Feelings of loneliness and mental health needs and services utilization among Chinese residents during the COVID-19 epidemic

Due to the implementation of social distancing and quarantine measures, loneliness has been a major public health concern during the COVID-19 pandemic. However, few studies have examined loneliness in Chinese residents during the COVID-19 epidemic, as well as its associations with mental health need...

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Published in:Globalization and health 2021-04, Vol.17 (1), p.51-51, Article 51
Main Authors: Bao, Li, Li, Wen-Tian, Zhong, Bao-Liang
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
China
China - epidemiology
Chinese
Control
Coronaviruses
COVID-19
COVID-19 - epidemiology
Cross-Sectional Studies
Disease control
Epidemics
Facilities and Services Utilization - statistics & numerical data
Female
Health aspects
Health problems
Health Services Needs and Demand
Health services utilization
Humans
Loneliness
Loneliness - psychology
Male
Medical care
Medical screening
Mental disorders
Mental health
Mental health needs
Mental health services
Mental Health Services - statistics & numerical data
Methods
Middle Aged
Pandemics
Psychiatric services
Psychological aspects
Public health
Quarantine
Questionnaires
Questions
Surveys
Surveys and Questionnaires
Utilization
Viral diseases
Young Adult
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description Due to the implementation of social distancing and quarantine measures, loneliness has been a major public health concern during the COVID-19 pandemic. However, few studies have examined loneliness in Chinese residents during the COVID-19 epidemic, as well as its associations with mental health needs and services utilization. The present study was a cross-sectional survey during the COVID-19 outbreak in China. A total of 7741 adults were invited and completed an online self-administered questionnaire. The Chinese 12-item General Health Questionnaire was used to screen for common mental health problems, loneliness was measured with a single-item self-report question ("How often do you feel lonely in recent days?"), and two standardized questions were used to assess perceived needs for and use of mental health services. In total, 24.2 % of the participants felt lonely in recent days. Age of 16-29 years (OR = 1.36, P = 0.020), marital status of never-married (OR = 1.47, P 
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However, few studies have examined loneliness in Chinese residents during the COVID-19 epidemic, as well as its associations with mental health needs and services utilization. The present study was a cross-sectional survey during the COVID-19 outbreak in China. A total of 7741 adults were invited and completed an online self-administered questionnaire. The Chinese 12-item General Health Questionnaire was used to screen for common mental health problems, loneliness was measured with a single-item self-report question ("How often do you feel lonely in recent days?"), and two standardized questions were used to assess perceived needs for and use of mental health services. In total, 24.2 % of the participants felt lonely in recent days. Age of 16-29 years (OR = 1.36, P = 0.020), marital status of never-married (OR = 1.47, P < 0.001), marital status of "others" (re-married, co-habiting, separated, divorced, and widowed) (OR = 1.72, P < 0.001), having infected family members or close relatives (OR = 1.64, P = 0.026), and having infected colleagues, friends, or classmates (OR = 1.62, P < 0.001) were significant correlates of loneliness. Rates of mental health needs (17.4 % vs. 4.9 %, P < 0.001) and services utilization (2.7 % vs. 1.0 %, P < 0.001) were significantly higher in lonely than not lonely participants. After adjusting for socio-demographic and epidemic characteristics and common mental health problems, loneliness was still significantly associated with mental health needs (OR = 2.50, P < 0.001) and services utilization (OR = 1.62, P = 0.020). Feelings of loneliness are prevalent among Chinese residents affected by the COVID-19 epidemic and the presence of loneliness is associated with high levels of mental health needs and greater services utilization. Effective measures aiming at preventing or reducing loneliness are potentially beneficial for the mental wellbeing of COVID-19-affected population and reducing the use of the limited mental health service resources during the COVID-19 pandemic.]]></description><identifier>ISSN: 1744-8603</identifier><identifier>EISSN: 1744-8603</identifier><identifier>DOI: 10.1186/s12992-021-00704-5</identifier><identifier>PMID: 33902638</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; China ; China - epidemiology ; Chinese ; Control ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; Cross-Sectional Studies ; Disease control ; Epidemics ; Facilities and Services Utilization - statistics &amp; numerical data ; Female ; Health aspects ; Health problems ; Health Services Needs and Demand ; Health services utilization ; Humans ; Loneliness ; Loneliness - psychology ; Male ; Medical care ; Medical screening ; Mental disorders ; Mental health ; Mental health needs ; Mental health services ; Mental Health Services - statistics &amp; numerical data ; Methods ; Middle Aged ; Pandemics ; Psychiatric services ; Psychological aspects ; Public health ; Quarantine ; Questionnaires ; Questions ; Surveys ; Surveys and Questionnaires ; Utilization ; Viral diseases ; Young Adult</subject><ispartof>Globalization and health, 2021-04, Vol.17 (1), p.51-51, Article 51</ispartof><rights>COPYRIGHT 2021 BioMed Central Ltd.</rights><rights>2021. 