Abstract
This study aimed to evaluate the gender-specific effect of a couple-based intervention on the management behaviors and mental well-being of community-dwelling older adults with type 2 diabetes mellitus during the COVID-19 partial lockdown in Guangzhou. Out of 207 participants involved in a prior randomized controlled trial (Trial no. ChiCTR1900027137), 156 (75%) completed the COVID-19 survey. Gendered differences in management behaviors and depressive symptoms between the couple-based intervention group and the patient-only control group were compared by distance to the high-risk areas cross-sectionally and longitudinally using random intercept models. Cross-sectionally, female patients of the intervention group had more positive behavior change scores (β = 1.53, p = 0.002) and fewer depressive symptoms (β = −1.34, p = 0.02) than the control group. Over time, female patients lived closer to the high-risk areas (<5 km) and showed decreasing depressive symptoms (β = −4.48, p = 0.008) in the intervention group vs. the control group. No statistically significant between-group difference was found for males. Females tended to benefit more from the coupled-based intervention than males did, particularly among these closer to the high-risk areas. Chronic disease management can be better sustained with active spousal engagement.
Funder
National Natural Science Foundation of China
Subject
Health Information Management,Health Informatics,Health Policy,Leadership and Management
Reference39 articles.
1. Impact of COVID-19 pandemic on utilisation of healthcare services: A systematic review;BMJ Open,2021
2. Associations between reductions in routine care delivery and non-COVID-19-related mortality in people with diabetes in England during the COVID-19 pandemic: A population-based parallel cohort study;Lancet Diabetes Endocrinol.,2022
3. State Council of the PRC (2022, May 27). The Prevention and Control of 2019 Novel Coronavirus Pneumonia, Available online: http://www.gov.cn/xinwen/2021-05/14/content_5606469.htm.
4. Zhong, N. (2022, June 01). Guangzhou Summed up Five Experiences in Dealing with SARS-CoV-2 Variant Delta for the First Time. Available online: https://m.thepaper.cn/baijiahao_13322445.
5. The Invisible Epidemic: Neglected Chronic Disease Management During COVID-19;J. Gen. Intern. Med.,2020