Abstract
The pandemic has undoubtedly affected almost every aspect of life for people around the world. However, the most affected are older adults living in developing countries like India. In fact, the second wave of the pandemic in India was the most devastating wave so far. Now that the worst appears to be over, there is a need to study the impact of the pandemic on the wellbeing of older adults recovering from the virus in the country. Hence, the aim of the present study is to examine the long-term impact of covid 19 on older adults, its connection with wellbeing, and the role of social workers in their recovery. A total of 203 older adults from India took part in the study. The results show that the majority of the respondents have poor wellbeing and have been more frequently plagued by chest pain, fatigue, and isolation, ever since they became infected. Moreover, respondents who are female, those with co-morbidities, and are suffering from other problems such as frequent chest pain, fatigue, and feelings of isolation, have lower levels of wellbeing. The implications of social work practice have also been discussed in the full paper.
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The dataset associated with the present study can be found at https://doi.org/10.6084/m9.figshare.19487936.v1.
References
Adhikari, T., Aggarwal, S., Nair, S., Joshi, A., Diwan, V., Devi, K. R., Yadav, G. K., Bangar, S. D., Ujagare, D., Kannan, T., Bhattacharya, D., Palo, S. K., Kanungo, S., Kumar, N., Singh, R., Kant, R., Sahay, S., & Thomas, B. E. (2022). Factors associated with COVID-19 stigma during the onset of the global pandemic in India: A cross-sectional study. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.992046
Arsenault, C., Gage, A., Kim, M. K., Kapoor, N. R., Akweongo, P., Amponsah, F., Aryal, A., Asai, D., Awoonor-Williams, J. K., Ayele, W., Bedregal, P., Doubova, S. V., Dulal, M., Gadeka, D. D., Gordon-Strachan, G., Mariam, D. H., Hensman, D., Joseph, J. P., Kaewkamjornchai, P., . . . Kruk, M. E. (2022). COVID-19 and resilience of healthcare systems in ten countries. Nature Medicine, 28(6), 6. https://doi.org/10.1038/s41591-022-01750-1
Bagcchi, S. (2020). Stigma during the COVID-19 pandemic. The Lancet Infectious Diseases, 20(7), 782. https://doi.org/10.1016/S1473-3099(20)30498-9
Bhatnagar, V., Poonia, R. C., Nagar, P., Kumar, S., Singh, V., Raja, L., & Dass, P. (2021). Descriptive analysis of COVID-19 patients in the context of India. Journal of Interdisciplinary Mathematics, 24(3), 489–504. https://doi.org/10.1080/09720502.2020.1761635
Bonifas, R. P. (2021). Introducing the first special issue on COVID-19 and older adults. Journal of Gerontological Social Work, 64(6), 569–570. https://doi.org/10.1080/01634372.2021.1949930
Brooke, J., & Jackson, D. (2020). Older people and COVID-19: Isolation, risk and ageism. Journal of Clinical Nursing, 29(13–14), 2044–2046. https://doi.org/10.1111/jocn.15274
Casagrande, M., Favieri, F., Tambelli, R., & Forte, G. (2020). The enemy who sealed the world: Effects quarantine due to the COVID-19 on sleep quality, anxiety, and psychological distress in the Italian population. Sleep Medicine, 75, 12–20. https://doi.org/10.1016/j.sleep.2020.05.011
Chandran, N., Vinuprasad, V. G., Sreedevi, C., Sathiadevan, S., & Deepak, K. S. (2022). COVID-19-related stigma among the affected individuals: A cross-sectional study from Kerala, India. Indian Journal of Psychological Medicine, 44(3), 279–284. https://doi.org/10.1177/02537176221086983
Chappell, N. L., & Badger, M. (1989). Social isolation and well-being. Journal of Gerontology, 44(5), S169–S176. https://doi.org/10.1093/geronj/44.5.S169
Chatterjee, P. (2020). Is India missing COVID-19 deaths? The Lancet, 396(10252), 657. https://doi.org/10.1016/S0140-6736(20)31857-2
Dalal, P. K., Roy, D., Choudhary, P., Kar, S. K., & Tripathi, A. (2020). Emerging mental health issues during the COVID-19 pandemic: An Indian perspective. Indian Journal of Psychiatry, 62(Suppl 3), S354–S364. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_372_20
