Prevalence and Risk Factors of COVID-19 Symptoms among U.S. Adults with Allergies

Camacho-Rivera, Marlene; Islam, Jessica Y.; Vidot, Denise C.; Jariwala, Sunit

doi:10.3390/ijerph18052231

Cited by 6 publications

(5 citation statements)

References 23 publications

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“…Our study findings also demonstrated increased reports of physical health symptoms among individuals with chronic respiratory conditions. Some of the physical symptoms reported an overlap with several symptoms common to the respiratory conditions themselves including coughing, sneezing, fatigue/tiredness, and shortness of breath [24][25][26]. Adults with COPD and asthma had a particularly higher prevalence of nausea, vomiting/diarrhea, and fatigue/tiredness.…”

Section: Discussionmentioning

confidence: 99%

Physical and Mental Health Impacts of the COVID-19 Pandemic among US Adults with Chronic Respiratory Conditions

Wei

Islam

Mascareno

et al. 2021

JCM

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Adults living with chronic respiratory diseases are at higher risk of death due to COVID-19. Our objective was to evaluate the physical and mental health symptoms among US adults living with chronic respiratory conditions. We used data of 10,760 US adults from the nationally representative COVID-19 Impact Survey. Chronic respiratory conditions were self-reported and included asthma (14.7%), chronic obstructive pulmonary disease or COPD (4.7%), and bronchitis/emphysema (11.6%). We used multivariable Poisson regression to evaluate physical health symptoms. We estimated associations of mental health symptoms using multinomial logistic regression. In multivariable models, adults with asthma were more likely to report physical symptoms including runny or stuffy nose, chest congestion, fever, and chills. In addition, adults with COPD were more likely to report several physical symptoms including fever (adjusted prevalence ratio [aPR]: 1.37, 95% confidence interval [CI]: 1.09–1.72), chills (aPR: 2.10, 95% CI: 1.67–2.64), runny or stuffy nose (aPR: 1.78, 95% CI: 1.39–2.27), chest congestion (aPR: 2.14, 95% CI: 1.74–2.61), sneezing (aPR: 1.59, 95% CI: 1.23–2.05), and muscle or body aches (aPR: 1.38, 95% CI: 1.06–1.81). Adults with chronic respiratory conditions are more likely to report physical and mental health symptoms during the COVID-19 pandemic compared to others. Providers should prioritize discussing mental health symptom management as the pandemic continues to be a public health concern in the US.

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Section: Discussionmentioning

confidence: 99%

Physical and Mental Health Impacts of the COVID-19 Pandemic among US Adults with Chronic Respiratory Conditions

Wei

Islam

Mascareno

et al. 2021

JCM

Self Cite

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“…A survey item assessing the prevalence of symptoms of physical anxiety linked to the COVID-19 outbreak was used to assess pandemic anxiety [ 26 , 27 ]. The survey question asked participants how often they had physical anxiety symptoms over a certain week, reflecting their COVID-19 experience: “In the past 7 days, have you had physical reactions, such as sweating, trouble breathing, nausea, or a pounding heart, when thinking about your experience with the COVID-19 pandemic?” Participants chose from the following list of options: rarely or none of the time (less than 1 day), some or a little of the time (1-2 days), occasionally or a moderate amount of time (3-4 days), or most or all of the time (5-7 days).…”

Section: Methodsmentioning

confidence: 99%

Effects of COVID-19 on Physical Activity and Its Relationship With Mental Health in a US Community Sample: Cross-sectional, Convenience Sampling–based Online Survey

