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Lindgren I, Trulsson Schouenborg A, Larsson C, Stigmar K. Perceptions of everyday life during lenient COVID-19 restrictions in Sweden- an interview study. BMC Public Health 2023; 23:1743. [PMID: 37679662 PMCID: PMC10483720 DOI: 10.1186/s12889-023-16599-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 08/23/2023] [Indexed: 09/09/2023] Open
Abstract
BACKGROUND Both COVID-19 and its associated societal restrictions have affected individuals' health and everyday life. In Sweden, more lenient public health restrictions were implemented, with individuals asked to act responsibly in terms of reducing spread of disease. The majority of studies reporting on experiences of Covid-19 restrictions have been in the context of more substantial mandatory rules aimed at reducing social contact, therefore it is important to describe how more lenient restrictions have impacted individuals' well-being. This study aims to describe perceptions of everyday life during the first wave of the COVID-19 pandemic, perceived by individuals with no underlying medical condition, and living with more lenient public health restrictions in Sweden. METHOD The participants were recruited from individuals who originally had participated in an online survey about life satisfaction, health, and physical activity. Fifteen individuals (median age 49, range 26-76 years, seven women) in various social situations, such as living alone/cohabiting, having children at home, geographical area and size of city were interviewed. Qualitative content analysis was applied to the data. RESULTS An overall theme "Both hindrances and opportunities in important life domains were experienced within the same person during lenient Covid-19 restrictions" was derived and covered three categories: "New possibilities of flexibility in work and better health", "Life went on as usual with minor adjustments" and "Everyday life changed and became more difficult" together with eight subcategories. For most participants, both facilitating and hindering important domains in life were described. Unexpected findings were positive experiences regarding working from home, physical activities, leisure time activities and the balance between work and leisure time. In areas where only minor adjustments were made, life was perceived as going on as before. On the other hand, restrictions increased worries and were perceived to have negative effects on social participation. CONCLUSION The impact of the pandemic and lenient restrictions in Sweden on the participants´ everyday life was multifaceted. Both hindrances and opportunities in important life domains were experienced within the same person. An increased flexibility in work- and leisure activities were perceived having positive effects for health and wellbeing and led to a better balance in life.
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Affiliation(s)
- Ingrid Lindgren
- Rehabilitation and Sustainable Health, Department of Health Sciences, Lund University, Lund, Sweden.
- Department of Neurology, Rehabilitation Medicine, Memory Disorders and Geriatrics, Skåne University Hospital, Lund, Sweden.
| | - Anna Trulsson Schouenborg
- Department of Neurosurgery and Pain Rehabilitation, Skåne University Hospital, Lund, Sweden
- Human Movement: health and rehabilitation, Department of Health Sciences, Lund University, Lund, Sweden
| | - Caroline Larsson
- Human Movement: health and rehabilitation, Department of Health Sciences, Lund University, Lund, Sweden
| | - Kjerstin Stigmar
- Human Movement: health and rehabilitation, Department of Health Sciences, Lund University, Lund, Sweden
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Phulkerd S, Thapsuwan S, Soottipong Gray R, Chamratrithirong A, Pattaravanich U, Ungchusak C, Saonuam P. Life Satisfaction Before and During COVID-19 Pandemic in Thailand. Int J Public Health 2023; 68:1605483. [PMID: 37519434 PMCID: PMC10372220 DOI: 10.3389/ijph.2023.1605483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Accepted: 06/29/2023] [Indexed: 08/01/2023] Open
Abstract
Objective: To investigate prevalence of life satisfaction in the Thai population before and during the COVID-19 epidemic, and factors associated with life satisfaction during the epidemic. Methods: Multistage sampling was used to draw a sample from the Thai population. A total of 3,115 Thai participants age 15 years or older from a nationally-representative longitudinal survey in 2019 and in 2021 were included in this study. The study applied the Scale with Life Satisfaction (SWLS) instrument to measure life satisfaction among the Thai population before and during the COVID-19 epidemic. Multiple regression analysis was used to investigate the association between life satisfaction and other variables. The follow-up survey response rate for individuals was 44.8%. Results: An average life satisfaction score during the COVID-19 epidemic (in 2021) was 22.4 which decreased from 25.5 before the COVID-19 epidemic (in 2019). More than one-third of the participants (36.5%) reported having less life satisfaction during the epidemic, which was nearly 20 percentage points higher than before the epidemic (17.7%). Controlling for life satisfaction in 2019, the analysis found statistical associations between demographic and economic characteristics and health-related behaviours, and life satisfaction during 2021. People in the older age cohorts (p ≤ 0.001), in a rural area (p ≤ 0.05), having higher education (p ≤ 0.001), still being employed (p ≤ 0.01) and becoming unemployed (p ≤ 0.01) had higher life satisfaction. The possibility of higher life satisfaction was also found in people who maintained good health (p ≤ 0.01), sufficient physical activity (p ≤ 0.001), and fruit and vegetable intake (p ≤ 0.01). People with income loss during the epidemic had lower life satisfaction (p ≤ 0.05). Conclusion: The findings suggest that policies and systems for resilience and social protection are needed for empowering individuals-especially the poor and vulnerable-to cope with crises, and improve health and wellbeing outcomes.
