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Association Between Quarantined Living Circumstances and Perceived Stress in Wuhan City During the COVID-19 Outbreak: A Rapid, Exploratory Cross-Sectional Study

20 Pages Posted: 31 Mar 2020

See all articles by Yuxin Zhang

Yuxin Zhang

Fudan University - School of Public Health

Jiwei Wang

Fudan University - School of Public Health

Jie Zhao

Fudan University - School of Public Health

Tetsuya Tanimoto

Medical Governance Research Institute

Akihiko Ozaki

Medical Governance Research Institute

Andy Crump

Kitasato University

Wanli Chen

Fudan University - School of Public Health

Jingya Wang

Fudan University - School of Public Health

Lei Chen

Jianghan University - School of Business

Jinming Yu

Fudan University - School of Public Health

Qing-wu Jiang

Fudan University - School of Public Health

More...

Abstract

Background: Since the coronavirus disease 2019 (COVID-19) outbreak in Wuhan in late 2019, China has been implementing an unprecedented quarantine strategy covering Wuhan City’s entire population, with all citizens required to stay at home. This exploratory study investigated the impact of the living circumstances of those quarantined to gain an insight into their levels of perceived stress.

Methods: In a cross-sectional study carried out between February 28 and March 2, 2020, using an on-line questionnaire, we recruited 1,383 Wuhan citizens aged between 18–70 years. All participants were asked to complete a questionnaire containing a Perceived Stress Scale (PSS) and questions on personal characteristics and their daily lives in isolation. Associations were evaluated using logistic regression model, adjusted for sociodemographic characteristics.

Findings: Among 599 male and 784 female participants, 81.1% and 84.1% reported encountering either moderate or high stress levels respectively. Among males, participants who were smokers and who spent more time on cellphones were significantly more likely to report elevated stress. Those who were physically active, slept normally, communicated well with family members, participated in family entertainment activities and did housework, were significantly less likely to report elevated stress. Among females, participants who drank alcohol, spent more time watching TV and on computers were significantly more likely to report elevated stress. Women who slept normally, communicated well with other family members and did housework were significantly less likely to report elevated stress.

Interpretation: Perceived stress of men and women during quarantine for the COVID-19 outbreak was both closely related to their daily life during their restriction at home, although there were identifiable gender differences. Our findings will help shape improved policies and interventions to help reduce stress, and thereby improve both mental and physical health, during future infectious disease outbreaks.

Funding Statement: Shanghai public health three-year action plan (15GWZK1001).

Declaration of Interests: Drs Tanimoto and Ozaki receive personal fees from Medical Network Systems, MNES Inc., outside the submitted work. All other authors declare they have no conflicts of interest.

Ethics Approval Statement: Approval for the research was received from the Ethics Committee of the Public Health School of Fudan University (IRB#2020-03-0806).

Keywords: perceived stress; daily lives; COVID-19; outbreak; quarantine

Suggested Citation

Zhang, Yuxin and Wang, Jiwei and Zhao, Jie and Tanimoto, Tetsuya and Ozaki, Akihiko and Crump, Andy and Chen, Wanli and Wang, Jingya and Chen, Lei and Yu, Jinming and Jiang, Qing-wu, Association Between Quarantined Living Circumstances and Perceived Stress in Wuhan City During the COVID-19 Outbreak: A Rapid, Exploratory Cross-Sectional Study (3/16/2020). Available at SSRN: https://ssrn.com/abstract=3556642 or http://dx.doi.org/10.2139/ssrn.3556642

Yuxin Zhang

Fudan University - School of Public Health

School of Public Health
PO Box 250
Shanghai, 200032
China

Jiwei Wang (Contact Author)

Fudan University - School of Public Health ( email )

School of Public Health
PO Box 250
Shanghai, 200032
China

Jie Zhao

Fudan University - School of Public Health

School of Public Health
PO Box 250
Shanghai, 200032
China

Tetsuya Tanimoto

Medical Governance Research Institute

Minato-ku, Tokyo
Japan

Akihiko Ozaki

Medical Governance Research Institute

Minato-ku, Tokyo
Japan

Andy Crump

Kitasato University

Tokyo
Japan

Wanli Chen

Fudan University - School of Public Health

School of Public Health
PO Box 250
Shanghai, 200032
China

Jingya Wang

Fudan University - School of Public Health

School of Public Health
PO Box 250
Shanghai, 200032
China

Lei Chen

Jianghan University - School of Business

Wuhan
China

Jinming Yu

Fudan University - School of Public Health

School of Public Health
PO Box 250
Shanghai, 200032
China

Qing-wu Jiang

Fudan University - School of Public Health ( email )

School of Public Health
PO Box 250
Shanghai, 200032
China

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