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Healthcare utilisation, physical activity and mental health during COVID-19 lockdown: an interrupted time-series analysis of older adults in England

Author

Listed:
  • Jiunn Wang

    (University of Exeter
    University College London)

  • Anne Spencer

    (University of Exeter)

  • Claire Hulme

    (University of Exeter)

  • Anne Corbett

    (University of Exeter)

  • Zunera Khan

    (King’s College London)

  • Miguel Vasconcelos Silva

    (King’s College London)

  • Siobhan O’Dwyer

    (University of Exeter
    University of Birmingham)

  • Natalie Wright

    (UK Health Security Agency (UKHSA))

  • Ingelin Testad

    (University of Exeter
    Stavanger University Hospital)

  • Clive Ballard

    (University of Exeter)

  • Byron Creese

    (University of Exeter)

  • Richard Smith

    (University of Exeter)

Abstract

COVID-19 measures which reduce interpersonal contact may be effective in containing the transmission, but their impacts on peoples’ well-being and daily lives overtime remain unclear. Older adults are more vulnerable to both the virus and social isolation. It is therefore imperative to understand how they were affected during this period. Major concerns arising from the pandemic cover the aspects of mental health, healthcare utilisation and individual behavioural changes. Complementing the existing before-and-after analyses, we explore the impacts of easing and re-introducing COVID-19 measures by using a time-series data in England. The data was collected between May and November 2020 from the monthly surveys of the Platform for Research Online to Investigate Genetics and Cognition in Aging (PROTECT). Chi-squared analysis and interrupted time-series analysis were conducted to examine impacts of easing and re-introducing COVID-19 measures. Overall, mental health improves overtime but at a decreasing rate. The use of telephone/video consultations with a doctor or health professional presented a decreasing trend during the pandemic, whilst that of in-person consultation was increasing overtime. We observed significant variations in the time trends of mental health measures, healthcare utilisation and physical activity following the ease but not the re-introduction of COVID-19 measures. Future research is required to understand if these asymmetric impacts were driven by adaption of the people or stringency of the measures.

Suggested Citation

  • Jiunn Wang & Anne Spencer & Claire Hulme & Anne Corbett & Zunera Khan & Miguel Vasconcelos Silva & Siobhan O’Dwyer & Natalie Wright & Ingelin Testad & Clive Ballard & Byron Creese & Richard Smith, 2022. "Healthcare utilisation, physical activity and mental health during COVID-19 lockdown: an interrupted time-series analysis of older adults in England," European Journal of Ageing, Springer, vol. 19(4), pages 1617-1630, December.
    • Handle: RePEc:spr:eujoag:v:19:y:2022:i:4:d:10.1007_s10433-022-00741-y
    DOI: 10.1007/s10433-022-00741-y
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    References listed on IDEAS

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    1. Theo G van Tilburg & Stephanie Steinmetz & Elske Stolte & Henriëtte van der Roest & Daniel H de Vries & Deborah Carr, 2021. "Loneliness and Mental Health During the COVID-19 Pandemic: A Study Among Dutch Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 76(7), pages 249-255.
    2. Sahar Saeed & Erica E. M. Moodie & Erin C. Strumpf & Marina B. Klein, 2018. "Segmented generalized mixed effect models to evaluate health outcomes," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(4), pages 547-551, May.
    3. Muzhi Zhou & Man-Yee Kan, 2021. "The varying impacts of COVID-19 and its related measures in the UK: A year in review," PLOS ONE, Public Library of Science, vol. 16(9), pages 1-21, September.
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