Das, K., Behera, R. L., & Paital, B. (2022). Chapter 8—Socio-economic impact of COVID-19. In D. Rawtani, C. M. Hussain, & N. Khatri (Eds.), COVID-19 in the environment (pp. 153–190). Elsevier. https://doi.org/10.1016/B978-0-323-90272-4.00014-2
del Rio, C., Collins, L. F., & Malani, P. (2020). Long-term health consequences of COVID-19. JAMA, 324(17), 1723–1724. https://doi.org/10.1001/jama.2020.19719
Ejaz, H., Alsrhani, A., Zafar, A., Javed, H., Junaid, K., Abdalla, A. E., Abosalif, K. O. A., Ahmed, Z., & Younas, S. (2020). COVID-19 and comorbidities: Deleterious impact on infected patients. Journal of Infection and Public Health, 13(12), 1833–1839. https://doi.org/10.1016/j.jiph.2020.07.014
El-Shabasy, R. M., Nayel, M. A., Taher, M. M., Abdelmonem, R., Shoueir, K. R., & Kenawy, E. R. (2022). Three waves changes, new variant strains, and vaccination effect against COVID-19 pandemic. International Journal of Biological Macromolecules, 204, 161–168. https://doi.org/10.1016/j.ijbiomac.2022.01.118
Fisher, A., Roberts, A., McKinlay, A. R., Fancourt, D., & Burton, A. (2021). The impact of the COVID-19 pandemic on mental health and well-being of people living with a long-term physical health condition: A qualitative study. BMC Public Health, 21(1), 1801. https://doi.org/10.1186/s12889-021-11751-3
Ghosh, A., Nundy, S., & Mallick, T. K. (2020). How India is dealing with COVID-19 pandemic. Sensors International, 1, 100021. https://doi.org/10.1016/j.sintl.2020.100021
Gonot-Schoupinsky, F. N., & Garip, G. (2018). Laughter and humour interventions for well-being in older adults: A systematic review and intervention classification. Complementary Therapies in Medicine, 38, 85–91. https://doi.org/10.1016/j.ctim.2018.04.009
Gorenko, J. A., Moran, C., Flynn, M., Dobson, K., & Konnert, C. (2021). Social isolation and psychological distress among older adults related to COVID-19: A narrative review of remotely-delivered interventions and recommendations. Journal of Applied Gerontology, 40(1), 3–13. https://doi.org/10.1177/0733464820958550
Guo, S. (2013). Quantitative research. Encyclopedia of social work. https://doi.org/10.1093/acrefore/9780199975839.013.333
Handcock, M. S., & Gile, K. J. (2011). Comment: On the concept of snowball sampling. Sociological Methodology, 41(1), 367–371. https://doi.org/10.1111/j.1467-9531.2011.01243.x
Hecke, T. V. (2012). Power study of anova versus Kruskal-Wallis test. Journal of Statistics and Management Systems, 15(2–3), 241–247. https://doi.org/10.1080/09720510.2012.10701623
Kaushik, A., Patel, S., & Dubey, K. (2020). Digital cardiovascular care in COVID-19 pandemic: A potential alternative? Journal of Cardiac Surgery, 35(12), 3545–3550. https://doi.org/10.1111/jocs.15094
Kieny, C., Flores, G., & Maurer, J. (2021). Assessing and decomposing gender differences in evaluative and emotional well-being among older adults in the developing world. Review of Economics of the Household, 19(1), 189–221. https://doi.org/10.1007/s11150-020-09521-y
Kotwal, A. A., Holt-Lunstad, J., Newmark, R. L., Cenzer, I., Smith, A. K., Covinsky, K. E., Escueta, D. P., Lee, J. M., & Perissinotto, C. M. (2021). Social isolation and loneliness among san francisco bay area older adults during the COVID-19 shelter-in-place orders. Journal of the American Geriatrics Society, 69(1), 20–29. https://doi.org/10.1111/jgs.16865
Krishnan, S. R. G., & Butola, S. (2022). Wellbeing of palliative care workers during Covid-19 pandemic: Implications for social work practice. Journal of Social Work in End-of-Life & Palliative Care, 18(4), 345–359. https://doi.org/10.1080/15524256.2022.2112808
Krishnan, S. R. G., & Joseph, J. J. (2024). Online learning experiences of social work students in India. Journal of Social Work, 24(2), 276–292. https://doi.org/10.1177/14680173231207962
