The Impact of the COVID-19 Pandemic on Physical and Mental Health in China and Spain: Cross-sectional Study

作者：Cuiyan Wang, María Inmaculada López-Núñez, Riyu Pan, Xiaoyang Wan, Yilin Tan, Linkang Xu, Faith Choo, Roger Ho, Cyrus S. H. Ho, Marta Evelia Aparicio García · 发表于：JMIR Formative Research · 年份：2021 · DOI：10.2196/27818 · 被引用次数：101 · 研究领域：COVID-19 and Mental Health、Long-Term Effects of COVID-19、Mental Health Treatment and Access

BACKGROUND: Differences in physical and mental health impact across continents during the COVID-19 pandemic are unknown. OBJECTIVE: This study compared the levels of impact of COVID-19 on mental health among people from Spain and China and correlated mental health parameters with variables relating to symptoms similar to COVID-19, COVID-19 knowledge, and precautionary measures. METHODS: We collected information on demographic data, physical symptoms, contact history with persons with a confirmed COVID-19 diagnosis, COVID-19 knowledge, and precautionary measures. Participants completed the Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety and Stress Scale-21 Items (DASS-21). To analyze the differences in the mental health parameters, the mean scores between Chinese and Spanish respondents were compared using the independent samples t test. The differences in categorical variables between the two samples were analyzed by the chi-square test. Linear regression was used to calculate the univariate associations between the independent variables and mental health parameters for both groups separately, with adjustments made for age, gender, and education. RESULTS: A total of 1528 participants (Spain: n=687; China: n=841) were recruited. The mean age of the Chinese respondents was 24.73 years (SD 7.60; range 18-65 years), and the mean age of the Spanish respondents was 43.06 years (SD 11.95; range 18-76 years). Spanish participants reported significantly more symptoms...