1. Cohort profile: the COVID-19 Coping Study, a longitudinal mixed-methods study of middle-aged and older adults’ mental health and well-being during the COVID-19 pandemic in the USA
- Author
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Jasdeep S. Kler, Yamani Rikia Vinson, Brendan Q. O’Shea, Raphael Nishimura, Jessica M. Finlay, Lindsay C. Kobayashi, Marisa R Eastman, and Caroline B. Palavicino-Maggio
- Subjects
Male ,medicine.medical_specialty ,Coping (psychology) ,Computer-assisted web interviewing ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Adaptation, Psychological ,medicine ,Humans ,030212 general & internal medicine ,Longitudinal Studies ,Pandemics ,Depression (differential diagnoses) ,Aged ,Aged, 80 and over ,business.industry ,Public health ,Puerto Rico ,COVID-19 ,Loneliness ,General Medicine ,Middle Aged ,Mental health ,United States ,Mental Health ,Cohort ,District of Columbia ,Medicine ,Anxiety ,epidemiology ,Female ,Public Health ,medicine.symptom ,business ,030217 neurology & neurosurgery ,qualitative research ,Demography - Abstract
PurposeThe COVID-19 pandemic, beginning in early 2020, has resulted in massive social, economic, political and public health upheaval around the world. We established a national longitudinal cohort study, the COVID-19 Coping Study, to investigate the effects of pandemic-related stressors and changes in life circumstances on mental health and well-being among middle-aged and older adults in the USA.ParticipantsFrom 2 April to 31 May 2020, 6938 adults aged ≥55 years were recruited from all 50 US states, the District of Columbia and Puerto Rico using online, multi-frame non-probability-based sampling.Findings to dateMean age of the baseline sample was 67.3 years (SD: 7.9 years) and 64% were women. Two in three adults reported leaving home only for essential purposes in the past week (population-weighted proportion: 69%; 95% CI: 68% to 71%). Nearly one in five workers aged 55–64 years was placed on a leave of absence or furloughed since the start of the pandemic (17%; 95% CI: 14% to 20%), compared with one in three workers aged ≥75 years (31%; 95% CI: 21% to 44%). Nearly one-third of adults screened positive for each of depression (32%; 95% CI: 30% to 34%), anxiety (29%; 28% to 31%) and loneliness (29%; 95% CI: 27% to 31%), with decreasing prevalence of each with increasing age.Future plansMonthly and annual follow-ups of the COVID-19 Coping Study cohort will assess longitudinal changes to mental health, cognitive health and well-being in relation to social, behavioural, economic and other COVID-19-related changes to life circumstances. Quantitative and in-depth qualitative interview data will be collected through online questionnaires and telephone interviews. Cohort data will be archived for public use.
- Published
- 2021
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