Low assets and financial stressors associated with higher depression during COVID-19 in a nationally representative sample of US adults
Low assets and financial stressors associated with higher depression during COVID-19 in a nationally representative sample of US adults
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DOI：
10.1136/jech-2020-215213
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发表时间：
2021-06-01
影响因子：
6.3
通讯作者：
Galea, Sandro
中科院分区：
文献类型：
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作者：
Ettman, Catherine K.;Abdalla, Salma M.;Galea, Sandro
背景COVID-19及相关遏制政策已对美国许多人造成或加剧财务压力。我们评估了2019冠状病毒病疫情期间资产、财务压力因素与可能出现的抑郁症之间的关系。方法在2020年3月31日至2020年4月13日期间，我们使用COVID-19和生活压力对心理健康和幸福感的影响调查（n=1441），对18岁及以上美国成年人进行了基于概率的全国代表性样本调查。我们使用患者健康问卷-9（截止值>= 10）计算了可能的抑郁症的患病率，并通过财务，物理和社会资产类别（家庭收入，家庭储蓄，房屋所有权，教育程度和婚姻状况）暴露于财务压力。我们估计了调整后的OR，并预测了不同资产类别和COVID-19财务压力暴露群体可能出现抑郁的概率。结果我们发现，（1）40%的美国成年人在这段时间内经历了与COVID-19相关的财务压力;（2）低资产（OR：3.0，95% CI 2.1至4.2）和COVID-19财务压力因素暴露（OR：2.8，95% CI 2.1至3.9）均与可能的抑郁症的几率较高相关;（3）在低资产和高COVID-19财务压力源的人群中，42.7%的人可能患有抑郁症;在高资产和低COVID-19财务压力源的人群中，11.1%的人可能患有抑郁症。高资产和高COVID-19财务压力因素的人可能抑郁的患病率（33. 5%）与低资产和低COVID-19财务压力因素的人（33. 5%）相似。一个人拥有的资产越多，抑郁的可能性就越低。结论在COVID-19大流行期间，低资产人群的精神疾病负担更大。
Background COVID-19 and related containment policies have caused or heightened financial stressors for many in the USA. We assessed the relation between assets, financial stressors and probable depression during the COVID-19 pandemic. Methods Between 31 March 2020 and 13 April 2020, we surveyed a probability-based, nationally representative sample of US adults ages 18 and older using the COVID-19 and Life stressors Impact on Mental Health and Well-being survey (n=1441). We calculated the prevalence of probable depression using the Patient Health Questionnaire-9 (cut-off >= 10) and exposure to financial stressors by financial, physical and social assets categories (household income, household savings, home ownership, educational attainment and marital status). We estimated adjusted ORs and predicted probabilities of probable depression across assets categories and COVID-19 financial stressor exposure groups. Results We found that (1) 40% of US adults experienced COVID-19-related financial stressors during this time period; (2) low assets (OR: 3.0, 95% CI 2.1 to 4.2) and COVID-19 financial stressor exposure (OR: 2.8, 95% CI 2.1 to 3.9) were each associated with higher odds of probable depression; and (3) among persons with low assets and high COVID-19 financial stressors, 42.7% had probable depression; and among persons with high assets and low COVID-19 financial stressors, 11.1% had probable depression. Persons with high assets and high COVID-19 financial stressors had a similar prevalence of probable depression (33.5%) as persons with low assets and low COVID-19 financial stressors (33.5%). The more assets a person had, the lower the level of probable depression. Conclusion Populations with low assets are bearing a greater burden of mental illness during the COVID-19 pandemic.