{"id":20658,"date":"2024-11-01T10:39:34","date_gmt":"2024-11-01T14:39:34","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=20658"},"modified":"2024-11-07T10:43:50","modified_gmt":"2024-11-07T15:43:50","slug":"exploring-the-syndemic-impact-of-covid-19-and-mental-health-on-health-services-utilisation-among-adult-ontario-population","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/exploring-the-syndemic-impact-of-covid-19-and-mental-health-on-health-services-utilisation-among-adult-ontario-population\/","title":{"rendered":"Exploring the syndemic impact of COVID-19 and mental health on health services utilisation among adult Ontario population"},"content":{"rendered":"<p><strong>Objectives<\/strong> \u2014\u00a0There is a need to consider COVID-19 a syndemic; which calls for a comprehensive approach to tackle the associated interconnected challenges. The objective of this study is to investigate the potential syndemic nature of COVID-19, with a specific focus on understanding how viral infection, mental health (such as anxiety and depression), and pre-existing comorbidities interact and influence each other.<\/p>\n<p><strong>Study design<\/strong> \u2014 Retrospective population-based cohort study.<\/p>\n<p><strong>Methods<\/strong> \u2014\u00a0We conducted a population-based retrospective cohort study using linked health administrative data from the Institute for Clinical Evaluative Sciences, Ontario. The study included 2,863,423 Ontario residents from January 2020 to March 2021. We analysed healthcare services utilisation (physician visits, emergency visits, and hospitalisations) for chronic conditions among individuals with both COVID-19 and either anxiety or depression, to understand the syndemic impact of COVID-19 and mental health issues among Ontario population.<\/p>\n<p><strong>Results<\/strong> \u2014\u00a0Multiple regression models were used to explore the study&rsquo;s objective. In the final adjusted regression model for the sample, it was found that the individuals who were COVID-19 positive and had either anxiety or depression were more likely to utilise health services for chronic conditions of interest during the pandemic than those who were COVID-19-negative with mental health issues (odds ratio [OR]:, 1.33; 95% confidence interval [CI]: 1.12\u20131.58). A higher risk of morbidity was observed among males (OR: 1.28; CI: 1.16\u20131.41), as well as in individuals with diverse ethnic backgrounds and low socioeconomic status.<\/p>\n<p><strong>Conclusions<\/strong> \u2014\u00a0The impact of COVID-19 on mental health, particularly among vulnerable populations with chronic diseases, can be seen as a syndemic. This complex interaction emphasises the need for integrated public health strategies.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objectives \u2014\u00a0There is a need to consider COVID-19 a syndemic; which calls for a comprehensive approach to tackle the associated interconnected challenges. The objective of this study is to investigate the potential syndemic nature of COVID-19, with a specific focus on understanding how viral infection, mental health (such as anxiety and depression), and pre-existing comorbidities [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62,34,35],"migration-helper-qa-sample-set":[],"class_list":["post-20658","journal_article","type-journal_article","status-publish","hentry","topic-health-services-research","topic-mental-health-and-addictions","topic-public-health"],"acf":{"citation":"Saqib K, Goel V, Dubin JA, VanderDoes J, Butt ZA. <em>Public Health<\/em>. 2024; 236:70-77.","source_url":"https:\/\/doi.org\/10.1016\/j.puhe.2024.07.008","ices_scientist":[1253],"site":[6733],"research_program":[6742],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Exploring the syndemic impact of COVID-19 and mental health on health services utilisation among adult Ontario population<\/title>\n<meta name=\"description\" content=\"Objectives \u2014\u00a0There is a need to consider COVID-19 a syndemic; 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