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Title: | Physical, psychological and pandemic fatigue in the fourth wave of COVID-19 outbreak in Hong Kong : population-based, cross-sectional study | Authors: | Yan, E Ng, HKL Lai, DWL Lee, VWP |
Issue Date: | Dec-2022 | Source: | BMJ open, Dec. 2022. v. 12, no. 12, e062609 | Abstract: | Objectives: To examine the physical, psychological and pandemic fatigue during the COVID-19 pandemic, and to explore the correlates of fatigue using a representative, population-based, community sample of Chinese adults in Hong Kong. Design: Cross-sectional study. Setting: Telephone surveys in Hong Kong from December 2020 to January 2021 (during the fourth wave of COVID-19 outbreak). Participants: 1255 adults living in Hong Kong aged 18 years or older sampled using a multistage approach (53% women). Main outcome measures: Physical and psychological fatigue: The Fatigue Assessment Scale (with a cut-off score of 22). Pandemic fatigue: Adherence to six disease prevention measures (DPM) recommended by the government. Results: About 25.7% of the participants were feeling fatigued physically and psychologically. Physical and psychological fatigue was not directly associated with pandemic fatigue, and their association was fully mediated by self-perceived disruptions of COVID-19-related restrictions in daily life. Results from the hierarchical regression analysis showed that higher levels of fatigue were associated with economically inactive status (B=0.18, SE=0.04, p<0.001), having family or friend infected with COVID-19 before or during the study (B=0.17, SE=0.01, p<0.001), lower acceptability of DPM (B=−0.16, SE=0.03, p<0.001), greater disruptions in daily life (B=0.22, SE=0.02, p<0.001), and greater trust in authorities in ending the pandemic (B=0.11, SE=0.02, p<0.001). Conclusions: Fatigue affected many individuals during the pandemic. Disruptions of DPM in daily life may serve as a mediator in the association between pandemic fatigue and physical and psychological fatigue, reflecting the need of effective interventions to reduce self-perceived disruptions of COVID-19-related restrictions in the general population. Resources should be allocated to provide sufficient services to individuals vulnerable to fatigue during the prolonged pandemic. |
Publisher: | BMJ Group | Journal: | BMJ open | EISSN: | 2044-6055 | DOI: | 10.1136/bmjopen-2022-062609 | Rights: | © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC (http://creativecommons.org/licenses/by-nc/4.0/). No commercial re-use. See rights and permissions. Published by BMJ The following publication Yan E, Ng HKL, Lai DWL, et alPhysical, psychological and pandemic fatigue in the fourth wave of COVID-19 outbreak in Hong Kong: population-based, cross-sectional studyBMJ Open 2022;12:e062609 is available at https://doi.org/10.1136/bmjopen-2022-062609. |
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