The impact of pre-existing conditions and perceived health status on mental health during the COVID-19 pandemic

Bunevičienė, Inesa; Bunevičius, R.; Bagdonas, Sarunas; Bunevičius, Adomas

doi:10.1093/pubmed/fdab248

Cited by 37 publications

(32 citation statements)

References 40 publications

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“…The association between mental illness and poor self-perceived health generally agrees with those obtained in previous studies ( 72 , 73 ). The fundamental link between mental health, physical health, and functional disability that has two pathways from one to the other may provide a conceptual framework.…”

Section: Discussionsupporting

confidence: 91%

Factors associated with self-perceived health status in Portugal: Results from the National Health Survey 2014

Shaaban

Martins

Peleteiro

2022

Front. Public Health

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BackgroundSelf-perceived health is an important indicator of illness and mortality. This study aims at identifying a wide range of factors that can influence self-perceived health status among a representative sample in Portugal.MethodsWe used the 2014 National Health Survey (n = 17,057), whereby participants were required to assess their health status from “Very good,” “Good,” “Fair,” “Poor” to “Very poor.” We grouped the answers “Very good” and “Good,” and “Poor” and “Very poor,” respectively. Multinomial logistic regression was used to compare participants' characteristics across groups by computing odds ratio and corresponding 95% confidence intervals. Models included Socioeconomic/demographic characteristics, objective health status, healthcare use, functional disability, barriers to healthcare services utilization, lifestyle variables, mental health status, social support, and satisfaction with life as potential factors that can affect self-perceived health. Models were adjusted for sex, age, educational level, degree of urbanization, and presence of chronic diseases.ResultsAbout 45% of participants reported good/very good, 39% reported fair, while ~16% reported poor/very poor health perception. Poor/very poor health was more reported by women when compared to men (19.1 vs. 11.4%, respectively, p < 0.001). A higher prevalence of poor/very poor health status was reported by participants living in thinly populated areas or among older populations. Lower educational levels, lower income, as well as unemployment, were found to increase the risk of reporting poor/very poor health status. Utilizing healthcare services more frequently, experiencing barriers to access healthcare services, having depressive symptoms or activity limitations, or lacking social support were found to be significantly associated with poor/very poor self-perceived health.ConclusionSubjects living in Portugal tend to report less good/very good health status and more poor/very poor health when compared to the rest of Europe. This study stresses the importance of socioeconomic factors, chronic illness, barriers to access healthcare services, social isolation, and mental health status in influencing self-perceived health and highlights the urgent need for social-informed policies, strategies, and interventions to reduce health inequalities in Portugal.

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Section: Discussionsupporting

confidence: 91%

Factors associated with self-perceived health status in Portugal: Results from the National Health Survey 2014

Shaaban

Martins

Peleteiro

2022

Front. Public Health

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“…The results of this study corroborate previous research documenting an association between self-perceived health status and symptoms of depression, anxiety, and stress ( 55 ). Moreover, these results showed that chronic illnesses were not associated with symptoms of depression, anxiety, and stress ( 56 , 57 ).…”

Section: Discussionsupporting

confidence: 90%

Psychosocial response to the COVID-19 pandemic in Panama

Oviedo

Pinzón

Rodríguez-Araña

et al. 2022

Front. Public Health

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BackgroundThe impact of the COVID-19 pandemic and the associated restrictions on mental health is being studied.ObjectiveTo analyze the psychosocial response to the COVID-19 pandemic in adults residing in Panama.MethodsA community sample of 480 adult residents of Panama completed a survey that included sociodemographic questions, COVID-19 related questions (e.g., health concerns regarding the virus, knowledge and behaviors in biosafety) and scales of stress, anxiety, depression, prosocial behavior, resilience, perceived social support, and insomnia.ResultsMost of the participants (>60%) reported being negatively affected by the pandemic. Women experienced greater depression, anxiety, and stress symptoms than men, and age was negatively associated with depression, anxiety, and stress symptoms. Self-perceived health status and self-perceived social support were negatively associated with depression, anxiety, and stress symptoms. Self-perceived social isolation was positively associated with depression, anxiety, and stress symptoms. Psychiatric illness and insomnia were positively associated with depression, anxiety, and stress symptoms, whereas psychological resilience was negatively associated with depression, anxiety, and stress symptoms.DiscussionThese results corroborate other studies regarding COVID-19 and mental health. This study highlights the need for specific prevention and intervention mechanisms related to the COVID-19 pandemic in different population groups. This is the first report of the psychological impact of COVID-19 in the general Panamanian population and one of the only studies in the Latin American region and, therefore, contributes to research in the Latino population and lower-middle income countries.

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“…It is a concerning finding that individuals with co-morbid medical conditions were more likely to increase their smoking given their higher risk of more severe COVID-19 illness [ 49 ]. One potential explanation for this association is that those with medical conditions might have felt more stress and/or experienced greater mental health complications because of their medical status, which, in turn, promoted smoking [ 25 , 50 , 51 ]. Another possibility is that having a medical co-morbidity may be related to greater difficulty quitting smoking.…”

Section: Discussionmentioning

confidence: 99%

Cigarette Smoking in Response to COVID-19: Examining Co-Morbid Medical Conditions and Risk Perceptions

Fucito

Bold

Cannon

et al. 2022

IJERPH

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During the initial wave of the Coronavirus Disease 2019 (COVID-19) pandemic in the U.S., information was mixed about the relative COVID-19 risks and potential benefits associated with cigarette smoking. Therefore, we sought to understand individual differences in the impact of COVID-19 on cigarette smoking in a sample of adults who reported recent use, with a particular focus on chronic medical conditions likely associated with increased COVID-19 risk. Participants completed an online survey of smoking behavior, demographic variables, medical history, and COVID-19 risk perceptions between July and August 2020 (N = 286). We examined whether medical conditions, COVID-19 risk perceptions and/or demographic characteristics were related to smoking changes in response to the pandemic (i.e., no change, decrease, increase) using multinomial logistical regression. Younger age, higher COVID-19 risk perceptions and Black versus White race were associated with greater odds of decreased smoking compared to no smoking change. Moreover, having at least one chronic medical condition was associated with greater odds of increased smoking relative to no change. The results have important implications for tobacco cessation treatment and preventive healthcare during the ongoing COVID-19 pandemic and other public health threats.

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The impact of pre-existing conditions and perceived health status on mental health during the COVID-19 pandemic

Cited by 37 publications

References 40 publications

Factors associated with self-perceived health status in Portugal: Results from the National Health Survey 2014

Factors associated with self-perceived health status in Portugal: Results from the National Health Survey 2014

Psychosocial response to the COVID-19 pandemic in Panama

Cigarette Smoking in Response to COVID-19: Examining Co-Morbid Medical Conditions and Risk Perceptions

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