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Healthcare utilisation, physical activity and mental health during COVID-19 lockdown: An interrupted time-series analysis of older adults in England

Wang, Jiunn; Spencer, Anne; Hulme, Claire; Corbett, Anne; Khan, Zunera; Vasconcelos Da Silva, Miguel; O’Dwyer, Siobhan; ... Smith, Richard; + view all (2022) Healthcare utilisation, physical activity and mental health during COVID-19 lockdown: An interrupted time-series analysis of older adults in England. European Journal of Ageing , 19 pp. 1617-1630. 10.1007/s10433-022-00741-y. Green open access

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Abstract

COVID-19 measures which reduce interpersonal contact may be effective in containing the transmission, but their impacts on peoples’ well-being and daily lives overtime remain unclear. Older adults are more vulnerable to both the virus and social isolation. It is therefore imperative to understand how they were affected during this period. Major concerns arising from the pandemic cover the aspects of mental health, healthcare utilisation and individual behavioural changes. Complementing the existing before-and-after analyses, we explore the impacts of easing and re-introducing COVID-19 measures by using a time-series data in England. The data was collected between May and November 2020 from the monthly surveys of the Platform for Research Online to Investigate Genetics and Cognition in Aging (PROTECT). Chi-squared analysis and interrupted time-series analysis were conducted to examine impacts of easing and re-introducing COVID-19 measures. Overall, mental health improves overtime but at a decreasing rate. The use of telephone/video consultations with a doctor or health professional presented a decreasing trend during the pandemic, whilst that of in-person consultation was increasing overtime. We observed significant variations in the time trends of mental health measures, healthcare utilisation and physical activity following the ease but not the re-introduction of COVID-19 measures. Future research is required to understand if these asymmetric impacts were driven by adaption of the people or stringency of the measures.

Type: Article
Title: Healthcare utilisation, physical activity and mental health during COVID-19 lockdown: An interrupted time-series analysis of older adults in England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s10433-022-00741-y
Publisher version: https://doi.org/10.1007/s10433-022-00741-y
Language: English
Additional information: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Applied Health Research
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10158247
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