Author:
Gabet Stephan,Thierry Benoit,Wasfi Rania,Simonelli Guido,Hudon Catherine,Lessard Lily,Dubé Ève,Nasri Bouchra,Kestens Yan,Moullec Grégory
Abstract
Abstract
Background
With the advent of the COVID-19 pandemic, in-person social interactions and opportunities for accessing resources that sustain health and well-being have drastically reduced. We therefore designed the pan-Canadian prospective COVID-19: HEalth and Social Inequities across Neighbourhoods (COHESION) cohort to provide a deeper understanding of how the COVID-19 pandemic context affects mental health and well-being, key determinants of health, and health inequities.
Methods
This paper presents the design of the two-phase COHESION Study, and descriptive results from the first phase conducted between May 2020 and September 2021. During that period, the COHESION research platform collected monthly data linked to COVID-19 such as infection and vaccination status, perceptions and attitudes regarding pandemic-related measures, and information on participants’ physical and mental health, well-being, sleep, loneliness, resilience, substances use, living conditions, social interactions, activities, and mobility.
Results
The 1,268 people enrolled in the Phase 1 COHESION Study are for the most part from Ontario (47%) and Quebec (33%), aged 48 ± 16 years [mean ± standard deviation (SD)], and mainly women (78%), White (85%), with a university degree (63%), and living in large urban centers (70%). According to the 298 ± 68 (mean ± SD) prospective questionnaires completed each month on average, the first year of follow-up reveals significant temporal variations in standardized indexes of well-being, loneliness, anxiety, depression, and psychological distress.
Conclusions
The COHESION Study will allow identifying trajectories of mental health and well-being while investigating their determinants and how these may vary by subgroup, over time, and across different provinces in Canada, in varying context including the pandemic recovery period. Our findings will contribute valuable insights to the urban health field and inform future public health interventions.
Funder
Ministère de l'Économie, de la Science et de l'Innovation - Québec
Public Health Agency of Canada
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference67 articles.
1. World Health Organization. Rolling updates on coronavirus disease (COVID-19). 2020 [cited 25 Aug 2021]. Available: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen.
2. Government of Canada. COVID-19 daily epidemiology update. 2021 [cited 25 Aug 2021]. Available: https://health-infobase.canada.ca/covid-19/epidemiological-summary-covid-19-cases.html.
3. Bernier C-A, Boire-Schwab D, Bélanger C, Castonguay J-S, Fimiani M, Fitz-Simon N et al. COVID-19: Emergency Measures Tracker. 2021 [cited 25 Aug 2021]. Available: https://www.mccarthy.ca/fr/node/63791.
4. Statistics Canada. Canadian Economic Dashboard and COVID-19. 2021 [cited 30 Mar 2021]. Available: https://www150.statcan.gc.ca/n1/pub/71-607-x/71-607-x2020009-eng.htm.
5. Bruine de Bruin W. Age Differences in COVID-19 Risk Perceptions and Mental Health: Evidence From a National U.S. Survey Conducted in March 2020. Isaacowitz D, editor. The Journals of Gerontology: Series B. 2021;76: e24–e29. https://doi.org/10.1093/geronb/gbaa074.