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Affiliation(s)
- Sirinya Phulkerd
- Institute for Population and Social Research, Mahidol University, Nakhon Pathom, Thailand
| | - Sasinee Thapsuwan
- Institute for Population and Social Research, Mahidol University, Nakhon Pathom, Thailand
| | | | | | - Umaporn Pattaravanich
- Institute for Population and Social Research, Mahidol University, Nakhon Pathom, Thailand
| | - Chantana Ungchusak
- Healthy Lifestyle Promotion Section of Thai Health Promotion Foundation, Bangkok, Thailand
| | - Pairoj Saonuam
- Healthy Lifestyle Promotion Section of Thai Health Promotion Foundation, Bangkok, Thailand
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Sjödahl Hammarlund C, Norlander A, Brogårdh C. Experiences of People with Cardiovascular Disease during COVID-19 in Sweden: A Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20085588. [PMID: 37107869 PMCID: PMC10139106 DOI: 10.3390/ijerph20085588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 04/11/2023] [Accepted: 04/18/2023] [Indexed: 05/10/2023]
Abstract
Although people with cardiovascular conditions were subjected to more rigorous restrictions during the COVID-19 pandemic, there is limited knowledge of how the restrictions affected their lives and well-being. Thus, the aim of this study was to describe how people with cardiovascular conditions experienced their life situation and physical and mental health during the second wave of the pandemic in Sweden. Fifteen participants (median age 69 years; nine women) were individually interviewed, and data were analyzed with systematic text condensation. The findings revealed that some of the participants were fearful of contracting COVID-19 as their medical condition made them vulnerable. Additionally, the restrictions changed their daily routines and their ability to take part in social activities, as well as their access to specialized outpatient care (medical check-ups and physiotherapy). Although emotional and psychological distress were present, several participants found strategies that reduced their worries, such as exercising and meeting friends outdoors. However, some had adopted a more sedentary lifestyle and unhealthy diets. These findings indicate that healthcare professionals should provide individualized support to persons with cardiovascular diseases in order to find well-functioning emotion- and problem-focused strategies aimed at improving physical and mental health during crises such as pandemics.
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Affiliation(s)
- Catharina Sjödahl Hammarlund
- Department of Health Sciences, Lund University, SE-22100 Lund, Sweden; (A.N.); (C.B.)
- The PRO-CARE Group, Faculty of Health Sciences, Kristianstad University, SE-29188 Kristianstad, Sweden
- Correspondence:
| | - Anna Norlander
- Department of Health Sciences, Lund University, SE-22100 Lund, Sweden; (A.N.); (C.B.)
- Department of Neurology, Rehabilitation Medicine, Memory Disorders and Geriatrics, Skåne University Hospital, SE-22185 Lund, Sweden
| | - Christina Brogårdh
- Department of Health Sciences, Lund University, SE-22100 Lund, Sweden; (A.N.); (C.B.)
