Imperial College London
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ProfessorJenniferQuint

Faculty of Medicine, School of Public Health

Professor of Respiratory Epidemiology
 
 
 
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Contact

 

+44 (0)20 7594 8821j.quint

 
 
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Location

 

.922Sir Michael Uren HubWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Bachtiger:2021:10.2196/30460,
author = {Bachtiger, P and Adamson, A and Maclean, WA and Kelshiker, MA and Quint, JK and Peters, NS},
doi = {10.2196/30460},
journal = {JMIR Public Health and Surveillance},
pages = {1--14},
title = {Determinants of shielding behaviour during the COVID-19 pandemic and associations with wellbeing in >7,000 NHS patients: 17-week longitudinal observational study.},
url = {http://dx.doi.org/10.2196/30460},
volume = {7},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: The UK National Health Service (NHS) classified 2.2 million people as clinically extremely vulnerable (CEV) during the first wave of the 2020 COVID-19 pandemic, advising them to 'shield' - to not leave home for any reason. OBJECTIVE: The aim of this study was to measure the determinants of shielding behaviour and associations with wellbeing in a large NHS patient population, towards informing future health policy. METHODS: Patients contributing to an ongoing longitudinal participatory epidemiology study (LoC-19, n = 42,924) received weekly email invitations to complete questionnaires (17-week shielding period starting 9th April 2020) within their NHS personal electronic health record. Question items focused on wellbeing. Participants were stratified into four groups by self-reported CEV status (qualifying condition) and adoption of shielding behaviour (baselined at week 1 or 2). Distribution of CEV criteria is reported alongside situational variables and uni- and multivariable logistic regression. Longitudinal trends in physical and mental wellbeing were displayed graphically. Free-text responses reporting variables impacting wellbeing were semi-quantified using natural language processing. In the lead up to a second national lockdown (October 23rd, 2020), a follow-up questionnaire evaluated subjective concern if further shielding were advised. RESULTS: 7,240 participants were included. Among the CEV (2,391), 1,133 (47.3%) assumed shielding behaviour at baseline, compared with 633 (15.0%) in the non-CEV group. Those CEV who shielded were more likely to be Asian (Odds Ratio OR 2.02 [1.49-2.76]), female (OR 1.24 [1.05-1.45]), older (OR per year increase 1.01 [1.00-1.02]) and live in a home with outdoor space (OR 1.34 [1.06-1.70]) or 3-4 other inhabitants (3 = OR 1.49 [1.15-1.94], 4 = OR 1.49 [1.10-2.01]); and be solid organ transplant recipients (2.85 [2.18-3.77]) or have severe chronic lung disease (OR 1.63 [1.30-2.04]). Receipt of a government letter adv
AU  - Bachtiger,P
AU  - Adamson,A
AU  - Maclean,WA
AU  - Kelshiker,MA
AU  - Quint,JK
AU  - Peters,NS
DO  - 10.2196/30460
EP  - 14
PY  - 2021///
SN  - 2369-2960
SP  - 1
TI  - Determinants of shielding behaviour during the COVID-19 pandemic and associations with wellbeing in >7,000 NHS patients: 17-week longitudinal observational study.
T2  - JMIR Public Health and Surveillance
UR  - http://dx.doi.org/10.2196/30460
UR  - https://www.ncbi.nlm.nih.gov/pubmed/34298499
UR  - https://publichealth.jmir.org/2021/9/e30460
UR  - http://hdl.handle.net/10044/1/91520
VL  - 7
ER  -
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