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However, few studies have examined loneliness in Chinese residents during the COVID-19 epidemic, as well as its associations with mental health needs and services utilization. The present study was a cross-sectional survey during the COVID-19 outbreak in China. A total of 7741 adults were invited and completed an online self-administered questionnaire. The Chinese 12-item General Health Questionnaire was used to screen for common mental health problems, loneliness was measured with a single-item self-report question ("How often do you feel lonely in recent days?"), and two standardized questions were used to assess perceived needs for and use of mental health services. In total, 24.2 % of the participants felt lonely in recent days. Age of 16-29 years (OR = 1.36, P = 0.020), marital status of never-married (OR = 1.47, P < 0.001), marital status of "others" (re-married, co-habiting, separated, divorced, and widowed) (OR = 1.72, P < 0.001), having infected family members or close relatives (OR = 1.64, P = 0.026), and having infected colleagues, friends, or classmates (OR = 1.62, P < 0.001) were significant correlates of loneliness. Rates of mental health needs (17.4 % vs. 4.9 %, P < 0.001) and services utilization (2.7 % vs. 1.0 %, P < 0.001) were significantly higher in lonely than not lonely participants. After adjusting for socio-demographic and epidemic characteristics and common mental health problems, loneliness was still significantly associated with mental health needs (OR = 2.50, P < 0.001) and services utilization (OR = 1.62, P = 0.020). Feelings of loneliness are prevalent among Chinese residents affected by the COVID-19 epidemic and the presence of loneliness is associated with high levels of mental health needs and greater services utilization. Effective measures aiming at preventing or reducing loneliness are potentially beneficial for the mental wellbeing of COVID-19-affected population and reducing the use of the limited mental health service resources during the COVID-19 pandemic.]]></description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>China</subject><subject>China - epidemiology</subject><subject>Chinese</subject><subject>Control</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Disease control</subject><subject>Epidemics</subject><subject>Facilities and Services Utilization - statistics &amp; numerical data</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health problems</subject><subject>Health Services Needs and Demand</subject><subject>Health services utilization</subject><subject>Humans</subject><subject>Loneliness</subject><subject>Loneliness - psychology</subject><subject>Male</subject><subject>Medical care</subject><subject>Medical screening</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental health needs</subject><subject>Mental health services</subject><subject>Mental Health Services - statistics &amp; 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However, few studies have examined loneliness in Chinese residents during the COVID-19 epidemic, as well as its associations with mental health needs and services utilization. The present study was a cross-sectional survey during the COVID-19 outbreak in China. A total of 7741 adults were invited and completed an online self-administered questionnaire. The Chinese 12-item General Health Questionnaire was used to screen for common mental health problems, loneliness was measured with a single-item self-report question ("How often do you feel lonely in recent days?"), and two standardized questions were used to assess perceived needs for and use of mental health services. In total, 24.2 % of the participants felt lonely in recent days. Age of 16-29 years (OR = 1.36, P = 0.020), marital status of never-married (OR = 1.47, P < 0.001), marital status of "others" (re-married, co-habiting, separated, divorced, and widowed) (OR = 1.72, P < 0.001), having infected family members or close relatives (OR = 1.64, P = 0.026), and having infected colleagues, friends, or classmates (OR = 1.62, P < 0.001) were significant correlates of loneliness. Rates of mental health needs (17.4 % vs. 4.9 %, P < 0.001) and services utilization (2.7 % vs. 1.0 %, P < 0.001) were significantly higher in lonely than not lonely participants. After adjusting for socio-demographic and epidemic characteristics and common mental health problems, loneliness was still significantly associated with mental health needs (OR = 2.50, P < 0.001) and services utilization (OR = 1.62, P = 0.020). Feelings of loneliness are prevalent among Chinese residents affected by the COVID-19 epidemic and the presence of loneliness is associated with high levels of mental health needs and greater services utilization. Effective measures aiming at preventing or reducing loneliness are potentially beneficial for the mental wellbeing of COVID-19-affected population and reducing the use of the limited mental health service resources during the COVID-19 pandemic.]]></abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>33902638</pmid><doi>10.1186/s12992-021-00704-5</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
China
China - epidemiology
Chinese
Control
Coronaviruses
COVID-19
COVID-19 - epidemiology
Cross-Sectional Studies
Disease control
Epidemics
Facilities and Services Utilization - statistics & numerical data
Female
Health aspects
Health problems
Health Services Needs and Demand
Health services utilization
Humans
Loneliness
Loneliness - psychology
Male
Medical care
Medical screening
Mental disorders
Mental health
Mental health needs
Mental health services
Mental Health Services - statistics & numerical data
Methods
Middle Aged
Pandemics
Psychiatric services
Psychological aspects
Public health
Quarantine
Questionnaires
Questions
Surveys
Surveys and Questionnaires
Utilization
Viral diseases
Young Adult
title Feelings of loneliness and mental health needs and services utilization among Chinese residents during the COVID-19 epidemic
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