Associations of Underlying Health Conditions With Anxiety and Depression Among Outpatients: Modification Effects of Suspected COVID-19 Symptoms, Health-Related and Preventive Behaviors

Minh Nguyen, Thu Pham, Linh Pham, Dung Phan, Tien Tran, Hoang Nguyen, Huu Nguyen, Tung Ha, Hung Dao, Phuoc Nguyen, Manh Trinh, Thinh Do, Hung Nguyen, Thao Nguyen, Nhan Nguyen, Tran Cuong, Khanh Tran, Trang Duong, Tan Nguyen, Khue PhamLam Nguyen, Tam Vo, Binh Do, Nga Dang, Thuy Le, Ngoc Do, Hoai Nguyen, Thuy Mai, Dung Ha, Huong Ngo, Kien Nguyen, Chyi-Huey Bai, Tuyen Duong

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: We explored the association of underlying health conditions (UHC) with depression and anxiety, and examined the modification effects of suspected COVID-19 symptoms (S-COVID-19-S), health-related behaviors (HB), and preventive behaviors (PB).Methods: A cross-sectional study was conducted on 8,291 outpatients aged 18–85 years, in 18 hospitals and health centers across Vietnam from 14th February to May 31, 2020. We collected the data regarding participant's characteristics, UHC, HB, PB, depression, and anxiety.Results: People with UHC had higher odds of depression (OR = 2.11; p < 0.001) and anxiety (OR = 2.86; p < 0.001) than those without UHC. The odds of depression and anxiety were significantly higher for those with UHC and S-COVID-19-S (p < 0.001); and were significantly lower for those had UHC and interacted with “unchanged/more” physical activity (p < 0.001), or “unchanged/more” drinking (p < 0.001 for only anxiety), or “unchanged/healthier” eating (p < 0.001), and high PB score (p < 0.001), as compared to those without UHC and without S-COVID-19-S, “never/stopped/less” physical activity, drinking, “less healthy” eating, and low PB score, respectively.Conclusion: S-COVID-19-S worsen psychological health in patients with UHC. Physical activity, drinking, healthier eating, and high PB score were protective factors.
Original languageEnglish
Pages (from-to)54
Number of pages1
JournalInternational Journal of Public Health
Volume66
DOIs
Publication statusPublished - Jun 2021

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