Association of compliance with COVID-19 public health measures with depression

Abstract

Although previous studies have demonstrated increased depression related to COVID-19, the reasons for this are not well-understood. We investigated the association of compliance with COVID-19 public health measures with depression. Data from the 2020 Korea Community Health Survey were analyzed. The main independent variable was compliance with rules based on three performance variables (social distancing, wearing a mask in indoor facilities, and outdoors). Depression was assessed using Patient Health Questionnaire-9 scores. Of 195,243 participants, 5,101 participants had depression. Bad and moderate performance scores for compliance were associated with depression (Bad score, men: adjusted odds ratio [aOR] = 2.24, 95% confidence interval [CI] = 1.29–3.87; women: aOR = 2.42, 95% CI = 1.42–4.13; moderate score, men: aOR = 1.31, 95% CI = 1.02–1.68; women: aOR = 1.28, 95% CI = 1.07–1.53). In the subgroup analysis, among the quarantine rules, not wearing a mask indoors was the most prominently associated with depression. In participants with a high level of education, non-compliance with quarantine rules was significantly associated with depression. People who do not comply with public health measures are more likely to be depressed. The preparation and observance of scientific quarantine rules can help mental health in the ongoing COVID-19 pandemic and another infectious disease pandemic that may come.

Relationship Between COVID-19 Preventive Measures and Adolescent Anxiety Levels During the Transition Period

“…The desire of people to follow preventive guidelines, such as social withdrawal and hand washing to vaccinate, has a significant impact on anxiety (15). According to (16), both men and women who neglect to take preventative measures at different ages will be more likely to experience depression.…”

Understanding attitudes and beliefs regarding COVID-19 vaccines among transitional-aged youth with mental health concerns: a youth-led qualitative study

“…Among those disproportionately affected by COVID-19 are people with mental health concerns, including youth and young adults. Infection risk is increased by factors such as ability to adhere to public health measures and congregate living settings (eg, psychiatric hospitals or homeless shelters) 6 7. One study found that having a psychiatric diagnosis was associated with a 65% increased risk of contracting COVID-19, compared with having no psychiatric diagnosis 8.…”

“…Infection risk is increased by factors such as ability to adhere to public health measures and congregate living settings (eg, psychiatric hospitals or homeless shelters). 6 7 One study found that having a psychiatric diagnosis was associated with a 65% increased risk of contracting COVID-19, compared with having no psychiatric diagnosis. 8 This population experiences stigma and discrimination and those who contract the virus face barriers to timely care, which increases COVID-19-related morbidity and mortality.…”