The Experience of Homebound Older Adults During the COVID-19 Pandemic
Background Homebound older adults have heightened risks for isolation and negative health consequences, but it is unclear how COVID-19 has impacted them. We examine social contact and mood symptoms among previously homebound older adults during the COVID-19 pandemic. Design/Setting Cross-sectional a...
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| Veröffentlicht in: | Journal of general internal medicine : JGIM 2022-04, Vol.37 (5), p.1177-1182 |
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| container_title | Journal of general internal medicine : JGIM |
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| creator | Ankuda, Claire K. Kotwal, Ashwin Reckrey, Jennifer Harrison, Krista L. Ornstein, Katherine A. |
| description | Background
Homebound older adults have heightened risks for isolation and negative health consequences, but it is unclear how COVID-19 has impacted them. We examine social contact and mood symptoms among previously homebound older adults during the COVID-19 pandemic.
Design/Setting
Cross-sectional analysis using data from the National Health and Aging Trends Study (NHATS), a nationally-representative longitudinal study of aging in the USA.
Participants
A total of 3,112 community-dwelling older adults in 2019 who completed the COVID-19 survey in the summer/fall of 2020.
Measurements
Homebound status was defined via self-report as rarely/never leaving home or leaving the house with difficulty or help in the prior month. We measured limited social contact during COVID-19 (in-person, telephone, video or email contacts |
| doi_str_mv | 10.1007/s11606-021-07361-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8853401</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2629060890</sourcerecordid><originalsourceid>FETCH-LOGICAL-c540t-e71ef7ba5a6550440eea5285bf614dc4d9693d068384a54d395e9ff7ff04f363</originalsourceid><addsrcrecordid>eNp9kc1u1DAUhS1ERacDL8ACRWLDxvQ6_om9QaqmU1qp0rAYsbU88XWbKokHO0Hw9nU7pfwsWHnh7x773I-Qtww-MoDmNDOmQFGoGYWGK0bNC7JgspaUCdO8JAvQWlDdcHFMTnK-A2C8rvUrcswlUw0oviDr7S1W6x97TB2OLVYxVJdxwF2cR19teo-pOvNzP-XqfE7deFNNhV9tvl6dU2aqL270OHTta3IUXJ_xzdO5JNuL9XZ1Sa83n69WZ9e0lQImig3D0OycdEpKEAIQnay13AXFhG-FN8pwD0pzLZwUnhuJJoQmBBCBK74knw6x-3k3oG9xnJLr7T51g0s_bXSd_ftm7G7tTfxutZZclPZL8uEpIMVvM-bJDl1use_diHHOtla1AQXaQEHf_4PexTmNpV2hhFRGlOUWqj5QbYo5JwzPn2FgHyTZgyRbJNlHSdaUoXd_1nge-WWlAPwA5P3DzjH9fvs_sfeP_Jsq</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2645694884</pqid></control><display><type>article</type><title>The Experience of Homebound Older Adults During the COVID-19 Pandemic</title><source>MEDLINE</source><source>SpringerLink Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Ankuda, Claire K. ; Kotwal, Ashwin ; Reckrey, Jennifer ; Harrison, Krista L. ; Ornstein, Katherine A.</creator><creatorcontrib>Ankuda, Claire K. ; Kotwal, Ashwin ; Reckrey, Jennifer ; Harrison, Krista L. ; Ornstein, Katherine A.</creatorcontrib><description>Background
Homebound older adults have heightened risks for isolation and negative health consequences, but it is unclear how COVID-19 has impacted them. We examine social contact and mood symptoms among previously homebound older adults during the COVID-19 pandemic.
Design/Setting
Cross-sectional analysis using data from the National Health and Aging Trends Study (NHATS), a nationally-representative longitudinal study of aging in the USA.
Participants
A total of 3,112 community-dwelling older adults in 2019 who completed the COVID-19 survey in the summer/fall of 2020.
Measurements
Homebound status was defined via self-report as rarely/never leaving home or leaving the house with difficulty or help in the prior month. We measured limited social contact during COVID-19 (in-person, telephone, video or email contacts <once/week), as well as loneliness, anxiety, and depression.
Results
Among homebound older adults, 13.2% experienced limited social contact during COVID-19 vs. 6.5% of the non-homebound. Differences in social contact were greatest for contacts via email/text/social media: 54.9% of the homebound used this <once/week vs. 28.4% of the non-homebound. In adjusted analyses of those without limited social contact prior to the pandemic, the homebound had higher but not significantly different odds (OR 1.83; 95% CI 0.95–3.52) of limited social contact during COVID-19, with increased risk among the older individuals, those with dementia, and those in assisted living facilities. Of the homebound, 13.2% felt lonely every/most days during the pandemic vs. 7.7% of non-homebound older adults. Homebound and non-homebound older adults reported similar rates of increased loneliness, anxiety, or depression during COVID-19. Fewer homebound older adults learned a new technology during the pandemic (16.3%) vs. non-homebound older adults (30.4%).
