International health data trends in anxiety-related and depression-related visits to primary care before, during, and after the COVID-19 pandemic: a cross-sectional study by INTRePID

作者：Alison Flehr, María C. Lapadula, Christine Mary Hallinan, Amy Pui Pui Ng, Kirk Mason, Linda S. Chan, Adrian Heald, William Chi Wai Wong, Dahao Zhang, Anthony Paulo Sunjaya, Angela Felicia Sunjaya, Ma Gpe Alvarado Rodríguez, Brian González Pérez, Edgar Esteban Torres García, Knut‐Arne Wensaas, Knut Erik Emberland, María Sofía Cuba-Fuentes, Javier Silva‐Valencia, Zheng Ling, Lay Hoon Goh, Jo-Anne Manski-Nankervis, Sabrina Wong, Robert Kristiansson, John M. Westfall, Gabriela Gaona-Villarreal, Michael Kidd, Karen Tu, Angela Ortigoza Bonilla, Tokuharu Tanaka, José Carlos Prado, Eric Yuk Fai Wan, Peter Tanuseputro, Signe Flottorp, José M Valderas, Kokou Agbéko Jean-Paul Fantognon, Simon de Lusignan, Uy Hoang, Ray Haeme · 发表于：The Lancet Primary Care · 年份：2025 · DOI：10.1016/j.lanprc.2025.100070 · 被引用次数：2 · 研究领域：COVID-19 and Mental Health、Digital Mental Health Interventions、Data-Driven Disease Surveillance

Background The COVID-19 pandemic forced primary care to adapt, balancing routine care with rising mental health demands. We examined international trends in anxiety-related and depression-related visits to primary care to better understand population needs during and after the pandemic era. Methods This retrospective cross-sectional study by the International Consortium of Primary Care Big Data Researchers (INTRePID) examined anxiety-related and depression-related visits to primary care among adults aged 20 years and older in Australia, Brazil, Canada, China, Indonesia, Mexico, Norway, Peru, Singapore, Sweden, and the USA, from Jan 1, 2018 to Dec 31, 2023. No visits were excluded based on patients' sociodemographic characteristics or comorbidities, and all available visits were analysed. Aggregated data sourced from electronic medical records and administrative databases were stratified by sex and psychosocial life stages (20–29 years, 30–49 years, 50–69 years, and 70 years and older). We calculated the proportion of all primary care visits that were attributed to anxiety and depression. Generalised linear models estimated changes in visit rates across three periods: pre-pandemic (Jan 1, 2018–Mar 31, 2020), pandemic (April 1, 2020–Dec 31, 2021), and recovery (Jan 1, 2022–Dec 31, 2023). In China, periods were defined as: pre-pandemic (Jan 1, 2018–Dec 31, 2019), pandemic (Jan 1, 2020–Sept 30, 2021), and recovery (Oct 1, 2021–Dec 31, 2023). Findings We examined 1 059 101 897 pri...