AUTHOR=Chilunga Felix P. , Coyer Liza , Collard Didier , Leenstra Tjalling , Galenkamp Henrike , Agyemang Charles , Prins Maria , Stronks Karien 

TITLE=COVID-19 Impacts Across Multiple Life Domains of Vulnerable Socio-Demographic Groups Including Migrants: A Descriptive Cross-Sectional Study

JOURNAL=International Journal of Public Health

VOLUME=67

YEAR=2022

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2022.1604665

DOI=10.3389/ijph.2022.1604665

ISSN=1661-8564

ABSTRACT=<p><bold>Objectives:</bold> We assessed the impacts of COVID-19 on multiple life domains across socio-demographic groups in Netherlands.</p><p><bold>Methods:</bold> After the first COVID-19 wave, we distributed online questionnaires among 13,031 participants of the multi-ethnic HELIUS cohort. Questionnaires contained questions on changes in income status, healthy behaviors, mental health, and access to non-COVID-19 health care. We then calculated differences in adjusted proportions of participants that reported negative changes across multiple life domains by migration background, age, sex, education, and occupation.</p><p><bold>Results:</bold> 4,450 individuals (35%) responded, of which 4,294 were included. Older populations and men seemed to be less vulnerable to negative changes in multiple life domains during the COVID-19 pandemic as compared to the pre-pandemic period, while populations with a migration background and lower education/occupation groups seemed to be more vulnerable to negative changes.</p><p><bold>Conclusion:</bold> Not all populations vulnerable to SARS-CoV-2 infection and mortality are also more vulnerable to COVID-19 impacts across multiple other life domains. Targeted interventions are needed in socio-demographic groups that are most impacted by COVID-19 in various life domains to prevent a further increase of their already increased risk of chronic diseases after the pandemic.</p>