- Department of Neurology, Rehabilitation Medicine, Memory Disorders and Geriatrics, Skåne University Hospital, SE-22185 Lund, Sweden
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Hillert S, Naab S, Hillert A. [Loneliness in Adolescents Against the Background of the COVID-19 Pandemic: A Risk Factor]. ZEITSCHRIFT FUR KINDER- UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE 2023; 51:139-151. [PMID: 35904434 DOI: 10.1024/1422-4917/a000889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Loneliness in Adolescents Against the Background of the COVID-19 Pandemic: A Risk Factor Abstract. On the one hand, loneliness is the subjective experience of inadequate social integration and support. It is a normal phenomenon that can be dealt with in an emotional and action-oriented way within the framework of individual development. On the other hand, chronic loneliness goes hand in hand with considerable suffering, reduced quality of life, and an increased risk of psychological and somatic diseases. In the context of current social developments associated with the fragmentation of social networks and programmatic individualism, we discuss an increase in the problem of loneliness, especially among young people. Interventions to reduce the experience of loneliness are effective if, in addition to making social offers, they focus on the dynamics common in chronic loneliness (low self-esteem, evaluation of neutral communication as devaluing, etc.). There is no evidence that the use of virtual social networks persistently reduces feelings of loneliness in young people. In addition, the question arises on what basis of shared values and goals social integration of young people who experience loneliness will be possible in the future. According to the results of the first systematic surveys on the psychosocial consequences of the COVID-19 pandemic, we must assume that the loneliness problem of young people will continue to gain relevance because of the associated massive restrictions on real social life.
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Affiliation(s)
- Sophia Hillert
- Schön Klinik Roseneck, Prien am Chiemsee, Deutschland.,PFH Göttingen, Deutschland.,Tiroler Landeskonservatorium, Innsbruck, Österreich
| | - Silke Naab
- Schön Klinik Roseneck, Prien am Chiemsee, Deutschland
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Schnettler B, Concha-Salgado A, Orellana L, Saracostti M, Miranda-Zapata E, Poblete H, Lobos G, Adasme-Berríos C, Lapo M, Beroíza K, Riquelme L. Revisiting the link between domain satisfaction and life satisfaction during the COVID-19 pandemic: Job-related moderators in triadic analysis in dual-earner parents with adolescent children. Front Public Health 2023; 11:1108336. [PMID: 36815165 PMCID: PMC9939631 DOI: 10.3389/fpubh.2023.1108336] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 01/18/2023] [Indexed: 02/08/2023] Open
Abstract
Introduction Research has evaluated the impact of COVID-19 pandemic and lockdowns on individuals' life satisfaction, but wellbeing interrelations between family members in this context have been less explored. This study examined the spillover and crossover effects of one parent's job satisfaction (JS), satisfaction with family life (SWFaL) and satisfaction with food-related life (SWFoL) on their own, their partner's, and their adolescent children's life satisfaction (LS), and the influence of adolescents' SWFaL and SWFoL on their own and their parents' LS, in dual-earner families with adolescents. The moderating role of job-related variables of both parents were also explored. Methods Questionnaires were administered to 860 dual-earner parents with adolescents in two cities in Chile during 2020. Mothers and fathers answered the Overall Job Satisfaction Scale and the three family members answered the Satisfaction with Life Scale, the Satisfaction with Family Life Scale and the Satisfaction with Food-related Life Scale. Results Using the Actor-Partner Interdependence Model and structural equation modeling, we found that fathers' LS was positively associated with their own JS, SWFaL and SWFoL (spillover), and negatively with adolescents' SWFoL (crossover). Likewise, mothers' LS was positively associated with their own JS, SWFaL and SWFoL (spillover), with fathers' and adolescents' SWFaL, and negatively with adolescents' SWFoL. Adolescents' LS was positively associated with their own SWFaL and SWFoL (spillover), and with their fathers' JS, and negatively with their fathers' SWFoL. JS showed gendered patterns in spillover and crossover associations. Parents' type of employment, mothers' working hours and city of residence moderated some spillover and crossover associations for father-mother and parent-adolescent dyads. Discussion These findings suggest that, for dual-earner parents with adolescents, improving individuals' LS requires interventions that should be carried out not individually, but at a family level.