Discussion
Isolation among homebound older adults increased during COVID-19, partially due to differences in technology use. We must ensure that homebound persons have the connection and care they need including new technologies for communication during and beyond COVID-19.</description><identifier>ISSN: 0884-8734</identifier><identifier>EISSN: 1525-1497</identifier><identifier>DOI: 10.1007/s11606-021-07361-9</identifier><identifier>PMID: 35167063</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adults ; Aged ; Aging ; Anxiety ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; Cross-Sectional Studies ; Dementia disorders ; Electronic mail ; Homebound Persons ; Humans ; Internal Medicine ; Loneliness ; Longitudinal Studies ; Medicine ; Medicine & Public Health ; Mental depression ; New technology ; Older people ; Original Research ; Pandemics</subject><ispartof>Journal of general internal medicine : JGIM, 2022-04, Vol.37 (5), p.1177-1182</ispartof><rights>The Author(s) under exclusive licence to Society of General Internal Medicine 2022</rights><rights>2022. The Author(s) under exclusive licence to Society of General Internal Medicine.</rights><rights>The Author(s) under exclusive licence to Society of General Internal Medicine 2022.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-e71ef7ba5a6550440eea5285bf614dc4d9693d068384a54d395e9ff7ff04f363</citedby><cites>FETCH-LOGICAL-c540t-e71ef7ba5a6550440eea5285bf614dc4d9693d068384a54d395e9ff7ff04f363</cites><orcidid>0000-0003-1371-8524</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8853401/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8853401/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35167063$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ankuda, Claire K.</creatorcontrib><creatorcontrib>Kotwal, Ashwin</creatorcontrib><creatorcontrib>Reckrey, Jennifer</creatorcontrib><creatorcontrib>Harrison, Krista L.</creatorcontrib><creatorcontrib>Ornstein, Katherine A.</creatorcontrib><title>The Experience of Homebound Older Adults During the COVID-19 Pandemic</title><title>Journal of general internal medicine : JGIM</title><addtitle>J GEN INTERN MED</addtitle><addtitle>J Gen Intern Med</addtitle><description>Background
Homebound older adults have heightened risks for isolation and negative health consequences, but it is unclear how COVID-19 has impacted them. We examine social contact and mood symptoms among previously homebound older adults during the COVID-19 pandemic.
Design/Setting
Cross-sectional analysis using data from the National Health and Aging Trends Study (NHATS), a nationally-representative longitudinal study of aging in the USA.
Participants
A total of 3,112 community-dwelling older adults in 2019 who completed the COVID-19 survey in the summer/fall of 2020.
Measurements
Homebound status was defined via self-report as rarely/never leaving home or leaving the house with difficulty or help in the prior month. We measured limited social contact during COVID-19 (in-person, telephone, video or email contacts <once/week), as well as loneliness, anxiety, and depression.
Results
Among homebound older adults, 13.2% experienced limited social contact during COVID-19 vs. 6.5% of the non-homebound. Differences in social contact were greatest for contacts via email/text/social media: 54.9% of the homebound used this <once/week vs. 28.4% of the non-homebound. In adjusted analyses of those without limited social contact prior to the pandemic, the homebound had higher but not significantly different odds (OR 1.83; 95% CI 0.95–3.52) of limited social contact during COVID-19, with increased risk among the older individuals, those with dementia, and those in assisted living facilities. Of the homebound, 13.2% felt lonely every/most days during the pandemic vs. 7.7% of non-homebound older adults. Homebound and non-homebound older adults reported similar rates of increased loneliness, anxiety, or depression during COVID-19. Fewer homebound older adults learned a new technology during the pandemic (16.3%) vs. non-homebound older adults (30.4%).