Lopez-Leon, S., Wegman-Ostrosky, T., Perelman, C., Sepulveda, R., Rebolledo, P. A., Cuapio, A., & Villapol, S. (2021). More than 50 long-term effects of COVID-19: A systematic review and meta-analysis. Scientific Reports, 11(1), 16144. https://doi.org/10.1038/s41598-021-95565-8
Luhmann, M. (2017). 13—The development of subjective well-being. In J. Specht (Ed.), Personality development across the lifespan (pp. 197–218). Academic Press. https://doi.org/10.1016/B978-0-12-804674-6.00013-2
McCroskey, J. C. (1966). Scales for the measurement of ethos. Speech Monographs, 33(1), 65–72. https://doi.org/10.1080/03637756609375482
Meyerowitz-Katz, G., Bhatt, S., Ratmann, O., Brauner, J. M., Flaxman, S., Mishra, S., Sharma, M., Mindermann, S., Bradley, V., Vollmer, M., Merone, L., & Yamey, G. (2021). Is the cure really worse than the disease? The health impacts of lockdowns during COVID-19. BMJ Global Health, 6(8), e006653. https://doi.org/10.1136/bmjgh-2021-006653
Mitra, M., & Basu, M. (2020). A study on challenges to health care delivery faced by cancer patients in India during the COVID-19 pandemic. Journal of Primary Care & Community Health, 11, 2150132720942705. https://doi.org/10.1177/2150132720942705
Mollick, E. (2014). The dynamics of crowdfunding: An exploratory study. Journal of Business Venturing, 29(1), 1–16. https://doi.org/10.1016/j.jbusvent.2013.06.005
Monk-Turner, E. (2003). The benefits of meditation: Experimental findings. The Social Science Journal, 40(3), 465–470. https://doi.org/10.1016/S0362-3319(03)00043-0
Nanda, A., Vura, N. V. R. K., & Gravenstein, S. (2020). COVID-19 in older adults. Aging Clinical and Experimental Research, 32(7), 1199–1202. https://doi.org/10.1007/s40520-020-01581-5
Pilania, M., Yadav, V., Bairwa, M., Behera, P., Gupta, S. D., Khurana, H., Mohan, V., Baniya, G., & Poongothai, S. (2019). Prevalence of depression among the elderly (60 years and above) population in India, 1997–2016: A systematic review and meta-analysis. BMC Public Health, 19(1), 832. https://doi.org/10.1186/s12889-019-7136-z
Powell, T., Bellin, E., & Ehrlich, A. R. (2020). Older adults and Covid-19: The most vulnerable, the hardest hit. Hastings Center Report, 50(3), 61–63. https://doi.org/10.1002/hast.1136
Saini, G., & Aneja, R. (2021). Cancer as a prospective sequela of long COVID-19. BioEssays, 43(6), 2000331. https://doi.org/10.1002/bies.202000331
Savage, R. D., Wu, W., Li, J., Lawson, A., Bronskill, S. E., Chamberlain, S. A., Grieve, J., Gruneir, A., Reppas-Rindlisbacher, C., Stall, N. M., & Rochon, P. A. (2021). Loneliness among older adults in the community during COVID-19: A cross-sectional survey in Canada. British Medical Journal Open, 11(4), e044517. https://doi.org/10.1136/bmjopen-2020-044517
Shahid, Z., Kalayanamitra, R., McClafferty, B., Kepko, D., Ramgobin, D., Patel, R., Aggarwal, C. S., Vunnam, R., Sahu, N., Bhatt, D., Jones, K., Golamari, R., & Jain, R. (2020). COVID-19 and older adults: What we know. Journal of the American Geriatrics Society, 68(5), 926–929. https://doi.org/10.1111/jgs.16472
Singh, J., & Singh, J. (2020). COVID-19 and its impact on society (SSRN scholarly paper ID 3567837). Social Science Research Network. Retrieved February 21, 2022, from https://papers.ssrn.com/abstract=3567837
Singh, P., Bhaskar, Y., Verma, P., Rana, S., Goel, P., Kumar, S., Gouda, K. C., & Singh, H. (2023). Impact of comorbidity on patients with COVID-19 in India: A nationwide analysis. Frontiers in Public Health, 10, 1027312. Retrieved December 22, 2023, from https://www.frontiersin.org/articles/10.3389/fpubh.2022.1027312
Singh, S., Sharma, A., Gupta, A., Joshi, M., Aggarwal, A., Soni, N., Sana, J., & D. K., Verma, P., Khandelwal, D., & Singh, V. (2022). Demographic comparison of the first, second and third waves of COVID-19 in a tertiary care hospital at Jaipur, India. Lung India: Official Organ of Indian Chest Society, 39(6), 525–531. https://doi.org/10.4103/lungindia.lungindia_265_22
Stolz, E., Mayerl, H., & Freidl, W. (2021). The impact of COVID-19 restriction measures on loneliness among older adults in Austria. European Journal of Public Health, 31(1), 44–49. https://doi.org/10.1093/eurpub/ckaa238
