Table 4.
Association between stressors during the lockdown and COVID-19 disease, with post-lockdown severity of depression
Depression | Anxiety | |||
---|---|---|---|---|
Moderate (20.3%) | Severe (4.5%) | Moderate (18.4%) | Severe (9.9%) | |
RR (95% CI) | RR (95% CI) | RR (95% CI) | RR (95% CI) | |
Household conditions | ||||
Living alone | 1.07 (0.96–1.19) | 1.35 (1.10–1.65) | 0.95 (0.85–1.07) | 0.94 (0.80–1.10) |
High media exposure (**) | 1.32 (1.21–1.43) | 1.56 (1.32–1.84) | 1.32 (1.21–1.44) | 1.60 (1.43–1.78) |
Interpersonal conflicts | 1.71 (1.59–1.85) | 2.22 (1.90–2.59) | 1.61 (1.48–1.74) | 1.97 (1.77–2.19) |
Caregiving of children | 1.09 (0.99–1.20) | 1.18 (0.99–1.40) | 1.15 (1.04–1.26) | 1.14 (1.01–1.28) |
Financial strain | ||||
Currently unemployed | 1.17 (1.04–1.32) | 1.81 (1.49–2.20) | 1.24 (1.09–1.40) | 1.33 (1.15–1.53) |
Struggle to pay rent/food | 1.16 (1.02–1.31) | 2.05 (1.70–2.47) | 1.27 (1.11–1.45) | 1.77 (1.55–2.01) |
Wider environment | ||||
Rare/no access to outdoor spaces (**) | 1.09 (1.00–1.19) | 1.49 (1.26–1.76) | 1.01 (0.91–1.11) | 1.25 (1.11–1.40) |
Noise annoyance | 1.34 (1.24–1.45) | 1.43 (1.23–1.68) | 1.27 (1.17–1.38) | 1.42 (1.27–1.57) |
COVID-19 (***) | ||||
All cases | 1.32 (1.14–1.53) | 1.56 (1.19–2.05) | 1.29 (1.09–1.51) | 1.49 (1.24–1.79) |
Log-binomial/Poisson regression analysis*, COVICAT study, n = 9515 **
*Log-binomial regression models adjusted for age, gender, education level, days passed since end of stay-at-home order, positive COVID-19 diagnosis, confirmed history of mental health diagnosis, and type of interview. Poisson regression models with robust standard errors were applied when convergence was not achieved
**Analyses were run among participants with available information for all variables; sample sizes were N = 9515 for all models except those marked with (**), which were N = 9430 due to the omission of these questions in the telephone-based interviews
***Model for COVID-19 adjusted as above except for positive COVID-19 diagnosis