Evidence map›Paper›PMID 32988955›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2020

Impact of COVID-19 on loneliness, mental health, and health service utilisation: a prospective cohort study of older adults with multimorbidity in primary care.

Samuel Yeung Shan Wong, Dexing Zhang, Regina Wing Shan Sit, Benjamin Hon Kei Yip, Roger Yat-Nork Chung, Carmen Ka Man Wong, Dicken Cheong Chun Chan, Wen Sun, Kin On Kwok, Stewart W Mercer

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 205 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
205citing papers in PubMed, 9 pooled it
37.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

205 citing papers in PubMed, 9 syntheses or guidelines pooled it, 421 citations in OpenAlex.

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  4. Interventions to identify and manage depression delivered by 'nontraditional' providers to community-dwelling older adults: A realist review.Health expectations : an international journal of public participation in health care and health policy · 2022
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145 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Samuel Yeung Shan WongJC School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong SAR, China.
Dexing ZhangJC School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong SAR, China.
Regina Wing Shan SitJC School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong SAR, China.
Benjamin Hon Kei YipJC School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong SAR, China.
Roger Yat-Nork ChungJC School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong SAR, China.
Carmen Ka Man WongJC School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong SAR, China.
Dicken Cheong Chun ChanJC School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong SAR, China.
Wen SunJC School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong SAR, China.
Kin On KwokJC School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong SAR; Stanley Ho Centre for Emerging Infectious Diseases, the Chinese University of Hong Kong, Shatin, Hong Kong SAR; Shenzhen Research Institute of the Chinese University of Hong Kong, Shenzhen, China.
Stewart W MercerOld Medical School, University of Edinburgh, Edinburgh, UK.
Chinese University of Hong Kong · CNUniversity of Edinburgh · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has impacted the psychological health and health service utilisation of older adults with multimorbidity, who are particularly vulnerable.

aimTo describe changes in loneliness, mental health problems, and attendance to scheduled medical care before and after the onset of the COVID-19 pandemic. DESIGN AND

settingTelephone survey on a pre-existing cohort of older adults with multimorbidity in primary care.

methodMental health and health service utilisation outcomes were compared with the outcomes before the onset of the COVID-19 outbreak in Hong Kong using paired

resultsData were collected from 583 older (≥60 years) adults. There were significant increases in loneliness, anxiety, and insomnia, after the onset of the COVID-19 outbreak. Missed medical appointments over a 3-month period increased from 16.5% 1 year ago to 22.0% after the onset of the outbreak. In adjusted analysis, being female, living alone, and having >4 chronic conditions were independently associated with increased loneliness. Females were more likely to have increased anxiety and insomnia.

conclusionPsychosocial health of older patients with multimorbidity markedly deteriorated and missed medical appointments substantially increased after the COVID-19 outbreak.

Indexed as

Coronavirus InfectionsNoncommunicable DiseasesPandemicsPatient Acceptance of Health CarePneumonia, ViralPrimary Health CareAgedAnxietyBetacoronavirusCOVID-19FemaleHelp-Seeking BehaviorHong KongHumansLonelinessMalecohort studiesCOVID-19help-seeking behaviourmultimorbiditypsychosocial healthsevere acute respiratory syndrome coronavirus 2

Identifiers

PMID32988955
PMCPMC7523921
OpenAlexW3088524986

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.