Publicação
Health Service Accessibility, Mental Health, and Changes in Behavior during the COVID-19 Pandemic: A Qualitative Study of Older Adults
| Resumo: | 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. |
|---|---|
| Autores principais: | von Humboldt, Sofia |
| Outros Autores: | Low, Gail; Leal, Isabel |
| Assunto: | Access to Health Services; Changes in Behavior; Health Service Accessibility; Mental Health; Older Adults. |
| Ano: | 2022 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório da Universidade de Lisboa |
| _version_ | 1866811474836455424 |
|---|---|
| author | von Humboldt, Sofia |
| author2 | Low, Gail Leal, Isabel |
| author2_role | author author |
| author_facet | von Humboldt, Sofia Low, Gail Leal, Isabel |
| author_role | author |
| contributor_name_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"von Humboldt, Sofia\",\"Person.identifier.orcid\":\"0000-0001-9664-6735\"},{\"Person.name\":\"Low, Gail\"},{\"Person.name\":\"Leal, Isabel\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| datacite.creators.creator.creatorName.fl_str_mv | von Humboldt, Sofia Low, Gail Leal, Isabel |
| datacite.date.Accepted.fl_str_mv | 2022-04-02T00:00:00Z |
| datacite.date.available.fl_str_mv | 2023-10-19T15:25:18Z |
| datacite.date.embargoed.fl_str_mv | 2023-10-19T15:25:18Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Access to Health Services; Changes in Behavior; Health Service Accessibility; Mental Health; Older Adults. |
| datacite.titles.title.fl_str_mv | Health Service Accessibility, Mental Health, and Changes in Behavior during the COVID-19 Pandemic: A Qualitative Study of Older Adults |
| dc.contributor.none.fl_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| dc.creator.none.fl_str_mv | von Humboldt, Sofia Low, Gail Leal, Isabel |
| dc.date.Accepted.fl_str_mv | 2022-04-02T00:00:00Z |
| dc.date.available.fl_str_mv | 2023-10-19T15:25:18Z |
| dc.date.embargoed.fl_str_mv | 2023-10-19T15:25:18Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10400.5/29091 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | MDPI |
| dc.rights.cclincense.fl_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Access to Health Services; Changes in Behavior; Health Service Accessibility; Mental Health; Older Adults. |
| dc.title.fl_str_mv | Health Service Accessibility, Mental Health, and Changes in Behavior during the COVID-19 Pandemic: A Qualitative Study of Older Adults |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | 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. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| fulltext.url.fl_str_mv | https://repositorio.ulisboa.pt/bitstreams/7f403f2f-f55d-4a90-a2d6-6a76d3183c17/download |
| id | ul_33d67cdc439f58b8d3085d7f00a92f6d |
| identifier.url.fl_str_mv | http://hdl.handle.net/10400.5/29091 |
| instacron_str | ul |
| institution | Universidade de Lisboa |
| instname_str | Universidade de Lisboa |
| language | eng |
| network_acronym_str | ul |
| network_name_str | Repositório da Universidade de Lisboa |
| oai_identifier_str | oai:repositorio.ulisboa.pt:10400.5/29091 |
| organization_str_mv | urn:organizationAcronym:ul |
| person_str_mv | von Humboldt, Sofia von Humboldt, Sofia https://www.ciencia-id.pt/C616-1C7E-4A02 C616-1C7E-4A02 http://orcid.org/0000-0001-9664-6735 0000-0001-9664-6735 Low, Gail Leal, Isabel |
| publishDate | 2022 |
| publisher.none.fl_str_mv | MDPI |
| reponame_str | Repositório da Universidade de Lisboa |
| repository_id_str | urn:repositoryAcronym:ul |
| service_str_mv | urn:repositoryAcronym:ul |
| spelling | engMDPIpt_PTThe 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.application/pdfpt_PTHealth Service Accessibility, Mental Health, and Changes in Behavior during the COVID-19 Pandemic: A Qualitative Study of Older AdultsPersonalvon Humboldt, SofiaDSpacehttp://dspace.org/items/cfbc7c76-1e99-46b2-ae75-367847aa82cdDSpacehttp://dspace.org/items/cfbc7c76-1e99-46b2-ae75-367847aa82cdvon HumboldtSofiaCiência IDhttps://www.ciencia-id.ptC616-1C7E-4A02ORCIDhttp://orcid.org0000-0001-9664-6735Low, GailLeal, IsabelHostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@reitoria.ulisboa.ptrepositorio@reitoria.ulisboa.ptDOIIsPartOf10.3390/ijerph190742772023-10-19T15:25:18Z2022-04-022022-04-02T00:00:00ZHandlehttp://hdl.handle.net/10400.5/29091http://purl.org/coar/access_right/c_abf2open accessAccess to Health Services; Changes in Behavior; Health Service Accessibility; Mental Health; Older Adults.374246 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal article2022-04-02http://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/7f403f2f-f55d-4a90-a2d6-6a76d3183c17/downloadInternational Journal of Environmental Research and Public Health1974277 |
| spellingShingle | Health Service Accessibility, Mental Health, and Changes in Behavior during the COVID-19 Pandemic: A Qualitative Study of Older Adults von Humboldt, Sofia Access to Health Services; Changes in Behavior; Health Service Accessibility; Mental Health; Older Adults. |
| status | SINGLETON |
| subject.fl_str_mv | Access to Health Services; Changes in Behavior; Health Service Accessibility; Mental Health; Older Adults. |
| title | Health Service Accessibility, Mental Health, and Changes in Behavior during the COVID-19 Pandemic: A Qualitative Study of Older Adults |
| title_full | Health Service Accessibility, Mental Health, and Changes in Behavior during the COVID-19 Pandemic: A Qualitative Study of Older Adults |
| title_fullStr | Health Service Accessibility, Mental Health, and Changes in Behavior during the COVID-19 Pandemic: A Qualitative Study of Older Adults |
| title_full_unstemmed | Health Service Accessibility, Mental Health, and Changes in Behavior during the COVID-19 Pandemic: A Qualitative Study of Older Adults |
| title_short | Health Service Accessibility, Mental Health, and Changes in Behavior during the COVID-19 Pandemic: A Qualitative Study of Older Adults |
| title_sort | Health Service Accessibility, Mental Health, and Changes in Behavior during the COVID-19 Pandemic: A Qualitative Study of Older Adults |
| topic | Access to Health Services; Changes in Behavior; Health Service Accessibility; Mental Health; Older Adults. |
| topic_facet | Access to Health Services; Changes in Behavior; Health Service Accessibility; Mental Health; Older Adults. |
| url | http://hdl.handle.net/10400.5/29091 |
| visible | 1 |