Taber, K. S. (2018). The use of Cronbach’s Alpha when developing and reporting research instruments in science education. Research in Science Education, 48(6), 1273–1296. https://doi.org/10.1007/s11165-016-9602-2
Tompkins, C. J., Ihara, E. S., Inoue, M., Ferenz, J., & Pham, S. (2020). A web-based training program for direct care workers in long-term care communities: Providing knowledge and skills to implement a music and memory intervention. Gerontology & Geriatrics Education, 41(3), 367–379. https://doi.org/10.1080/02701960.2019.1699074
Topp, C. W., Østergaard, S. D., Søndergaard, S., & Bech, P. (2015). The WHO-5 well-being index: A systematic review of the literature. Psychotherapy and Psychosomatics, 84(3), 167–176. https://doi.org/10.1159/000376585
Vahia, V. N., & Shah, A. B. (2020). COVID-19 pandemic and mental health care of older adults in India. International Psychogeriatrics, 32(10), 1125–1127. https://doi.org/10.1017/S1041610220001441
van Tilburg, T. G., Steinmetz, S., Stolte, E., van der Roest, H., & de Vries, D. H. (2021). Loneliness and mental health during the COVID-19 pandemic: A study among dutch older adults. The Journals of Gerontology: Series B, 76(7), e249–e255. https://doi.org/10.1093/geronb/gbaa111
Viana, R., Moyo, S., Amoako, D. G., Tegally, H., Scheepers, C., Althaus, C. L., Anyaneji, U. J., Bester, P. A., Boni, M. F., Chand, M., Choga, W. T., Colquhoun, R., Davids, M., Deforche, K., Doolabh, D., du Plessis, L., Engelbrecht, S., Everatt, J., Giandhari, J., . . . de Oliveira, T. (2022). Rapid epidemic expansion of the SARS-CoV-2 Omicron variant in southern Africa. Nature, 603(7902), 679–686. https://doi.org/10.1038/s41586-022-04411-y
VoPham, T., Harris, H. R., Tinker, L. F., Manson, J. E., Meliker, J. R., Wassertheil-Smoller, S., Shadyab, A. H., Saquib, N., Anderson, G. L., & Shumaker, S. A. (2022). The impact of the COVID-19 pandemic on older women in the women’s health initiative. The Journals of Gerontology: Series A, 77(Supplement_1), S3–S12. https://doi.org/10.1093/gerona/glac056
Wang, S. Y., & Kim, G. (2020). The relationship between physical-mental comorbidity and subjective well-being among older adults. Clinical Gerontologist, 43(4), 455–464. https://doi.org/10.1080/07317115.2019.1580810
World Health Organization. (2023a). India: WHO Coronavirus disease (COVID-19) dashboard with vaccination data. Retrieved December 22, 2023, from https://covid19.who.int
World Health Organization. (2023b). WHO Coronavirus (COVID-19) dashboard. Retrieved December 22, 2023, from https://covid19.who.int
Wostyn, P. (2021). COVID-19 and chronic fatigue syndrome: Is the worst yet to come? Medical Hypotheses, 146, 110469. https://doi.org/10.1016/j.mehy.2020.110469
Wu, B. (2020). Social isolation and loneliness among older adults in the context of COVID-19: A global challenge. Global Health Research and Policy, 5(1), 27. https://doi.org/10.1186/s41256-020-00154-3
Yagnik, J. (2014). PSPP a free and open source tool for data analysis. 2(4), 4.
Yelin, D., Wirtheim, E., Vetter, P., Kalil, A. C., Bruchfeld, J., Runold, M., Guaraldi, G., Mussini, C., Gudiol, C., Pujol, M., Bandera, A., Scudeller, L., Paul, M., Kaiser, L., & Leibovici, L. (2020). Long-term consequences of COVID-19: Research needs. The Lancet Infectious Diseases, 20(10), 1115–1117. https://doi.org/10.1016/S1473-3099(20)30701-5
Zucker, D. (2007). The Belmont Report. John Wiley & Sons, Ltd. https://doi.org/10.1002/9780471462422.eoct093
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Krishnan, S.R.G., Godfrey A., A., Paul, L. et al. The Long Road to Recovery: An Investigation into the Health and Wellbeing of Older Adults in India who Survived Covid-19 and its Implications for Social Work Practice. Ageing Int (2024). https://doi.org/10.1007/s12126-024-09559-8
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DOI: https://doi.org/10.1007/s12126-024-09559-8