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Affiliation(s)
- Berta Schnettler
- Facultad de Ciencias Agropecuarias y Medioambiente, Universidad de La Frontera, Temuco, Chile
- Scientific and Technological Bioresource Nucleus (BIOREN-UFRO), Universidad de La Frontera, Temuco, Chile
- Centro de Excelencia en Psicología Económica y del Consumo, Universidad de La Frontera, Temuco, Chile
- Universidad Católica de Santiago de Guayaquil, Guayaquil, Ecuador
| | | | - Ligia Orellana
- Centro de Excelencia en Psicología Económica y del Consumo, Universidad de La Frontera, Temuco, Chile
- Departamento de Psicología, Universidad de la Frontera, Temuco, Chile
| | - Mahia Saracostti
- Escuela de Trabajo Social, Universidad de Valparaíso, Valparaíso, Chile
| | - Edgardo Miranda-Zapata
- Facultad de Educación, Centro de Investigación Escolar y Desarrollo (CIED-UCT), Universidad Católica de Temuco, Temuco, Chile
- Universidad Autónoma de Chile, Temuco, Chile
| | - Héctor Poblete
- Centro de Excelencia en Psicología Económica y del Consumo, Universidad de La Frontera, Temuco, Chile
| | - Germán Lobos
- Facultad de Economía y Negocios, Universidad de Talca, Talca, Chile
| | | | - María Lapo
- Universidad Católica de Santiago de Guayaquil, Guayaquil, Ecuador
| | - Katherine Beroíza
- Centro de Excelencia en Psicología Económica y del Consumo, Universidad de La Frontera, Temuco, Chile
| | - Leonor Riquelme
- Doctorado en Ciencias Sociales, Universidad de La Frontera, Temuco, Chile
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Tur-Sinai A, Bentur N, Lamura G. Perceived deterioration in health status among older adults in Europe and Israel following the first wave of the COVID-19 pandemic. Eur J Ageing 2022; 19:1243-1250. [PMID: 36692751 PMCID: PMC9023330 DOI: 10.1007/s10433-022-00705-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/04/2022] [Indexed: 02/06/2023] Open
Abstract
The COVID-19 pandemic has created challenges in providing medical care for people with health conditions other than COVID-19. The study aims to assess the prevalence of older adults' reportage of decline in health relative to pre-pandemic and to identify its determinants. The study is based on the Survey of Health, Ageing and Retirement in Europe (SHARE) data collected during the pandemic. It comprised 51,778 people in twenty-seven European countries and Israel. Participants were asked about changes in their health status relative to pre-pandemic. Bivariate analysis and logistic regression were used to identify factors associated with worsening of health. Nine percent of people (average age 70 years) reported a worsening of health relative to pre-pandemic. A logistic regression revealed a significant relation of the probability of a downturn in health to forgoing, postponing, or being denied an appointment for medical care. Multiple chronic illnesses, developing COVID-19, having at least one form of psychosocial distress, higher age, and lower economic capacity were also found significantly related to the probability of a decline in health. Older adults' comprehensive health needs must be addressed even when healthcare services are under strain due to pandemic outbreaks. Policymakers should attend to the healthcare needs of people whose vulnerability to the pandemic is amplified by chronic health conditions and low socioeconomic status. Public healthcare systems may experience a massive rebound of demand for health care, a challenge that should be mitigated by delivery of healthcare services and the provision of the financial resources that they need.
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Affiliation(s)
- Aviad Tur-Sinai
- Department of Health Systems Management, The Max Stern Yezreel Valley College, 1930600 Yezreel Valley, Israel.,School of Nursing, University of Rochester Medical Center, Rochester, NY 14642-8404 USA
| | - Netta Bentur
- The Stanley Steyer School of Health Professions, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Giovanni Lamura
- INRCA IRCCS-National Institute of Health and Science on Ageing, Centre for Socio-Economic Research On Ageing, 60124 Ancona, Italy
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Ekstrand E, Brogårdh C, Axen I, Fänge AM, Stigmar K, Hansson EE. Perceived Consequences of Post-COVID-19 and Factors Associated with Low Life Satisfaction. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15309. [PMID: 36430026 PMCID: PMC9690380 DOI: 10.3390/ijerph192215309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 11/15/2022] [Accepted: 11/17/2022] [Indexed: 06/16/2023]
Abstract
A significant number of individuals experience post-COVID-19 symptoms, but knowledge of perceived consequences and life satisfaction is lacking. Here, we investigate perceived consequences regarding everyday life, health, physical activity and work post-COVID-19 and factors associated with low life satisfaction. A total of 766 people (mean age 48; 672 women) experiencing post-COVID-19 symptoms at least two months after infection (mean 13 months) responded to an online survey. A majority (≥77%) perceived physical fatigue, mental fatigue, dizziness, reduced work ability, low life satisfaction and a reduced level of aerobic capacity. In the final logistic regression model (Nagelkerke R Square 0.296, p < 0.001), poor work ability was the most important factor for perceiving low satisfaction with life (Odds ratio 3.369, 95% CI 2.040-5.565, p < 0.001, Nagelkerke R Square 0.177). Reduced aerobic capacity, fatigue and living in a city also increased the odds of low life satisfaction. As people with post-COVID-19 report several long-term consequences, this suggests that there is a need for targeted care for this group. The results of this study can serve as guidance for healthcare authorities regarding important long-term consequences that should be considered in rehabilitation programs directed toward post-COVID-19.