Discussion
Isolation among homebound older adults increased during COVID-19, partially due to differences in technology use. We must ensure that homebound persons have the connection and care they need including new technologies for communication during and beyond COVID-19.</description><subject>Adults</subject><subject>Aged</subject><subject>Aging</subject><subject>Anxiety</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Dementia disorders</subject><subject>Electronic mail</subject><subject>Homebound Persons</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Loneliness</subject><subject>Longitudinal Studies</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>New technology</subject><subject>Older people</subject><subject>Original Research</subject><subject>Pandemics</subject><issn>0884-8734</issn><issn>1525-1497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kc1u1DAUhS1ERacDL8ACRWLDxvQ6_om9QaqmU1qp0rAYsbU88XWbKokHO0Hw9nU7pfwsWHnh7x773I-Qtww-MoDmNDOmQFGoGYWGK0bNC7JgspaUCdO8JAvQWlDdcHFMTnK-A2C8rvUrcswlUw0oviDr7S1W6x97TB2OLVYxVJdxwF2cR19teo-pOvNzP-XqfE7deFNNhV9tvl6dU2aqL270OHTta3IUXJ_xzdO5JNuL9XZ1Sa83n69WZ9e0lQImig3D0OycdEpKEAIQnay13AXFhG-FN8pwD0pzLZwUnhuJJoQmBBCBK74knw6x-3k3oG9xnJLr7T51g0s_bXSd_ftm7G7tTfxutZZclPZL8uEpIMVvM-bJDl1use_diHHOtla1AQXaQEHf_4PexTmNpV2hhFRGlOUWqj5QbYo5JwzPn2FgHyTZgyRbJNlHSdaUoXd_1nge-WWlAPwA5P3DzjH9fvs_sfeP_Jsq</recordid><startdate>20220401</startdate><enddate>20220401</enddate><creator>Ankuda, Claire K.</creator><creator>Kotwal, Ashwin</creator><creator>Reckrey, Jennifer</creator><creator>Harrison, Krista L.</creator><creator>Ornstein, Katherine A.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1371-8524</orcidid></search><sort><creationdate>20220401</creationdate><title>The Experience of Homebound Older Adults During the COVID-19 Pandemic</title><author>Ankuda, Claire K. ; Kotwal, Ashwin ; Reckrey, Jennifer ; Harrison, Krista L. ; Ornstein, Katherine A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c540t-e71ef7ba5a6550440eea5285bf614dc4d9693d068384a54d395e9ff7ff04f363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adults</topic><topic>Aged</topic><topic>Aging</topic><topic>Anxiety</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Dementia disorders</topic><topic>Electronic mail</topic><topic>Homebound Persons</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Loneliness</topic><topic>Longitudinal Studies</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>New technology</topic><topic>Older people</topic><topic>Original Research</topic><topic>Pandemics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ankuda, Claire K.</creatorcontrib><creatorcontrib>Kotwal, Ashwin</creatorcontrib><creatorcontrib>Reckrey, Jennifer</creatorcontrib><creatorcontrib>Harrison, Krista L.</creatorcontrib><creatorcontrib>Ornstein, Katherine A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of general internal medicine : JGIM</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ankuda, Claire K.</au><au>Kotwal, Ashwin</au><au>Reckrey, Jennifer</au><au>Harrison, Krista L.</au><au>Ornstein, Katherine A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Experience of Homebound Older Adults During the COVID-19 Pandemic</atitle><jtitle>Journal of general internal medicine : JGIM</jtitle><stitle>J GEN INTERN MED</stitle><addtitle>J Gen Intern Med</addtitle><date>2022-04-01</date><risdate>2022</risdate><volume>37</volume><issue>5</issue><spage>1177</spage><epage>1182</epage><pages>1177-1182</pages><issn>0884-8734</issn><eissn>1525-1497</eissn><abstract>Background
Homebound older adults have heightened risks for isolation and negative health consequences, but it is unclear how COVID-19 has impacted them. We examine social contact and mood symptoms among previously homebound older adults during the COVID-19 pandemic.
Design/Setting
Cross-sectional analysis using data from the National Health and Aging Trends Study (NHATS), a nationally-representative longitudinal study of aging in the USA.
Participants
A total of 3,112 community-dwelling older adults in 2019 who completed the COVID-19 survey in the summer/fall of 2020.
Measurements
Homebound status was defined via self-report as rarely/never leaving home or leaving the house with difficulty or help in the prior month. We measured limited social contact during COVID-19 (in-person, telephone, video or email contacts <once/week), as well as loneliness, anxiety, and depression.
Results
Among homebound older adults, 13.2% experienced limited social contact during COVID-19 vs. 6.5% of the non-homebound. Differences in social contact were greatest for contacts via email/text/social media: 54.9% of the homebound used this <once/week vs. 28.4% of the non-homebound. In adjusted analyses of those without limited social contact prior to the pandemic, the homebound had higher but not significantly different odds (OR 1.83; 95% CI 0.95–3.52) of limited social contact during COVID-19, with increased risk among the older individuals, those with dementia, and those in assisted living facilities. Of the homebound, 13.2% felt lonely every/most days during the pandemic vs. 7.7% of non-homebound older adults. Homebound and non-homebound older adults reported similar rates of increased loneliness, anxiety, or depression during COVID-19. Fewer homebound older adults learned a new technology during the pandemic (16.3%) vs. non-homebound older adults (30.4%).
Discussion
Isolation among homebound older adults increased during COVID-19, partially due to differences in technology use. We must ensure that homebound persons have the connection and care they need including new technologies for communication during and beyond COVID-19.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>35167063</pmid><doi>10.1007/s11606-021-07361-9</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-1371-8524</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0884-8734 |
| ispartof | Journal of general internal medicine : JGIM, 2022-04, Vol.37 (5), p.1177-1182 |
| issn | 0884-8734 1525-1497 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adults Aged Aging Anxiety Coronaviruses COVID-19 COVID-19 - epidemiology Cross-Sectional Studies Dementia disorders Electronic mail Homebound Persons Humans Internal Medicine Loneliness Longitudinal Studies Medicine Medicine & Public Health Mental depression New technology Older people Original Research Pandemics |
| title | The Experience of Homebound Older Adults During the COVID-19 Pandemic |
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