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. 2022 Apr 2;19(7):4277.
doi: 10.3390/ijerph19074277.

Health Service Accessibility, Mental Health, and Changes in Behavior during the COVID-19 Pandemic: A Qualitative Study of Older Adults

Sofia von Humboldt  1 , Gail Low  2 , Isabel Leal  1
Affiliations

Health Service Accessibility, Mental Health, and Changes in Behavior during the COVID-19 Pandemic: A Qualitative Study of Older Adults

Sofia von Humboldt et al. Int J Environ Res Public Health. .

Abstract

The COVID-19 pandemic has affected the access of older adults to health services. The two objectives of this study are understanding the influence of the COVID-19 pandemic on older adults' access to health services and exploring how health service accessibility during the pandemic influenced older adults' mental health and self-reported changes in behavior. This study included 346 older adults. Content analysis produced five themes: (1) decreased physical accessibility to health care providers (78%); (2) increased use of online health services and other virtual health care (69%); (3) growth in the online prescription of medication (67%); (4) difficulty obtaining information and accessing non-communicable disease and mental health indicators (65%); and (5) postponement of medical specialist consultations (51%). Regarding mental health, three themes emerged: (1) increased symptoms of anxiety, distress, and depression (89%); (2) the experience of traumatic situations (61%); and (3) the augmented use of alcohol or drugs (56%). Finally, the following changes in behavior were indicated: (1) frustrated behavior (92%); (2) emotional explosions (79%); and (3) changes in sleeping and eating behaviors (43%). Access to health services may have influenced the mental health and behavior of older adults, hence interventions in a pandemic must address their interactions with health services, their needs, and their well-being.

Keywords: access to health services; changes in behavior; health service accessibility; mental health; older adults.

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Conflict of interest statement

The authors declare no conflict of interest. The authors alone are responsible for the content and writing of the paper.

References

    1. Makaroun L.K., Bachrach R.L., Rosland A.-M. Elder Abuse in the Time of COVID-19—Increased Risks for Older Adults and Their Caregivers. Am. J. Geriatr. Psychiatry. 2020;28:876–880. doi: 10.1016/j.jagp.2020.05.017. - DOI - PMC - PubMed
    1. World Health Organization Pulse Survey on Continuity of Essential Health Services during the COVID-19 Pandemic: Interim Report. 2020. [(accessed on 25 November 2021)]. Available online: https://www.who.int/publications/i/item/WHO-2019-nCoV-EHS_continuity-sur....
    1. Elflein J. Total Number of COVID-19 Cases in the U.S. as of December 30, 2021, by Age. 2022. [(accessed on 30 November 2021)]. Available online: https://www.statista.com/statistics/1254271/us-total-number-of-covid-cas...
    1. Christie A., Henley S.J., Mattocks L., Fernando R., Lansky A., Ahmad F. Decreases in COVID-19 Cases, Emergency Department Visits, Hospital Admissions, and Deaths among Older Adults Following the Introduction of COVID-19 Vaccine—United States, September 6, 2020–May 1, 2021. [(accessed on 4 December 2021)];Morb. Mortal Wkly. Rep. 2021 70:858–864. doi: 10.15585/mmwr.mm7023e2. Available online: https://www.cdc.gov/mmwr/volumes/70/wr/mm7023e2.htm. - DOI - PMC - PubMed
    1. Duan L., Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry. 2020;7:300–302. doi: 10.1016/S2215-0366(20)30073-0. - DOI - PMC - PubMed

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