AUTHOR=Nguyen Minh H., Pham Thu T., Pham Linh V., Phan Dung T., Tran Tien V., Nguyen Hoang C., Nguyen Huu C., Ha Tung H., Dao Hung K., Nguyen Phuoc B., Trinh Manh V., Do Thinh V., Nguyen Hung Q., Nguyen Thao T., Nguyen Nhan P., Cuong Tran Q., Tran Khanh V., Duong Trang T., Nguyen Tan T., Pham Khue M., Nguyen Lam V., Vo Tam T., Do Binh N., Dang Nga H., Le Thuy T., Do Ngoc T., Nguyen Hoai T., Mai Thuy T., Ha Dung T., Ngo Huong T., Nguyen Kien T., Bai Chyi-Huey , Duong Tuyen V.
TITLE=Associations of Underlying Health Conditions With Anxiety and Depression Among Outpatients: Modification Effects of Suspected COVID-19 Symptoms, Health-Related and Preventive Behaviors
JOURNAL=International Journal of Public Health
VOLUME=66
YEAR=2021
URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2021.634904
DOI=10.3389/ijph.2021.634904
ISSN=1661-8564
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.