Zhang¹,

Velez²

2022

JMIR Form Res

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Background COVID-19 restrictions may make it difficult for people to engage in the recommended amounts of physical activity (PA). Objective The influence of the COVID-19 pandemic on PA, as well as the links between PA and mental health, was investigated in this study. Methods Participants were recruited using convenience sampling and responded to an online survey between April 15 and July 1, 2021, with ages ranging from 18 to 24 years (n=156, 40.9% of the sample) to ≥55 years (n=28, 7.4% of the sample). To assess general psychological distress, depression, anxiety, and pandemic anxiety, a battery of mental health assessments was used. The International Physical Activity Questionnaire - Short Form was used to collect PA data from participants, who were then classified as inactive, minimally active, or highly active. Participants also indicated the locations where they performed PA before and during COVID-19. Results A sample of 381 individuals was included in this research. The logistic regression analysis results were interpreted as odds ratios (ORs), where an OR higher than 1 indicated a greater chance of an event occurring and an OR less than 1 implied a lower likelihood of an event occurring. Logistic regression results revealed that inactive individuals were more likely to develop psychological distress (OR 2.17, 95% CI 1.27-3.69, P=.004), depression (OR 3.81, 95% CI 1.92-7.57, P<.001), and anxiety (OR 1.86, 95% CI 0.99-3.47, P=.05) as compared to highly active individuals. Furthermore, when compared to highly active people, those who were only minimally active had a higher risk of depression (OR 2.14, 95% CI 1.05-4.33, P=.04). Wilcoxon signed-rank tests revealed that COVID-19 has a greater impact on reducing the chances of less active individuals engaging in PA outside and in public spaces. Highly active people's physical exercise locations had changed less, and their exercise frequency at home increased. Conclusions Programmatic and policy interventions geared particularly toward enhancing PA among those less active may be a helpful strategy for addressing the worldwide pandemic’s mental health crisis.

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“…8 Adults with self-reported physiciandiagnosed allergies and asthma are more likely to report feelings of nervousness (crude [c]OR, 1.34; 95% CI, 1.13-1.60), depression (cOR, 1.32; 95% CI, 1.11-1.57), loneliness (cOR, 1.23; 95% CI, 1.04-1.47), and hopelessness (cOR, 1.44; 95% CI, 1.21-1.72) compared with those without allergies during COVID-19. 9 These studies have revealed that people with allergic diseases had a higher negative psychological impact as a result of the pandemic. 8,9 These findings have important implications for diagnostic and treatment challenges for physicians who care for people with allergic diseases and will be further explored in this review.…”

Section: Introductionmentioning

confidence: 99%

“…9 These studies have revealed that people with allergic diseases had a higher negative psychological impact as a result of the pandemic. 8,9 These findings have important implications for diagnostic and treatment challenges for physicians who care for people with allergic diseases and will be further explored in this review. Lastly, tackling COVID-19 vaccine hesitancy owing to perceived allergy has been an ongoing challenge for allergists; however, many individuals, including those who reacted to their first dose, with some exceptions, can safely receive the second dose in a controlled setting.…”

Section: Introductionmentioning

confidence: 99%

Psychological impacts of coronavirus disease 2019 on people with asthma, allergic rhinitis, and food allergy

Burrows

Ellis

2022

Annals of Allergy, Asthma & Immunology

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To summarize the current literature of the psychological impacts of coronavirus disease 2019 (COVID-19) on people with allergic diseases and to identify gaps in need of future research. Data Sources: Ovid MEDLINE(R) and Embase Classics + Embase from 1947 to present (October 18, 2021) were searched using a search strategy that included the following keywords: allergic diseases, covid*, and psychological disorders. Study Selections: Primary manuscripts and abstracts using online and telephone surveys, mixed-method studies capturing patient and caregiver experiences, case studies, and published guidelines from allergic disease-specific expert groups were included. Results: People with asthma and other chronic respiratory conditions are at higher risk of negative psychological outcomes, and risk factors include asthma severity, female sex, and previous history of anxiety and depression, likely owing to the perceived risk of severe disease from COVID-19. One study identified that people with allergic rhinitis had significantly high anxiety and depression scores compared with healthy controls (both, P < .001). The psychological impacts of food allergy during COVID-19 were most strongly felt by parents and caregivers. Similarly, parents of children with asthma experienced substantial psychological burden. Conclusion: COVID-19 had a considerable psychological impact on patients with asthma. Limited data have been published on the mental health impacts of COVID-19 on patients with allergic rhinitis and food allergy. As COVID-19 research continues to evolve and the literature captures later stages of the pandemic, it is important that physicians be aware of the potential coincidence of mental illness and chronic allergic diseases and refer these patients, and their caregivers, to appropriate resources while also continuing to manage their allergic disease(s).

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Prevalence and Risk Factors of COVID-19 Symptoms among U.S. Adults with Allergies

Cited by 6 publications

References 23 publications

Physical and Mental Health Impacts of the COVID-19 Pandemic among US Adults with Chronic Respiratory Conditions

Physical and Mental Health Impacts of the COVID-19 Pandemic among US Adults with Chronic Respiratory Conditions

Effects of COVID-19 on Physical Activity and Its Relationship With Mental Health in a US Community Sample: Cross-sectional, Convenience Sampling–based Online Survey

Psychological impacts of coronavirus disease 2019 on people with asthma, allergic rhinitis, and food allergy

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