2020
medline:
23
2
2021
entrez:
1
12
2020
Statut:
ppublish
Résumé
The COVID-19 outbreak in China was devastating and spread throughout the country before being contained. Stringent physical distancing recommendations and shelter-in-place were first introduced in the hardest-hit provinces, and by March, these recommendations were uniform throughout the country. In the presence of an evolving and deadly pandemic, we sought to investigate the impact of this pandemic on individual well-being and prevention practices among Chinese urban residents. From March 2-11, 2020, 4607 individuals were recruited from 11 provinces with varying numbers of COVID-19 cases using the social networking app WeChat to complete a brief, anonymous, online survey. The analytical sample was restricted to 2551 urban residents. Standardized scales measured generalized anxiety disorder (GAD), the primary outcome. Multiple logistic regression was conducted to identify correlates of GAD alongside assessment of community practices in response to the COVID-19 pandemic. We found that during the COVID-19 pandemic, the recommended public health practices significantly (p < 0.001) increased, including wearing facial mask, practicing physical distancing, handwashing, decreased public spitting, and going outside in urban communities. Overall, 40.3% of participants met screening criteria for GAD and 49.3%, 62.6%, and 55.4% reported that their work, social life, and family life were interrupted by anxious feelings, respectively. Independent correlates of having anxiety symptoms included being a healthcare provider (aOR = 1.58, p < 0.01), living in regions with a higher density of COVID-19 cases (aOR = 2.13, p < 0.01), having completed college (aOR = 1.38, p = 0.03), meeting screening criteria for depression (aOR = 6.03, p < 0.01), and poorer perceived health status (aOR = 1.54, p < 0.01). COVID-19 had a profound impact on the health of urban dwellers throughout China. Not only did they markedly increase their self- and community-protective behaviors, but they also experienced high levels of anxiety associated with a heightened vulnerability like depression, having poor perceived health, and the potential of increased exposure to COVID-19 such as living closer to the epicenter of the pandemic.
Identifiants
pubmed: 33258088
doi: 10.1007/s11524-020-00498-8
pii: 10.1007/s11524-020-00498-8
pmc: PMC7703725
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
41-52Subventions
Organisme : NIDA NIH HHS
ID : K01 DA051346
Pays : United States
Organisme : NIDA NIH HHS
ID : K24 DA017072
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001863
Pays : United States
Organisme : NIDA NIH HHS
ID : K01DA051346
Pays : United States
Commentaires et corrections
Type : UpdateOf
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