{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T04:51:37Z","timestamp":1760244697994,"version":"build-2065373602"},"reference-count":36,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T00:00:00Z","timestamp":1670457600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>This cross-sectional study investigated health management, well-being, and pandemic-related perspectives in Shanghainese adults \u226550 years at the early stages of COVID-19 using a self-report survey in March\u2013April, 2020. Items from the SSS, PHQ-9 and GAD-7 were administered. A total of 1181 primarily married, retired females participated. Many participants had hypertension (44.1%), coronary artery disease (CAD; 17.8%), and diabetes (14.5%). While most (n = 868, 73.5%) were strictly following control measures and perceived they could tolerate &gt;6 months (n = 555, 47.0%) and were optimistic (n = 969, 82.0%). A total of 52 (8.2%) of those with any condition and 19 (3.5%) of those without a condition reported that the pandemic was impacting their health. Somatic symptoms were high (29.4 \u00b1 7.1\/36), with sleep\/cognitive symptoms highest. Totals of 20.2% and 17.0% of respondents had elevated depressive and anxious symptoms, respectively; greater distress was associated with lower income (p = 0.018), having hypertension (p = 0.001) and CAD (p &lt; 0.001), negative perceptions of global COVID-19 control (p = 0.004), COVID-19 spread (p &lt; 0.001), impact on life\/health (p &lt; 0.001), compliance with control measures (p &lt; 0.001), and the toleration of shorter time control measures (p &lt; 0.001) in adjusted analyses. In conclusion, during the initial COVID-19 outbreak, most older adults were optimistic\/resilient regarding the epidemic and control measures. However, the distress of older adults was not trivial, particularly in those with health issues.<\/jats:p>","DOI":"10.3390\/jcm11247275","type":"journal-article","created":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T02:51:56Z","timestamp":1670467916000},"page":"7275","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Older Adults\u2019 Attitudes Regarding COVID-19 and Associated Infection Control Measures in Shanghai and Impact on Well-Being"],"prefix":"10.3390","volume":"11","author":[{"given":"Zhimin","family":"Xu","sequence":"first","affiliation":[{"name":"Cardiology Department, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5706-9525","authenticated-orcid":false,"given":"Lixian","family":"Cui","sequence":"additional","affiliation":[{"name":"Division of Arts and Sciences, New York University Shanghai, Shanghai 200122, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7946-3718","authenticated-orcid":false,"given":"Gabriela Lima de Melo","family":"Ghisi","sequence":"additional","affiliation":[{"name":"Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, University of Toronto, Toronto, ON M4G 2R6, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xia","family":"Liu","sequence":"additional","affiliation":[{"name":"Chengdu Wanda UPMC Hospital, Chengdu 610218, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7063-3610","authenticated-orcid":false,"given":"Sherry L.","family":"Grace","sequence":"additional","affiliation":[{"name":"Faculty of Health, York University, Toronto, ON M3J 1P3, Canada"},{"name":"KITE-Toronto Rehabilitation Institute & Cardiac Rehabilitation Research, Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, ON M5G 2C4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,12,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.ijid.2021.11.009","article-title":"Real-world effectiveness of COVID-19 vaccines: A literature review and meta-analysis","volume":"114","author":"Zheng","year":"2022","journal-title":"Int. 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