International Journal of Public Health (Jun 2021)
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,
- Thu T. M. Pham,
- Thu T. M. Pham,
- Linh V. Pham,
- Linh V. Pham,
- Dung T. Phan,
- Dung T. Phan,
- Tien V. Tran,
- Tien V. Tran,
- Hoang C. Nguyen,
- Hoang C. Nguyen,
- Huu C. Nguyen,
- Huu C. Nguyen,
- Tung H. Ha,
- Hung K. Dao,
- Phuoc B. Nguyen,
- Manh V. Trinh,
- Thinh V. Do,
- Hung Q. Nguyen,
- Thao T. P. Nguyen,
- Thao T. P. Nguyen,
- Nhan P. T. Nguyen,
- Cuong Q. Tran,
- Cuong Q. Tran,
- Khanh V. Tran,
- Trang T. Duong,
- Tan T. Nguyen,
- Tan T. Nguyen,
- Khue M. Pham,
- Khue M. Pham,
- Lam V. Nguyen,
- Lam V. Nguyen,
- Tam T. Vo,
- Binh N. Do,
- Binh N. Do,
- Nga H. Dang,
- Nga H. Dang,
- Thuy T. Le,
- Thuy T. Le,
- Ngoc T. Do,
- Hoai T. T. Nguyen,
- Thuy T. T. Mai,
- Dung T. Ha,
- Huong T. M. Ngo,
- Kien T. Nguyen,
- Chyi-Huey Bai,
- Chyi-Huey Bai,
- Chyi-Huey Bai,
- Tuyen Van Duong
Affiliations
- Minh H. Nguyen
- International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
- Thu T. M. Pham
- Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam
- Thu T. M. Pham
- School of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan
- Linh V. Pham
- Department of Pulmonary and Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong, Vietnam
- Linh V. Pham
- Director Office, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong, Vietnam
- Dung T. Phan
- Faculty of Nursing, Hanoi University of Business and Technology, Hanoi, Vietnam
- Dung T. Phan
- Nursing Office, Thien an Obstetrics and Gynecology Hospital, Hanoi, Vietnam
- Tien V. Tran
- Department of Infectious Diseases, Vietnam Military Medical University, Hanoi, Vietnam
- Tien V. Tran
- Director Office, Military Hospital 103, Hanoi, Vietnam
- Hoang C. Nguyen
- 0Director Office, Thai Nguyen National Hospital, Thai Nguyen, Vietnam
- Hoang C. Nguyen
- 1President Office, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam
- Huu C. Nguyen
- 2Director Office, E Hospital, Hanoi, Vietnam
- Huu C. Nguyen
- 3Department of Thoracic and Cardiovascular Surgery, E Hospital, Hanoi, Vietnam
- Tung H. Ha
- 4Director Office, General Hospital of Agricultural, Hanoi, Vietnam
- Hung K. Dao
- 5Director Office, Bac Ninh Obstetrics and Pediatrics Hospital, Bac Ninh, Vietnam
- Phuoc B. Nguyen
- 6Director Office, Kien An Hospital, Hai Phong, Vietnam
- Manh V. Trinh
- 7Director Office, Quang Ninh General Hospital, Quang Ninh, Vietnam
- Thinh V. Do
- 8Director Office, Bai Chay Hospital, Quang Ninh, Vietnam
- Hung Q. Nguyen
- 9Director Office, Quang Ninh Obstetrics and Pediatrics Hospital, Quang Ninh, Vietnam
- Thao T. P. Nguyen
- 0Health Management Training Institute, Hue University of Medicine and Pharmacy, Thua Thien Hue, Vietnam
- Thao T. P. Nguyen
- 1Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary
- Nhan P. T. Nguyen
- 2General Planning Department, Da Nang Oncology Hospital, Da Nang, Vietnam
- Cuong Q. Tran
- 3Director Office, Thu Duc District Health Center, Ho Chi Minh City, Vietnam
- Cuong Q. Tran
- 4Faculty of Health, Mekong University, Vinh Long, Vietnam
- Khanh V. Tran
- 5Director Office, Hospital District 2, Ho Chi Minh City, Vietnam
- Trang T. Duong
- 6Nursing Office, Tan Phu District Hospital, Ho Chi Minh City, Vietnam
- Tan T. Nguyen
- 7Department of Orthopedics, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam
- Tan T. Nguyen
- 8Director Office, Can Tho University of Medicine and Pharmacy Hospital, Can Tho, Vietnam
- Khue M. Pham
- Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam
- Khue M. Pham
- 9President Office, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam
- Lam V. Nguyen
- 0Aesthetic Plastic Surgery & Skin Care Center, Can Tho University of Medicine and Pharmacy Hospital, Can Tho, Vietnam
- Lam V. Nguyen
- 1President Office, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam
- Tam T. Vo
- 2Director Office, Trieu Phong District Health Center, Quang Tri, Vietnam
- Binh N. Do
- Department of Infectious Diseases, Vietnam Military Medical University, Hanoi, Vietnam
- Binh N. Do
- 3Division of Military Science, Military Hospital 103, Hanoi, Vietnam
- Nga H. Dang
- 4Training and Direction of Healthcare Activity Center, Thai Nguyen National Hospital, Thai Nguyen, Vietnam
- Nga H. Dang
- 5Department of Quality Control, Thai Nguyen National Hospital, Thai Nguyen, Vietnam
- Thuy T. Le
- 6Faculty of Medical Laboratory Science, Da Nang University of Medical Technology and Pharmacy, Da Nang, Vietnam
- Thuy T. Le
- 7President Office, Da Nang University of Medical Technology and Pharmacy, Da Nang, Vietnam
- Ngoc T. Do
- 8Nursing Office, E Hospital, Hanoi, Vietnam
- Hoai T. T. Nguyen
- 9Training and Direction of Healthcare Activity Center, Kien an Hospital, Hai Phong, Vietnam
- Thuy T. T. Mai
- 0Nursing Office, Quang Ninh General Hospital, Quang Ninh, Vietnam
- Dung T. Ha
- 1Nursing Office, Bai Chay Hospital, Quang Ninh, Vietnam
- Huong T. M. Ngo
- 2Nursing Office, Quang Ninh Obstetric and Pediatric Hospital, Quang Ninh, Vietnam
- Kien T. Nguyen
- 3Department of Health Education, Faculty of Social Sciences, Behavior and Health Education, Hanoi University of Public Health, Hanoi, Vietnam
- Chyi-Huey Bai
- International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
- Chyi-Huey Bai
- School of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan
- Chyi-Huey Bai
- 4Department of Public Health, College of Medicine, Taipei Medical University, Taipei, Taiwan
- Tuyen Van Duong
- 5School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan
- DOI
- https://doi.org/10.3389/ijph.2021.634904
- Journal volume & issue
-
Vol. 66
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.
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