Incidence rate ratio (95% CI) for each time period | ||||||||
Anxiety disorders (n=196 933)* | Depressive disorders (n=40 020)* | |||||||
Lockdown period (March–June 2020) | Postlockdown period 1 (July–September 2020) | Postlockdown period 2 (October–December 2020) | Postlockdown period 3 (January–March 2021) | Lockdown period (March–June 2020) | Postlockdown period 1 (July–September 2020) | Postlockdown period 2 (October–December 2020) | Postlockdown period 3 (January–March 2021) | |
Overall | 1.19 (1.17 to 1.22) | 0.94 (0.92 to 0.96) | 1.00 (0.98 to 1.03) | 1.00 (0.98 to 1.03) | 0.64 (0.61 to 0.67) | 0.94 (0.89 to 0.99) | 0.95 (0.90 to 1.00) | 0.97 (0.93 to 1.02) |
Sex | ||||||||
Women | 1.17 (1.14 to 1.20) | 0.95 (0.92 to 0.97) | 1.05 (1.02 to 1.08) | 1.01 (0.98 to 1.04) | 0.64 (0.61 to 0.68) | 0.91 (0.85 to 0.97) | 0.97 (0.91 to 1.04) | 0.95 (0.89 to 1.01) |
Men | 1.24 (1.20 to 1.27) | 0.94 (0.90 to 0.97) | 0.94 (0.91 to 0.98) | 1.00 (0.96 to 1.03) | 0.64 (0.59 to 0.69) | 1.00 (0.92 to 1.08) | 0.92 (0.84 to 1.00) | 1.01 (0.93 to 1.09) |
Sex: women | ||||||||
Age group (years) | ||||||||
18–34 | 1.06 (1.01 to 1.11) | 0.94 (0.89 to 1.00) | 1.14 (1.08 to 1.20) | 1.14 (1.08 to 1.19) | 0.60 (0.51 to 0.71) | 1.01 (0.84 to 1.21) | 1.17 (0.99 to 1.38) | 1.12 (0.96 to 1.31) |
35–64 | 1.25 (1.21 to 1.29) | 0.95 (0.91 to 0.99) | 1.02 (0.98 to 1.07) | 0.97 (0.93 to 1.00) | 0.70 (0.64 to 0.76) | 0.93 (0.84 to 1.02) | 0.99 (0.90 to 1.09) | 0.92 (0.85 to 1.01) |
>65 | 1.10 (1.04 to 1.17) | 0.94 (0.87 to 1.01) | 0.97 (0.91 to 1.04) | 0.94 (0.88 to 1.01) | 0.61 (0.56 to 0.67) | 0.88 (0.79 to 0.97) | 0.90 (0.81 to 0.99) | 0.94 (0.85 to 1.03) |
Sex: men | ||||||||
Age group (years) | ||||||||
18–34 | 1.12 (1.06 to 1.18) | 0.97 (0.91 to 1.04) | 0.99 (0.92 to 1.06) | 1.07 (1.00 to 1.14) | 0.58 (0.47 to 0.71) | 1.00 (0.81 to 1.23) | 0.99 (0.81 to 1.22) | 1.09 (0.90 to 1.30) |
35–64 | 1.27 (1.22 to 1.32) | 0.93 (0.88 to 0.97) | 0.92 (0.88 to 0.97) | 0.98 (0.94 to 1.03) | 0.64 (0.57 to 0.71) | 0.94 (0.83 to 1.06) | 0.89 (0.80 to 1.01) | 1.03 (0.93 to 1.15) |
>65 | 1.38 (1.27 to 1.49) | 0.87 (0.78 to 0.97) | 0.90 (0.81 to 1.00) | 0.85 (0.76 to 0.94) | 0.69 (0.61 to 0.78) | 1.11 (0.96 to 1.27) | 0.95 (0.82 to 1.09) | 0.95 (0.83 to 1.10) |
MEDEA Deprivation Index | ||||||||
First, least deprived | 1.11 (1.05 to 1.16) | 0.94 (0.88 to 1.01) | 1.04 (0.98 to 1.11) | 0.94 (0.89 to 1.00) | 0.70 (0.62 to 0.79) | 0.94 (0.81 to 1.08) | 0.88 (0.76 to 1.00) | 1.07 (0.94 to 1.22) |
Second | 1.22 (1.17 to 1.28) | 0.90 (0.84 to 0.95) | 0.96 (0.90 to 1.02) | 1.00 (0.95 to 1.06) | 0.65 (0.57 to 0.73) | 0.94 (0.81 to 1.08) | 0.99 (0.86 to 1.13) | 0.92 (0.81 to 1.04) |
Third | 1.19 (1.14 to 1.25) | 0.94 (0.88 to 1.00) | 1.00 (0.94 to 1.06) | 0.96 (0.91 to 1.02) | 0.67 (0.59 to 0.75) | 0.89 (0.77 to 1.02) | 1.05 (0.92 to 1.21) | 0.97 (0.85 to 1.10) |
Fourth | 1.21 (1.15 to 1.27) | 0.93 (0.87 to 0.99) | 0.96 (0.91 to 1.02) | 0.98 (0.92 to 1.04) | 0.64 (0.56 to 0.72) | 1.04 (0.91 to 1.20) | 1.10 (0.96 to 1.26) | 1.05 (0.92 to 1.19) |
Fifth, most deprived | 1.19 (1.14 to 1.25) | 0.90 (0.85 to 0.96) | 0.95 (0.90 to 1.02) | 1.01 (0.96 to 1.07) | 0.55 (0.48 to 0.62) | 1.01 (0.88 to 1.17) | 0.90 (0.79 to 1.03) | 0.97 (0.85 to 1.10) |
Rural | 1.18 (1.13 to 1.24) | 0.96 (0.90 to 1.02) | 1.03 (0.97 to 1.09) | 1.03 (0.98 to 1.09) | 0.73 (0.65 to 0.81) | 1.02 (0.91 to 1.16) | 0.98 (0.86 to 1.11) | 1.06 (0.94 to 1.19) |
Incidence rate ratios were calculated by dividing the incidence rate obtained for each strata during the COVID-19 periods (lockdown and postlockdown periods) by the incidence rate obtained for the same time period in 2018 and 2019.
The MEDEA Deprivation Index is calculated at the census tract level in the urban areas of Catalonia and categorised in quintiles of deprivation.
*Total number of diagnoses from March 2018 to March 2021.
MEDEA, Mortalidad en áreas pequeñas Españolas y Desigualdades Socioeconómicas y Ambientales.