ArticleEuropean journal of public health2023
Worsened self-rated health in the course of the COVID-19 pandemic among older adults in Europe.
Article in European journal of public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- On the Association of Community Belonging With Over Time Changes in Self-Rated Health and Mental Health Since the COVID-19 Pandemic.The International journal of health planning and management · 2026Article
- Functional limitations in 2004-22 among Europeans aged 55-69 years: time trends according to labor market group and impacts of the COVID-19 pandemic.European journal of public health · 2025Article
- Socioeconomic and sociodemographic differences in the consequences of the COVID-19 pandemic and their impact on self-rated health and mental well-being: results from a cross-sectional study in Germany.BMC public health · 2025Article
- The hidden crisis: classifying unmet healthcare needs in European older adults during COVID-19.European journal of ageing · 2025Article
- Fall sensors, home emergency system, and social service for ≥ 75-year-olds living at home - a matched control intervention study.BMC geriatrics · 2025Article
- Changes in self-reported physical and mental health, behaviour and economic status among adults by known seropositivity and sociodemographic factors before and after the COVID-19 pandemic outbreak in Ischgl, Austria.Frontiers in public health · 2025Article
- Associations Between Healthy Behaviors and Persistently Favorable Self-Rated Health in a Longitudinal Population-Based Study in Switzerland.Journal of general internal medicine · 2024Article
- Healthcare and health situation of adults with type 2 diabetes in Germany: The study GEDA 2021/2022-Diabetes.Journal of health monitoring · 2024Article
- Self-Assessed Health Status of Individuals with Chronic Diseases During and After the COVID-19 Pandemic.Journal of clinical practice and research · 2024Article
- The Impact of Unmet Healthcare Needs on the Perceived Health Status of Older Europeans During COVID-19.International journal of public health · 2024Article
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Abstract
backgroundGovernments across Europe deployed non-pharmaceutical interventions to mitigate the spread of coronavirus disease 2019 (COVID-19), which not only showed clear benefits but also had negative consequences on peoples' health. Health inequalities increased, disproportionally affecting people with higher age or lower education. This study analyzed associations between social factors and worsened self-rated health of elderly people in the course of the COVID-19 pandemic, taking different stringencies of government mandates as well as infection rates into account.
methodsData stem from the European SHARE survey. The main outcome was a binary indicator of worsened self-rated health. Analyses included data from two waves (2020 and 2021) during the pandemic (N = 48 356 participants, N = 96 712 observations). Predictors were age, sex, education and living together with a partner, and two macro indicators that reflected the stringency of government response mandates and COVID-19 infection rates. Data were analyzed using logistic mixed-effects regression models.
resultsOlder age [odds ratio (OR) 1.73, confidence interval (CI) 1.65-1.81] and female sex (OR 1.26, CI 1.20-1.32) were positively associated and higher education (OR 0.74, CI 0.70-0.79) was negatively associated with worsened self-rated health. Not living together with a partner showed higher odds of worsened self-rated health (OR 1.30, CI 1.24-1.36). Inequalities increased from 2020 to 2021. Associations between worsened self-rated health and government response mandates or infection rates were inconsistent.
conclusionSelf-rated health worsened in the course of the pandemic and health disparities increased. Possible future pandemics require targeted interventions to minimize adverse health outcomes, in particular among old, potentially isolated, and deprived people.
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