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

Minh H. Nguyen 1
Thu T M Pham 2, 3
Linh V Pham 4, 5
Dung T Phan 6, 7
Tien V. Tran 8, 9
Hoang C Nguyen 10, 11
Huu C Nguyen 12, 13
Tung H Ha 14
Hung K Dao 15
Phuoc B Nguyen 16
Manh V Trinh 17
Thinh V Do 18
Hung Q. Nguyen 19
Thao T.P. Nguyen 20, 21
Nhan P T Nguyen 22
Cuong Q Tran 23, 24
Khanh V Tran 25
Trang T Duong 26
Tan T Nguyen 27, 28
Khue M Pham 2, 5
Lam V. Nguyen 29, 30
Tam T Vo 31
Binh N Do 8, 32
Nga H Dang 10, 33
Thuy T Le 34
Ngoc T Do 12
Hoai T T Nguyen 16
Thuy T T Mai 17
Dung T Ha 18
Huong T M Ngo 35
Kien T. Nguyen 36
Chyi-Huey Bai 1, 3, 37
Tuyen Van Duong 38
2
 
Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Hai Phong, 10000, Red River Delta, Vietnam
4
 
Department of Pulmonary and Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy, Hai Phong, 042-12, Red River Delta, Vietnam
5
 
HaiPhong University of Medicine and Pharmacy, Haiphong, 10000, Vietnam
7
 
Thien An Obstetrics and Gynecology Hospital, Hanoi, Vietnam
9
 
103 Military Hospital, Hanoi, 121-08, Vietnam
12
 
E Hospital, Hanoi, 113-08, Vietnam
13
 
Department of Thoracic and Cardiovascular Surgery, E Hospital, Hanoi, Vietnam
14
 
Other, Hanoi, Vietnam
15
 
Bac Ninh Obstetrics and Pediatrics Hospital, Bac Ninh, 161-23, Vietnam
16
 
Kien An Hospital, Hai Phong, 046-09, Red River Delta, Vietnam
17
 
Quang Ninh General Hospital, Quang Ninh, 011-08, Vietnam
18
 
Bai Chay Hospital, Quang Ninh, 011-21, Vietnam
19
 
Director Office, Quang Ninh Obstetrics and Pediatrics Hospital, Quang Ninh, Vietnam
22
 
Department of General Planning, Da Nang Oncology Hospital, Da Nang, 506-06, Vietnam
23
 
Thu Duc District Health Center, Ho Chi Minh City, 713-10, Vietnam
24
 
Faculty of Health Sciences, Mekong University, Vinh Long, Vietnam
25
 
Hospital District 2, Ho Chi Minh City, 711-13, Vietnam
26
 
Tan Phu District Hospital, Ho Chi Minh City, 720-16, Vietnam
31
 
Other, Quang Tri, Vietnam
32
 
Department of Military Science, 103 Military Hospital, Hanoi, 121-08, Vietnam
34
 
Da Nang University of Medical Technology and Pharmacy, Da Nang, Vietnam
35
 
Quang Ninh Obstetrics and Pediatrics Hospital, Quang Ninh, 011-24, Vietnam
Publication typeJournal Article
Publication date2021-06-23
scimago Q1
wos Q2
SJR0.862
CiteScore3.9
Impact factor2.4
ISSN16618556, 16618564
Public Health, Environmental and Occupational Health
Health (social science)
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.

Found 
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GOST |
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GOST Copy
Nguyen M. H. et al. Associations of Underlying Health Conditions With Anxiety and Depression Among Outpatients: Modification Effects of Suspected COVID-19 Symptoms, Health-Related and Preventive Behaviors // International Journal of Public Health. 2021. Vol. 66.
GOST all authors (up to 50) Copy
Nguyen M. H., Pham T. T. M., Pham L. V., Phan D. T., Tran T. V., Nguyen H. C., Nguyen H. C., Ha T. H., Dao H. K., Nguyen P. B., Trinh M. V., Do T. V., Nguyen H. Q., Nguyen T. T., Nguyen N. P. T., Tran C. Q., Tran K. V., Duong T. T., Nguyen T. T., Pham K. M., Nguyen L. V., Vo T. T., Do B. N., Dang N. H., Le T. T., Do N. T., Nguyen H. T. T., Mai T. T. T., Ha D. T., Ngo H. T. M., Nguyen K. T., Bai C., Duong T. V. Associations of Underlying Health Conditions With Anxiety and Depression Among Outpatients: Modification Effects of Suspected COVID-19 Symptoms, Health-Related and Preventive Behaviors // International Journal of Public Health. 2021. Vol. 66.
RIS |
Cite this
RIS Copy
TY - JOUR
DO - 10.3389/ijph.2021.634904
UR - https://doi.org/10.3389/ijph.2021.634904
TI - Associations of Underlying Health Conditions With Anxiety and Depression Among Outpatients: Modification Effects of Suspected COVID-19 Symptoms, Health-Related and Preventive Behaviors
T2 - International Journal of Public Health
AU - Nguyen, Minh H.
AU - Pham, Thu T M
AU - Pham, Linh V
AU - Phan, Dung T
AU - Tran, Tien V.
AU - Nguyen, Hoang C
AU - Nguyen, Huu C
AU - Ha, Tung H
AU - Dao, Hung K
AU - Nguyen, Phuoc B
AU - Trinh, Manh V
AU - Do, Thinh V
AU - Nguyen, Hung Q.
AU - Nguyen, Thao T.P.
AU - Nguyen, Nhan P T
AU - Tran, Cuong Q
AU - Tran, Khanh V
AU - Duong, Trang T
AU - Nguyen, Tan T
AU - Pham, Khue M
AU - Nguyen, Lam V.
AU - Vo, Tam T
AU - Do, Binh N
AU - Dang, Nga H
AU - Le, Thuy T
AU - Do, Ngoc T
AU - Nguyen, Hoai T T
AU - Mai, Thuy T T
AU - Ha, Dung T
AU - Ngo, Huong T M
AU - Nguyen, Kien T.
AU - Bai, Chyi-Huey
AU - Duong, Tuyen Van
PY - 2021
DA - 2021/06/23
PB - Springer Nature
VL - 66
PMID - 34335139
SN - 1661-8556
SN - 1661-8564
ER -
BibTex
Cite this
BibTex (up to 50 authors) Copy
@article{2021_Nguyen,
author = {Minh H. Nguyen and Thu T M Pham and Linh V Pham and Dung T Phan and Tien V. Tran and Hoang C Nguyen and Huu C Nguyen and Tung H Ha and Hung K Dao and Phuoc B Nguyen and Manh V Trinh and Thinh V Do and Hung Q. Nguyen and Thao T.P. Nguyen and Nhan P T Nguyen and Cuong Q Tran and Khanh V Tran and Trang T Duong and Tan T Nguyen and Khue M Pham and Lam V. Nguyen and Tam T Vo and Binh N Do and Nga H Dang and Thuy T Le and Ngoc T Do and Hoai T T Nguyen and Thuy T T Mai and Dung T Ha and Huong T M Ngo and Kien T. Nguyen and Chyi-Huey Bai and Tuyen Van Duong},
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},
year = {2021},
volume = {66},
publisher = {Springer Nature},
month = {jun},
url = {https://doi.org/10.3389/ijph.2021.634904},
doi = {10.3389/ijph.2021.634904}
}