Variation in the stringency of COVID-19 public health measures on self-reported health, stress, and overall wellbeing in Canada

Abstract Evidence is building regarding the association between government implemented public health measures aimed at combating COVID-19 and their impacts on health. This study investigated the relationship between the stringency of public health measures implemented in Canada and self-reported men...

Full description

Bibliographic Details
Main Authors: Emily Cameron-Blake, Henry Annan, Leonora Marro, David Michaud, Julia Sawatzky, Helen Tatlow
Format: Article
Language:English
Published: Nature Portfolio 2023-08-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-39004-w
_version_ 1797559837737877504
author Emily Cameron-Blake
Henry Annan
Leonora Marro
David Michaud
Julia Sawatzky
Helen Tatlow
author_facet Emily Cameron-Blake
Henry Annan
Leonora Marro
David Michaud
Julia Sawatzky
Helen Tatlow
author_sort Emily Cameron-Blake
collection DOAJ
description Abstract Evidence is building regarding the association between government implemented public health measures aimed at combating COVID-19 and their impacts on health. This study investigated the relationship between the stringency of public health measures implemented in Canada and self-reported mental health, physical health, stress, and wellbeing among a random sample of 6647 Canadians 18 years of age and older. The analysis was based on self-reported health data from the Canadian Perspectives on Environmental Noise Survey. This data was combined with the Oxford COVID-19 Government Response Tracker database, which included overall stringency index (SI), and four of its sub-components, i.e., school and business closures, restrictions on gatherings, and stay at home policies. Adjusted multivariate logistic regression models indicated that the magnitude of the overall SI was associated with higher or lower odds of reporting worse physical health, mental health, stress and/or overall wellbeing, depending on the measure evaluated. Similarly, policy directed at the four sub-components had varying impacts on the odds of reporting worse health, depending on the sub-component, the strength of the policy restriction, and the health outcome evaluated. The association between the strength of the public health measures and self-reported health, and how this may inform future policy, is discussed.
first_indexed 2024-03-10T17:50:57Z
format Article
id doaj.art-7aa0fa595f3a421ab43bd1651e6dd9ac
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-03-10T17:50:57Z
publishDate 2023-08-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-7aa0fa595f3a421ab43bd1651e6dd9ac2023-11-20T09:22:13ZengNature PortfolioScientific Reports2045-23222023-08-0113111310.1038/s41598-023-39004-wVariation in the stringency of COVID-19 public health measures on self-reported health, stress, and overall wellbeing in CanadaEmily Cameron-Blake0Henry Annan1Leonora Marro2David Michaud3Julia Sawatzky4Helen Tatlow5Blavatnik School of Government, University of Oxford, Radcliffe Observatory QuarterFaculty of Medicine, Dalhousie UniversityHealth Canada, Environmental and Radiation Health Sciences Directorate, Environmental Health Science and Research Bureau, Biostatistics SectionHealth Canada, Environmental and Radiation Health Sciences Directorate, Consumer and Clinical Radiation Protection BureauFaculty of Medicine and Dentistry, University of AlbertaBlavatnik School of Government, University of Oxford, Radcliffe Observatory QuarterAbstract Evidence is building regarding the association between government implemented public health measures aimed at combating COVID-19 and their impacts on health. This study investigated the relationship between the stringency of public health measures implemented in Canada and self-reported mental health, physical health, stress, and wellbeing among a random sample of 6647 Canadians 18 years of age and older. The analysis was based on self-reported health data from the Canadian Perspectives on Environmental Noise Survey. This data was combined with the Oxford COVID-19 Government Response Tracker database, which included overall stringency index (SI), and four of its sub-components, i.e., school and business closures, restrictions on gatherings, and stay at home policies. Adjusted multivariate logistic regression models indicated that the magnitude of the overall SI was associated with higher or lower odds of reporting worse physical health, mental health, stress and/or overall wellbeing, depending on the measure evaluated. Similarly, policy directed at the four sub-components had varying impacts on the odds of reporting worse health, depending on the sub-component, the strength of the policy restriction, and the health outcome evaluated. The association between the strength of the public health measures and self-reported health, and how this may inform future policy, is discussed.https://doi.org/10.1038/s41598-023-39004-w
spellingShingle Emily Cameron-Blake
Henry Annan
Leonora Marro
David Michaud
Julia Sawatzky
Helen Tatlow
Variation in the stringency of COVID-19 public health measures on self-reported health, stress, and overall wellbeing in Canada
Scientific Reports
title Variation in the stringency of COVID-19 public health measures on self-reported health, stress, and overall wellbeing in Canada
title_full Variation in the stringency of COVID-19 public health measures on self-reported health, stress, and overall wellbeing in Canada
title_fullStr Variation in the stringency of COVID-19 public health measures on self-reported health, stress, and overall wellbeing in Canada
title_full_unstemmed Variation in the stringency of COVID-19 public health measures on self-reported health, stress, and overall wellbeing in Canada
title_short Variation in the stringency of COVID-19 public health measures on self-reported health, stress, and overall wellbeing in Canada
title_sort variation in the stringency of covid 19 public health measures on self reported health stress and overall wellbeing in canada
url https://doi.org/10.1038/s41598-023-39004-w
work_keys_str_mv AT emilycameronblake variationinthestringencyofcovid19publichealthmeasuresonselfreportedhealthstressandoverallwellbeingincanada
AT henryannan variationinthestringencyofcovid19publichealthmeasuresonselfreportedhealthstressandoverallwellbeingincanada
AT leonoramarro variationinthestringencyofcovid19publichealthmeasuresonselfreportedhealthstressandoverallwellbeingincanada
AT davidmichaud variationinthestringencyofcovid19publichealthmeasuresonselfreportedhealthstressandoverallwellbeingincanada
AT juliasawatzky variationinthestringencyofcovid19publichealthmeasuresonselfreportedhealthstressandoverallwellbeingincanada
AT helentatlow variationinthestringencyofcovid19publichealthmeasuresonselfreportedhealthstressandoverallwellbeingincanada