Socioeconomic inequality in mental well-being associated with COVID-19 containment measures in a low-incidence Asian globalized city

Abstract The COVID-19 pandemic exposes and amplifies pre-existing inequalities even in places with relatively well-controlled outbreaks such as Hong Kong. This study aimed to explore whether the socioeconomically disadvantaged fare worse via various types of worry in terms of their mental health and...

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Autores principales:	Roger Yat-Nork Chung, Gary Ka-Ki Chung, Siu-Ming Chan, Yat-Hang Chan, Hung Wong, Eng Kiong Yeoh, Jessica Allen, Jean Woo, Michael Marmot
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/391e72feff524d5f83800d7ea59fd118
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spelling	oai:doaj.org-article:391e72feff524d5f83800d7ea59fd1182021-12-05T12:14:29ZSocioeconomic inequality in mental well-being associated with COVID-19 containment measures in a low-incidence Asian globalized city10.1038/s41598-021-02342-82045-2322https://doaj.org/article/391e72feff524d5f83800d7ea59fd1182021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02342-8https://doaj.org/toc/2045-2322Abstract The COVID-19 pandemic exposes and amplifies pre-existing inequalities even in places with relatively well-controlled outbreaks such as Hong Kong. This study aimed to explore whether the socioeconomically disadvantaged fare worse via various types of worry in terms of their mental health and well-being. Between September and October 2020, 1067 adults in Hong Kong were recruited via a cross-sectional population-wide telephone survey. The inter-relationship between deprivation, types of worry, mental health disorders, and subjective well-being was assessed using structural equation modelling. Results showed significant total effects of deprivation on worries about being infected (p = 0.002), economic activities and livelihood (p < 0.001), and personal savings (p < 0.001), as well as mental health disorders (p < 0.001) and subjective well-being (p < 0.001). Specifically, worry about economic activities and livelihood partly mediated the total effect of deprivation on mental health disorders (p = 0.004), whereas worry about personal savings and worry about economic activities and livelihood partially mediated the total effect of deprivation on subjective well-being (p = 0.007 and 0.002, respectively). Socioeconomic inequality, particularly in mental health and well-being, could be exacerbated via people’s economic concerns during the pandemic, which was largely induced by the COVID-19 containment measures rather than the pandemic per se given the relatively low COVID-19 incidence in Hong Kong.Roger Yat-Nork ChungGary Ka-Ki ChungSiu-Ming ChanYat-Hang ChanHung WongEng Kiong YeohJessica AllenJean WooMichael MarmotNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Roger Yat-Nork Chung Gary Ka-Ki Chung Siu-Ming Chan Yat-Hang Chan Hung Wong Eng Kiong Yeoh Jessica Allen Jean Woo Michael Marmot Socioeconomic inequality in mental well-being associated with COVID-19 containment measures in a low-incidence Asian globalized city
description	Abstract The COVID-19 pandemic exposes and amplifies pre-existing inequalities even in places with relatively well-controlled outbreaks such as Hong Kong. This study aimed to explore whether the socioeconomically disadvantaged fare worse via various types of worry in terms of their mental health and well-being. Between September and October 2020, 1067 adults in Hong Kong were recruited via a cross-sectional population-wide telephone survey. The inter-relationship between deprivation, types of worry, mental health disorders, and subjective well-being was assessed using structural equation modelling. Results showed significant total effects of deprivation on worries about being infected (p = 0.002), economic activities and livelihood (p < 0.001), and personal savings (p < 0.001), as well as mental health disorders (p < 0.001) and subjective well-being (p < 0.001). Specifically, worry about economic activities and livelihood partly mediated the total effect of deprivation on mental health disorders (p = 0.004), whereas worry about personal savings and worry about economic activities and livelihood partially mediated the total effect of deprivation on subjective well-being (p = 0.007 and 0.002, respectively). Socioeconomic inequality, particularly in mental health and well-being, could be exacerbated via people’s economic concerns during the pandemic, which was largely induced by the COVID-19 containment measures rather than the pandemic per se given the relatively low COVID-19 incidence in Hong Kong.
format	article
author	Roger Yat-Nork Chung Gary Ka-Ki Chung Siu-Ming Chan Yat-Hang Chan Hung Wong Eng Kiong Yeoh Jessica Allen Jean Woo Michael Marmot
author_facet	Roger Yat-Nork Chung Gary Ka-Ki Chung Siu-Ming Chan Yat-Hang Chan Hung Wong Eng Kiong Yeoh Jessica Allen Jean Woo Michael Marmot
author_sort	Roger Yat-Nork Chung
title	Socioeconomic inequality in mental well-being associated with COVID-19 containment measures in a low-incidence Asian globalized city
title_short	Socioeconomic inequality in mental well-being associated with COVID-19 containment measures in a low-incidence Asian globalized city
title_full	Socioeconomic inequality in mental well-being associated with COVID-19 containment measures in a low-incidence Asian globalized city
title_fullStr	Socioeconomic inequality in mental well-being associated with COVID-19 containment measures in a low-incidence Asian globalized city
title_full_unstemmed	Socioeconomic inequality in mental well-being associated with COVID-19 containment measures in a low-incidence Asian globalized city
title_sort	socioeconomic inequality in mental well-being associated with covid-19 containment measures in a low-incidence asian globalized city
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/391e72feff524d5f83800d7ea59fd118
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Socioeconomic inequality in mental well-being associated with COVID-19 containment measures in a low-incidence Asian globalized city

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