Article ; Online: Mental health and health behaviours before and during the initial phase of the COVID-19 lockdown: longitudinal analyses of the UK Household Longitudinal Study.
Journal of epidemiology and community health
2020 Volume 75, Issue 3, Page(s) 224–231
Abstract: ... in the UK before and during the initial phase of the COVID-19 lockdown and differences across population ... subgroups.: Methods: Repeated cross-sectional and longitudinal analysis of the UK Household ... may have unintended health consequences. We examined trends in mental health and health behaviours ...
| Abstract | Background: There are concerns that COVID-19 mitigation measures, including the 'lockdown', may have unintended health consequences. We examined trends in mental health and health behaviours in the UK before and during the initial phase of the COVID-19 lockdown and differences across population subgroups. Methods: Repeated cross-sectional and longitudinal analysis of the UK Household Longitudinal Study, including representative samples of over 27,000 adults (aged 18+) interviewed in four survey waves between 2015 and 2020. A total of 9748 adults had complete data for longitudinal analyses. Outcomes included psychological distress (General Health Questionnaire-12), loneliness, current cigarette smoking, use of e-cigarettes and alcohol consumption. Cross-sectional prevalence estimates were calculated and multilevel Poisson regression assessed associations between time period and the outcomes of interest, as well as differential associations by age, gender, education level and ethnicity. Results: Psychological distress increased 1 month into lockdown with the prevalence rising from 19.4% (95% CI 18.7% to 20.1%) in 2017-2019 to 30.6% (95% CI 29.1% to 32.3%) in April 2020 (RR=1.3, 95% CI 1.2 to 1.4). Groups most adversely affected included women, young adults, people from an Asian background and those who were degree educated. Loneliness remained stable overall (RR=0.9, 95% CI 0.6 to 1.5). Smoking declined (RR=0.9, 95% CI=0.8,1.0) and the proportion of people drinking four or more times per week increased (RR=1.4, 95% CI 1.3 to 1.5), as did binge drinking (RR=1.5, 95% CI 1.3 to 1.7). Conclusions: Psychological distress increased 1 month into lockdown, particularly among women and young adults. Smoking declined, but adverse alcohol use generally increased. Effective measures are required to mitigate negative impacts on health. |
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| MeSH term(s) | Adolescent ; Adult ; Aged ; Aged, 80 and over ; Alcohol Drinking/epidemiology ; COVID-19/epidemiology ; COVID-19/psychology ; Child ; Child, Preschool ; Cross-Sectional Studies ; Electronic Nicotine Delivery Systems/statistics & numerical data ; Female ; Health Behavior ; Humans ; Infant ; Infant, Newborn ; Loneliness/psychology ; Longitudinal Studies ; Male ; Mental Health/statistics & numerical data ; Middle Aged ; Prevalence ; Quarantine/psychology ; SARS-CoV-2 ; Smoking/epidemiology ; Smoking/psychology ; Social Isolation/psychology ; Surveys and Questionnaires ; United Kingdom/epidemiology ; Young Adult |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-09-25 |
| Publishing country | England |
| Document type | Journal Article ; Research Support, Non-U.S. Gov't |
| ZDB-ID | 391868-3 |
| ISSN | 1470-2738 ; 0142-467X ; 0141-7681 ; 0143-005X |
| ISSN (online) | 1470-2738 |
| ISSN | 0142-467X ; 0141-7681 ; 0143-005X |
| DOI | 10.1136/jech-2020-215060 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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