How is the COVID-19 pandemic impacting our life, mental health, and well-being? Design and preliminary fndings of the pan-Canadian longitudinal COHESION study

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DOI

https://doi.org/10.1186/s12889-023-17297-w

Language of the publication
English
Date
2023-12-03
Type
Article
Author(s)
  • Gabet, Stephan
  • Thierry, Benoit
  • Wasfi, Rania
  • Simonelli, Guido
  • Hudon, Catherine
  • Lessard, Lily
  • Dubé, Ève
  • Nasri, Bouchra
  • Kestens, Yan
  • Moullec, Grégory
Publisher
Springer Nature

Abstract

BACKGROUND With the advent of the COVID-19 pandemic, in-person social interactions and opportunities for accessing resources that sustain health and well-being have drastically reduced. We therefore designed the pan-Canadian prospective COVID-19: HEalth and Social Inequities across Neighbourhoods (COHESION) cohort to provide a deeper understanding of how the COVID-19 pandemic context afects mental health and well-being, key determinants of health, and health inequities. METHODS This paper presents the design of the two-phase COHESION Study, and descriptive results from the frst phase conducted between May 2020 and September 2021. During that period, the COHESION research platform collected monthly data linked to COVID-19 such as infection and vaccination status, perceptions and attitudes regarding pandemic-related measures, and information on participants’ physical and mental health, well-being, sleep, loneliness, resilience, substances use, living conditions, social interactions, activities, and mobility. RESULTS The 1,268 people enrolled in the Phase 1 COHESION Study are for the most part from Ontario (47%) and Quebec (33%), aged 48 ± 16 years [mean ± standard deviation (SD)], and mainly women (78%), White (85%), with a university degree (63%), and living in large urban centers (70%). According to the 298 ± 68 (mean ± SD) prospective questionnaires completed each month on average, the frst year of follow-up reveals signifcant temporal variations in standardized indexes of well-being, loneliness, anxiety, depression, and psychological distress. CONCLUSION The COHESION Study will allow identifying trajectories of mental health and well-being while investigating their determinants and how these may vary by subgroup, over time, and across diferent provinces in Canada, in varying context including the pandemic recovery period. Our fndings will contribute valuable insights to the urban health feld and inform future public health interventions.

Subject

  • Health

Keywords

  • COVID-19,
  • Mental health,
  • Prospective cohort,
  • Social interations,
  • Study design,
  • Well-being

Rights

Creative Commons Attribution 4.0 International (CC BY 4.0)

Peer review

Yes

Open access level

Gold

Identifiers

ISSN
1471-2458

Article

Journal title
BMC Public Health
Journal volume
23
Article number
2401 (2023)

Citation(s)

Gabet, S., Thierry, B., Wasfi, R. et al. How is the COVID-19 pandemic impacting our life, mental health, and well-being? Design and preliminary findings of the pan-Canadian longitudinal COHESION study. BMC Public Health 23, 2401 (2023). https://doi.org/10.1186/s12889-023-17297-w

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Communicable diseases

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