Factors associated with COVID-19-related mental health among Asian Indians in the United States.
Factors associated with COVID-19-related mental health among Asian Indians in the United States.
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DOI：
10.1016/j.jadr.2023.100472
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发表时间：
2023-01
影响因子：
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通讯作者：
Sambamoorthi, Usha
中科院分区：
文献类型：
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作者：
Ikram, Mohammad;Shaikh, Nazneen Fatima;Siddiqui, Zasim Azhar;Dwibedi, Nilanjana;Misra, Ranjita;Vishwanatha, Jamboor K;Sambamoorthi, Usha
在美国，COVID-19大流行导致心理健康症状和精神疾病增加。在美国的亚裔印度人等特定群体也受到了额外的压力，因为他们的祖国出现了前所未有的生命损失，而且由于亚洲人被认为是新冠病毒传播的罪魁祸首的误解，亚洲人的仇恨情绪加剧。我们研究了亚洲印度人与covid -19相关心理健康症状相关的各种因素，包括歧视。我们在2021年5月至2021年7月期间进行了一项在线调查，采用便捷抽样和滚雪球抽样的方法，招募了亚洲印度成年人（年龄在100至18岁之间，N = 289）。调查的问题包括心理健康和在日常生活中遭受不公平待遇的经历。进行描述性分析和逻辑回归。总体而言，46.0%的人表示，由于COVID-19大流行，他们感到沮丧、沮丧或孤独，感到紧张、紧张或担心；90.0%的人至少接种了一剂疫苗，74.7%的人报告存在某种形式的歧视。在全校正logistic回归中，年龄（AOR= 0.95; 95%CI- 0.92, 0.97;p < 0.01）和一般健康状况（AOR=0.84; 95%CI- 0.73, 0.97;p < 0.015）与心理健康症状呈负相关。经历过歧视的参与者更有可能报告心理健康症状（AOR=1.26; 95%CI- 1.08, 1.46; p < 0.01）。在这个高度接种疫苗的亚裔印第安人群体中，歧视行为与心理健康症状相关，这表明需要新的制度层面的政策反应来减少针对亚裔的种族主义
In the United States, the COVID-19 pandemic has caused increased mental health symptoms and mental illness. Specific subgroups such as Asian Indians in the US have also been subject to additional stressors due to unprecedented loss of lives in their home country and increased Asian hate due to the misperception that Asians are to be blamed for the spread of the SARS-CoV-2. We examined the various factors including discrimination associated with COVID-19-related mental health symptoms among Asian Indians. We administered an online survey between May 2021 and July 2021 using convenient and snowball sampling methods to recruit Asian Indian adults (age > 18 years, N = 289). The survey included questions on mental health and the experience with unfair treatment in day-to-day life. Descriptive analysis and logistic regressions were performed. Overall, 46.0% reported feeling down, depressed, or lonely and feeling nervous, tense, or worried due to the COVID-19 pandemic; 90.0% had received at least one dose of vaccination and 74.7% reported some form of discrimination. In the fully-adjusted logistic regression, age (AOR = 0.95; 95%CI- 0.92, 0.97;p < 0.01) and general health (AOR=0.84; 95%CI- 0.73, 0.97; p < 0.015) were negatively associated with mental health symptoms. Participants who experienced discrimination were more likely (AOR=1.26; 95%CI- 1.08, 1.46; p < 0.01) to report mental health symptoms. In this highly vaccinated group of Asian Indians discriminatory behaviors were associated with mental health symptoms suggesting the need for novel institutional level policy responses to reduce anti-Asian racism