How is the COVID-19 pandemic impacting our life, mental health, and well-being? Design and preliminary findings of the pan-Canadian longitudinal COHESION study.

COVID-19 Mental health Prospective cohort Social interactions Study design Well-being

Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
02 Dec 2023
Historique:
received: 22 09 2022
accepted: 22 11 2023
medline: 4 12 2023
pubmed: 3 12 2023
entrez: 2 12 2023
Statut: epublish

Résumé

With the advent of the COVID-19 pandemic, in-person social interactions and opportunities for accessing resources that sustain health and well-being have drastically reduced. We therefore designed the pan-Canadian prospective COVID-19: HEalth and Social Inequities across Neighbourhoods (COHESION) cohort to provide a deeper understanding of how the COVID-19 pandemic context affects mental health and well-being, key determinants of health, and health inequities. This paper presents the design of the two-phase COHESION Study, and descriptive results from the first phase conducted between May 2020 and September 2021. During that period, the COHESION research platform collected monthly data linked to COVID-19 such as infection and vaccination status, perceptions and attitudes regarding pandemic-related measures, and information on participants' physical and mental health, well-being, sleep, loneliness, resilience, substances use, living conditions, social interactions, activities, and mobility. The 1,268 people enrolled in the Phase 1 COHESION Study are for the most part from Ontario (47%) and Quebec (33%), aged 48 ± 16 years [mean ± standard deviation (SD)], and mainly women (78%), White (85%), with a university degree (63%), and living in large urban centers (70%). According to the 298 ± 68 (mean ± SD) prospective questionnaires completed each month on average, the first year of follow-up reveals significant temporal variations in standardized indexes of well-being, loneliness, anxiety, depression, and psychological distress. The COHESION Study will allow identifying trajectories of mental health and well-being while investigating their determinants and how these may vary by subgroup, over time, and across different provinces in Canada, in varying context including the pandemic recovery period. Our findings will contribute valuable insights to the urban health field and inform future public health interventions.

Sections du résumé

BACKGROUND BACKGROUND
With the advent of the COVID-19 pandemic, in-person social interactions and opportunities for accessing resources that sustain health and well-being have drastically reduced. We therefore designed the pan-Canadian prospective COVID-19: HEalth and Social Inequities across Neighbourhoods (COHESION) cohort to provide a deeper understanding of how the COVID-19 pandemic context affects mental health and well-being, key determinants of health, and health inequities.
METHODS METHODS
This paper presents the design of the two-phase COHESION Study, and descriptive results from the first phase conducted between May 2020 and September 2021. During that period, the COHESION research platform collected monthly data linked to COVID-19 such as infection and vaccination status, perceptions and attitudes regarding pandemic-related measures, and information on participants' physical and mental health, well-being, sleep, loneliness, resilience, substances use, living conditions, social interactions, activities, and mobility.
RESULTS RESULTS
The 1,268 people enrolled in the Phase 1 COHESION Study are for the most part from Ontario (47%) and Quebec (33%), aged 48 ± 16 years [mean ± standard deviation (SD)], and mainly women (78%), White (85%), with a university degree (63%), and living in large urban centers (70%). According to the 298 ± 68 (mean ± SD) prospective questionnaires completed each month on average, the first year of follow-up reveals significant temporal variations in standardized indexes of well-being, loneliness, anxiety, depression, and psychological distress.
CONCLUSIONS CONCLUSIONS
The COHESION Study will allow identifying trajectories of mental health and well-being while investigating their determinants and how these may vary by subgroup, over time, and across different provinces in Canada, in varying context including the pandemic recovery period. Our findings will contribute valuable insights to the urban health field and inform future public health interventions.

Identifiants

pubmed: 38042782
doi: 10.1186/s12889-023-17297-w
pii: 10.1186/s12889-023-17297-w
pmc: PMC10693083
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2401

Subventions

Organisme : Ministère de l'Économie, de la Science et de l'Innovation - Québec
ID : 52266
Organisme : Ministère de l'Économie, de la Science et de l'Innovation - Québec
ID : 52266
Organisme : Public Health Agency of Canada
ID : 4500416825 - 450041483
Organisme : Public Health Agency of Canada
ID : 4500416825 - 450041483

Informations de copyright

© 2023. Crown.

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Auteurs

Stephan Gabet (S)

Département de Médecine Sociale et Préventive, École de Santé publique de l'Université de Montréal (ESPUM), Québec, QC, Canada.
Centre de Recherche en Santé Publique (CReSP), Université de Montréal (UdeM), Québec, QC, Canada.
Univ. Lille, CHU Lille, Institut Pasteur de Lille, ULR 4483-IMPacts de l'Environnement Chimique sur la Santé (IMPECS), Lille, 59000, France.

Benoit Thierry (B)

Centre de Recherche en Santé Publique (CReSP), Université de Montréal (UdeM), Québec, QC, Canada.

Rania Wasfi (R)

Centre for Surveillance and Applied Research, Health Promotion and Chronic Disease Prevention Branch, Public Health Agency of Canada / Government of Canada, Ottawa, Ontario, ON, Canada.

Guido Simonelli (G)

Département de Médecine, Université de Montréal (UdeM), Québec, QC), Canada.
Centre de Recherche du Centre intégré universitaire de santé et de services sociaux du Nord-de- l'Île-de-Montréal (CIUSSS-NIM), Québec, QC, Canada.

Catherine Hudon (C)

Département de Médecine de Famille et Médecine d'urgence, Université de Sherbrooke (UdeS), Québec, QC, Canada.

Lily Lessard (L)

Département des sciences de la santé, Université du Québec à Rimouski, Québec, QC, Canada.
Centre de recherche du CISSS de Chaudière-Appalaches, Québec, QC, Canada.

Ève Dubé (È)

Centre de recherche du CHU de Québec, Université de Laval, Québec, QC, Canada.

Bouchra Nasri (B)

Département de Médecine Sociale et Préventive, École de Santé publique de l'Université de Montréal (ESPUM), Québec, QC, Canada.
Centre de Recherche en Santé Publique (CReSP), Université de Montréal (UdeM), Québec, QC, Canada.

Yan Kestens (Y)

Département de Médecine Sociale et Préventive, École de Santé publique de l'Université de Montréal (ESPUM), Québec, QC, Canada.
Centre de Recherche en Santé Publique (CReSP), Université de Montréal (UdeM), Québec, QC, Canada.

Grégory Moullec (G)

Département de Médecine Sociale et Préventive, École de Santé publique de l'Université de Montréal (ESPUM), Québec, QC, Canada. gregory.moullec@umontreal.ca.
Centre de Recherche du Centre intégré universitaire de santé et de services sociaux du Nord-de- l'Île-de-Montréal (CIUSSS-NIM), Québec, QC, Canada. gregory.moullec@umontreal.ca.

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