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Perceived changes in capability during the COVID-19 pandemic: A Swedish cross-sectional study from June 2020
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.ORCID iD: 0000-0002-9889-4406
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.ORCID iD: 0000-0002-1633-2179
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Public Health Agency of Sweden, Department of Living Conditions and Lifestyles, Sweden.
2022 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 50, no 1, p. 102-110Article in journal (Refereed) Published
Abstract [en]

Aims: Measures against COVID-19 potentially impact quality of life in different ways. The capability approach by Amartya Sen with a broad and consistent framework for measuring quality of life is suited to capture the various consequences. We aimed to examine (a) whether individuals experienced change in 10 capability dimensions during the first half of 2020, (b) which dimensions were affected most, and (c) whether changes were unequally distributed in terms of gender, education, income, geography, housing, living situation and place of birth.

Methods: We assessed self-reported capability change in Sweden in 10 capability dimensions in a cross-sectional online survey among 500 participants on a five-item Likert scale. We analysed the distribution of answers by comparing the balance of positive and negative perceived changes and used mixed effects logistic regression to examine associations with background characteristics of the participants.

Results: Reported perceived negative changes outweighed positive changes, and a higher proportion stated negative perceived changes if they also stated having low capability in the same dimension. In the capabilities of financial situation, political resources and health, the proportions of perceived negative change were highest. Odds for perceived negative change compared to no or positive change were higher for higher incomes, living in medium-sized municipalities, being born outside Europe, living in the south of Sweden, and renting instead of owning housing.

Conclusions: Self-reported negative capability change, and associated inequalities related to socioeconomic position, place of birth and regional residence should be of concern for policymakers.

Place, publisher, year, edition, pages
Sage Publications, 2022. Vol. 50, no 1, p. 102-110
Keywords [en]
Quality of life, capability approach, COVID-19, cross-sectional survey
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
Identifiers
URN: urn:nbn:se:umu:diva-185846DOI: 10.1177/14034948211023633ISI: 000672123300001PubMedID: 34213363Scopus ID: 2-s2.0-85109165611OAI: oai:DiVA.org:umu-185846DiVA, id: diva2:1579042
Part of project
Capability-adjusted life-years (CALYs) - a novel measure for evaluating welfare interventions, Forte, Swedish Research Council for Health, Working Life and Welfare
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2018-00143Available from: 2021-07-08 Created: 2021-07-08 Last updated: 2022-07-13Bibliographically approved

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Meili, Kaspar WalterJonsson, HåkanLindholm, LarsMånsdotter, Anna

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