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dc.rights.licenseopenen_US
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorLU, Li
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorCONTRAND, Benjamin
dc.contributor.authorDUPUY, Marion
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorRAMIZ, Leila
dc.contributor.authorSZTAL-KUTAS, Catherine
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorLAGARDE, Emmanuel
dc.date.accessioned2022-05-11T13:32:02Z
dc.date.available2022-05-11T13:32:02Z
dc.date.issued2022-04-19
dc.identifier.issn0165-0327 (Print)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/140039
dc.description.abstractEnBACKGROUND: The French government issued national COVID-19-related confinement and stay-at-home orders depending on different epidemic levels in a bid to stem the coronavirus pandemic and its resurgence. The long-term impact of lockdown measures on the general population may vary. We aimed to identify and characterize self-reported mental and physical health trajectories in the French population from pre-lockdown to the first and second COVID-19 lockdowns and to identify factors associated with health status variation patterns. METHODS: We did a secondary analysis of the MAVIE cohort in France. Volunteers of this national cohort were recruited between November 2014 and December 2019, and information was collected at recruitment (pre-lockdown), April-May 2020 (the first lockdown), and October-December 2020 (the second lockdown). Latent class mixed models were built to identify distinct anxiety (as measured by GAD-7) and depressive (as measured by PHQ-9) symptoms, and self-perceived mental and physical health trajectories. Factors associated with status variation were identified by multinomial regression. RESULTS: A total of 613 participants with data in all three data collection waves were included. Respondents spent almost half as much time on traditional media, websites and social media during the second lockdown as during the first. Mean anxiety scores were 1.96, 2.37 and 2.82 at pre-lockdown, and the first and second lockdowns, respectively. Mean depressive scores were 3.12, 3.36 and 3.95, respectively. Latent class mixed models fitted two and three distinct trajectory classes respectively for anxiety symptoms ('no pre-pandemic anxiety, slightly increase', 58.9%; 'consistently fair', 41.1%) and depressive symptoms ('consistently very low', 34.6%; 'consistently low', 56.1%; 'increasing and clinically significant at the second lockdown', 9.3%), and four classes for self-perceived mental and physical health. Females were more likely to belong to trajectories of the most vulnerable one as regard to the symptoms of anxiety and depression, and self-perceived mental health. The younger participants were also more vulnerable to anxiety symptoms and those with a clinical diagnosis or a positive COVID-19 test for the participant or relatives were more likely to belong to vulnerable trajectories for depressive symptoms and self-perceived mental health. Females were more likely to present the deteriorating self-perceived physical health trajectory. CONCLUSION: A continuing increase in the mean scores of anxiety and depression symptoms was observed throughout the two lockdown periods in France. Further analyses revealed distinct patterns with a small fraction of volunteers experiencing worsening mental and health symptoms. This vulnerable small part of the population requires targeted support.
dc.language.isoENen_US
dc.subject.enCOVID-19 lockdown
dc.subject.enLatent class trajectory
dc.subject.enAnxiety symptoms
dc.subject.enDepression symptoms
dc.subject.enMental health
dc.subject.enPhysical health
dc.title.enMental and physical health among the French population before and during the first and second COVID-19 lockdowns: Latent class trajectory analyses using longitudinal data
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.jad.2022.04.095en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed35452759en_US
bordeaux.journalJournal of Affective Disordersen_US
bordeaux.page95-104en_US
bordeaux.volume309en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamAHEAD_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDAgence Nationale de Sécurité du Médicament et des Produits de Santéen_US
bordeaux.identifier.funderIDUniversité de Bordeauxen_US
bordeaux.identifier.funderIDConseil Régional Aquitaineen_US
hal.identifierhal-03665202
hal.version1
hal.date.transferred2022-05-11T13:32:07Z
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
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