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COVID-19 Lockdown in Patients with Chronic Diseases: A Cross-Sectional Study

Author

Listed:
  • Mathieu Boulin

    (Pharmacy Department, Dijon Bourgogne University Hospital, EPICAD LNC UMR 1231, 21000 Dijon, France)

  • Amélie Cransac-Miet

    (Pharmacy Department, Dijon Bourgogne University Hospital, EPICAD LNC UMR 1231, 21000 Dijon, France)

  • Marc Maynadié

    (Biological Haematology Department, Dijon Bourgogne University Hospital, Haematological Malignancies Registry, LNC UMR 1231, 21000 Dijon, France)

  • Fabienne Volot

    (Haemophilia Comprehensive Care Centre, Dijon Bourgogne University Hospital, 21000 Dijon, France)

  • Catherine Creuzot-Garcher

    (Eye and Nutrition Research Group, Ophthalmology Department, Dijon Bourgogne University Hospital, UMR1324, INRAE, 6265 CNRS, 21000 Dijon, France)

  • Jean-Christophe Eicher

    (Cardiology Department, Dijon Bourgogne University Hospital, 21000 Dijon, France)

  • Frédéric Chagué

    (Cardiology Department, Dijon Bourgogne University Hospital, 21000 Dijon, France)

  • Eléa Ksiazek

    (Department of Clinical Research and Innovation (DRCI), Clinical Research Unit-Methodological Support Network (USMR), Dijon Bourgogne University Hospital, 21000 Dijon, France)

  • Guillaume Beltramo

    (Reference Constitutive Center for Rare Pulmonary Diseases, Pulmonary Medicine and Intensive Care Unit Department, Dijon Bourgogne University Hospital, LNC UMR 1231, 21000 Dijon, France)

  • Philippe Bonniaud

    (Reference Constitutive Center for Rare Pulmonary Diseases, Pulmonary Medicine and Intensive Care Unit Department, Dijon Bourgogne University Hospital, LNC UMR 1231, 21000 Dijon, France)

  • Thibault Moreau

    (Neurology Department, Dijon Bourgogne University Hospital, Bio-PeroxyIL, EA 7270, 21000 Dijon, France)

  • Bernard Bonnotte

    (Department of Internal Medicine and Clinical Immunology, Dijon Bourgogne University Hospital, INSERM U1098, 21000 Dijon, France)

  • Edith Sales-Wuillemin

    (Psy-DREPI (Psychologie: Dynamiques Relationnelles et Processus Pdentitaires), University of Bourgogne Franche-Comté, EA 7458, 21000 Dijon, France)

  • Agnès Soudry-Faure

    (Department of Clinical Research and Innovation (DRCI), Clinical Research Unit-Methodological Support Network (USMR), Dijon Bourgogne University Hospital, 21000 Dijon, France)

  • Marianne Zeller

    (Cardiology Department, Dijon Bourgogne University Hospital, PEC2, EA 7460, 21000 Dijon, France
    These authors contributed equally to this work.)

  • Yves Cottin

    (Cardiology Department, Dijon Bourgogne University Hospital, PEC2, EA 7460, 21000 Dijon, France
    These authors contributed equally to this work.)

Abstract

Background: We aimed to investigate the impact of the first COVID-19 lockdown on medication adherence, physician access, lifestyle behaviours, and mental health in patients with chronic conditions. Methods: A cross-sectional phone survey was conducted in 1274 housebound adults recruited from 8 regional chronic disease cohorts (CLEO CD study: NCT04390126). Results: Medication adherence was 97%; 305 (41%) patients declared that at least one scheduled visit with a physician was missed during the first lockdown. The main changes in lifestyle behaviours were deterioration in sleep time (duration and/or quality; 71%), increase in screen time (46%), and decrease in physical activity (46%). Nineteen percent experienced psychological distress (Kessler-6 score ≥ 5). An urban living place (OR, 1.76 vs. rural; 95% CI, 1.32–2.33; p = 10 −4 ), worse self-reported mental health (OR, 1.62 vs. about the same or better; 95% CI, 1.17–2.25; p = 0.003), and a K6 score ≥ 5 (OR, 1.52 vs. <5; 95% CI, 1.05–2.21; p = 0.03) were independent factors associated with at least one unhealthy behaviour. Conclusions: Encouraging results were observed in terms of medication adherence. Caution is needed in chronic disease patients living in urban places as well as those presenting psychological distress and worse self-reported mental health to reduce unhealthy behaviours.

Suggested Citation

  • Mathieu Boulin & Amélie Cransac-Miet & Marc Maynadié & Fabienne Volot & Catherine Creuzot-Garcher & Jean-Christophe Eicher & Frédéric Chagué & Eléa Ksiazek & Guillaume Beltramo & Philippe Bonniaud & T, 2022. "COVID-19 Lockdown in Patients with Chronic Diseases: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(7), pages 1-12, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:3957-:d:780268
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    References listed on IDEAS

    as
    1. Robert Stanton & Quyen G. To & Saman Khalesi & Susan L. Williams & Stephanie J. Alley & Tanya L. Thwaite & Andrew S. Fenning & Corneel Vandelanotte, 2020. "Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults," IJERPH, MDPI, vol. 17(11), pages 1-13, June.
    2. Arkaitz Castañeda-Babarro & Ane Arbillaga-Etxarri & Borja Gutiérrez-Santamaría & Aitor Coca, 2020. "Physical Activity Change during COVID-19 Confinement," IJERPH, MDPI, vol. 17(18), pages 1-10, September.
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