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Affiliation(s)
- Elisabeth Ekstrand
- Department of Health Sciences, Lund University, 221 85 Lund, Sweden
- Department of Hand Surgery, Skåne University Hospital, 205 02 Malmö, Sweden
| | - Christina Brogårdh
- Department of Health Sciences, Lund University, 221 85 Lund, Sweden
- Department of Neurology, Rehabilitation Medicine, Memory Disorders and Geriatrics, Skåne University Hospital, 221 40 Lund, Sweden
| | - Iben Axen
- Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Nobels v. 13, 171 77 Stockholm, Sweden
| | | | - Kjerstin Stigmar
- Department of Health Sciences, Lund University, 221 85 Lund, Sweden
| | - Eva Ekvall Hansson
- Department of Health Sciences, Lund University, 221 85 Lund, Sweden
- Ear-Nose- and Throat Department, Skåne University Hospital, 221 40 Lund, Sweden
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Treatment seeking for alcohol-related issues during the COVID-19 pandemic: An analysis of an addiction-specialized psychiatric treatment facility. Heliyon 2022; 8:e09934. [PMID: 35855398 PMCID: PMC9279183 DOI: 10.1016/j.heliyon.2022.e09934] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Revised: 02/16/2022] [Accepted: 07/07/2022] [Indexed: 11/21/2022] Open
Abstract
The COVID-19 pandemic and its societal impact may cause long-term behavioral changes in alcohol use due to increased psychological distress, unemployment, and time spent home. The purpose of this study was to determine whether or not the COVID-19 pandemic had a significant impact on treatment seeking for alcohol use disorders and related problems in a Swedish psychiatric treatment facility. Using an interrupted-time-series design on data derived from an addiction-specific psychiatric treatment facility located in Malmö, Sweden, we hypothesized that treatment seeking would decrease during the pandemic based on previous research identifying limited alcohol availability and affordability, as well as accessibility to treatment centers as influential factors. In addition, we assessed the predictive power of alcohol sales and number of active cases in the region using simple linear regressions. Results indicated that the pandemic had little to no effect on the number of people needing care, however a significant step change was found in treatment seeking patterns for unique female patients during the second wave (October 2020). Regression analyses indicated that alcohol sales and the number of active cases in the region did not significantly predict treatment seeking. A causal relationship between the onset of the pandemic and variation in treatment seeking for alcohol use could not be established. More research is needed to fully understand the pandemic's impact on alcohol use behavior change.
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Sudo N. The positive and negative effects of the COVID-19 pandemic on subjective well-being and changes in social inequality: Evidence from prefectures in Japan. SSM Popul Health 2022; 17:101029. [PMID: 35079619 PMCID: PMC8776341 DOI: 10.1016/j.ssmph.2022.101029] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2021] [Revised: 01/13/2022] [Accepted: 01/13/2022] [Indexed: 02/07/2023] Open
Abstract
This study aims to specify the effects of the COVID-19 pandemic on individual subjective well-being in Japan and to clarify the mechanism generating social inequality of subjective well-being during the crisis. Data were analyzed using fixed effects ordinary least squares (OLS) regression models from the Online Panel Survey of Social Stratification and Psychology in 2020 (SSPW2020-Panel), which was conducted in four waves in June 2020, September 2020, December 2020, and March 2021. The results reveal that COVID-19 spread in a prefecture had differential effects on subjective well-being in prefectures with high infection rates: positive effects for socially advantaged individuals and negative effects for socially disadvantaged individuals. In conclusion, social inequality in Japan, in terms of subjective well-being, has been widened by the COVID-19 pandemic during 2020.
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Affiliation(s)
- Naoki Sudo
- Graduate School of Social Sciences, Hitotsubashi University, 2-1 Naka, Kunitachi, Tokyo, 186-8601, Japan
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