Association between area deprivation index and concerns to COVID-19: A multi-level analysis of individual and area factors
Background: The coronavirus disease 2019 (COVID-19) pandemic has been one of the most serious global threats to public health recently. The present study examined whether area deprivation is associated with concerns related to COVID-19 using large nationwide data across South Korea. Methods: We used...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | SSM: Population Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352827323002458 |
| _version_ | 1797363783699529728 |
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| author | Doo Woong Lee Jieun Jang Jaeyong Shin |
| author_facet | Doo Woong Lee Jieun Jang Jaeyong Shin |
| author_sort | Doo Woong Lee |
| collection | DOAJ |
| description | Background: The coronavirus disease 2019 (COVID-19) pandemic has been one of the most serious global threats to public health recently. The present study examined whether area deprivation is associated with concerns related to COVID-19 using large nationwide data across South Korea. Methods: We used nationwide 2020 Korea Community Health Survey and official government database. Of the 225,680 included participants, 123,324 (54.6%) were women, and the mean age was 54.9 [17.8] years old. We classified the Area deprivation index (ADI) into Quartile 1 (Least deprived); Quartile 2; Quartile 3; and Quartile 4 (Most deprived). Our primary outcome was the concerns related to COVID-19 (0–16 scores). Multilevel regression analysis was conducted. Results: The mean score of concerns related to COVID-19 was 11.3 [3.2] in the total population. 13.5% of the variability in the scores of concerns related to COVID-19 was accounted for by district areas. Area with Q4 of ADI were associated with an increased score of concerns related to COVID-19 (Q1: reference; Q2: β = 0.218, SE = 0.119, FDR adj.p-value = 0.085; Q3: β = 0.235, SE = 0.133, FDR adj.p-value = 0.094; Q4: β = 0.252, SE = 0.109, FDR adj.p-value = 0.029). 19–49 groups in area with Q4 of ADI were associated with an increase in scores of concerns related to COVID-19 than other age groups in area with Q4 of ADI. Area with Q4 of ADI were associated with a score of concern of being criticized if getting infected compared to area with Q1 of ADI. Conclusion: We found that the highest quartile ADI was associated with greater concerns related to COVID-19. By identifying vulnerable population to concerns related to COVID-19, health systems may consider preventive intervention to mitigate mental health issues. |
| first_indexed | 2024-03-08T16:25:55Z |
| format | Article |
| id | doaj.art-0feb9423c8164421aaef7ee4b9a1af18 |
| institution | Directory Open Access Journal |
| issn | 2352-8273 |
| language | English |
| last_indexed | 2024-03-08T16:25:55Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Population Health |
| spelling | doaj.art-0feb9423c8164421aaef7ee4b9a1af182024-01-07T04:32:05ZengElsevierSSM: Population Health2352-82732024-03-0125101580Association between area deprivation index and concerns to COVID-19: A multi-level analysis of individual and area factorsDoo Woong Lee0Jieun Jang1Jaeyong Shin2Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea; Department of Public Health, Graduate School, Yonsei University, Seoul, 03722, Republic of Korea; Institute of Health Services Research, Yonsei University, Seoul, 03722, Republic of KoreaInstitute of Health Services Research, Yonsei University, Seoul, 03722, Republic of Korea; Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Harvard Medical School, Boston, MA, USA; Department of Hospital Administration, Yonsei University Graduate School of Public Health, Seoul, 03722, Republic of KoreaDepartment of Preventive Medicine, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea; Department of Public Health, Graduate School, Yonsei University, Seoul, 03722, Republic of Korea; Institute of Health Services Research, Yonsei University, Seoul, 03722, Republic of Korea; Corresponding author. Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, 50 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of KoreaBackground: The coronavirus disease 2019 (COVID-19) pandemic has been one of the most serious global threats to public health recently. The present study examined whether area deprivation is associated with concerns related to COVID-19 using large nationwide data across South Korea. Methods: We used nationwide 2020 Korea Community Health Survey and official government database. Of the 225,680 included participants, 123,324 (54.6%) were women, and the mean age was 54.9 [17.8] years old. We classified the Area deprivation index (ADI) into Quartile 1 (Least deprived); Quartile 2; Quartile 3; and Quartile 4 (Most deprived). Our primary outcome was the concerns related to COVID-19 (0–16 scores). Multilevel regression analysis was conducted. Results: The mean score of concerns related to COVID-19 was 11.3 [3.2] in the total population. 13.5% of the variability in the scores of concerns related to COVID-19 was accounted for by district areas. Area with Q4 of ADI were associated with an increased score of concerns related to COVID-19 (Q1: reference; Q2: β = 0.218, SE = 0.119, FDR adj.p-value = 0.085; Q3: β = 0.235, SE = 0.133, FDR adj.p-value = 0.094; Q4: β = 0.252, SE = 0.109, FDR adj.p-value = 0.029). 19–49 groups in area with Q4 of ADI were associated with an increase in scores of concerns related to COVID-19 than other age groups in area with Q4 of ADI. Area with Q4 of ADI were associated with a score of concern of being criticized if getting infected compared to area with Q1 of ADI. Conclusion: We found that the highest quartile ADI was associated with greater concerns related to COVID-19. By identifying vulnerable population to concerns related to COVID-19, health systems may consider preventive intervention to mitigate mental health issues.http://www.sciencedirect.com/science/article/pii/S2352827323002458COVID-19Concerns related to COVID-19Area deprivationMulti-level analysis |
| spellingShingle | Doo Woong Lee Jieun Jang Jaeyong Shin Association between area deprivation index and concerns to COVID-19: A multi-level analysis of individual and area factors SSM: Population Health COVID-19 Concerns related to COVID-19 Area deprivation Multi-level analysis |
| title | Association between area deprivation index and concerns to COVID-19: A multi-level analysis of individual and area factors |
| title_full | Association between area deprivation index and concerns to COVID-19: A multi-level analysis of individual and area factors |
| title_fullStr | Association between area deprivation index and concerns to COVID-19: A multi-level analysis of individual and area factors |
| title_full_unstemmed | Association between area deprivation index and concerns to COVID-19: A multi-level analysis of individual and area factors |
| title_short | Association between area deprivation index and concerns to COVID-19: A multi-level analysis of individual and area factors |
| title_sort | association between area deprivation index and concerns to covid 19 a multi level analysis of individual and area factors |
| topic | COVID-19 Concerns related to COVID-19 Area deprivation Multi-level analysis |
| url | http://www.sciencedirect.com/science/article/pii/S2352827323002458 |
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