The mental health burden of racial and ethnic minorities during the COVID-19 pandemic.
The mental health burden of racial and ethnic minorities during the COVID-19 pandemic.
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DOI：
10.1371/journal.pone.0271661
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Chan, Andrew T. T.
中科院分区：
文献类型：
--
作者：
Nguyen, Long H.;Anyane-Yeboa, Adjoa;Klaser, Kerstin;Merino, Jordi;Drew, David A.;Ma, Wenjie;Mehta, Raaj S.;Kim, Daniel Y.;Warner, Erica T.;Joshi, Amit D.;Graham, Mark S.;Sudre, Carole H.;Thompson, Ellen J.;May, Anna;Hu, Christina;Jorgensen, Solveig;Selvachandran, Somesh;Berry, Sarah E.;David, Sean P.;Martinez, Maria Elena;Figueiredo, Jane C.;Murray, Anne M.;Sanders, Alan R.;Koenen, Karestan C.;Wolf, Jonathan;Ourselin, Sebastien;Spector, Tim D.;Steves, Claire J.;Chan, Andrew T. T.
种族/少数民族受到COVID-19的不成比例的影响。COVID-19对少数民族长期心理健康的影响仍不清楚。为了评估在COVID-19大流行后期，不同种族和族裔群体之间抑郁和焦虑筛查阳性几率的差异，我们对美国基于智能手机的前瞻性COVID症状研究中的691，473名参与者进行了横断面分析。和英国（U.K）。2021年2月23日至2021年6月9日。在美国（n= 57，187），与白色受试者相比，抑郁症筛查阳性的多变量比值比（OR）为1·16（95%置信区间：1·02至1·31）黑色，1·23（1·11至1·36）为西班牙裔，1·15（1·02至1·30）对于亚洲参与者，1·34（1·13至1·59）对于报告不止一个种族的参与者/其他甚至在考虑了个人因素，如既往精神健康障碍史，COVID-19感染状况和周围的封锁严格性之后。焦虑筛查阳性率相当。在英国（n= 643，286），种族/少数民族抑郁症和焦虑症阳性筛查率也同样升高。这些差异不能完全用闲暇活动的变化来解释。在COVID-19大流行期间，少数种族╱族裔承受了不成比例的心理健康负担。这些差异将需要考虑作为卫生保健系统从优先控制感染，以减轻长期后果的过渡。
Racial/ethnic minorities have been disproportionately impacted by COVID-19. The effects of COVID-19 on the long-term mental health of minorities remains unclear. To evaluate differences in odds of screening positive for depression and anxiety among various racial and ethnic groups during the latter phase of the COVID-19 pandemic, we performed a cross-sectional analysis of 691,473 participants nested within the prospective smartphone-based COVID Symptom Study in the United States (U.S.) and United Kingdom (U.K). from February 23, 2021 to June 9, 2021. In the U.S. (n=57,187), compared to White participants, the multivariable odds ratios (ORs) for screening positive for depression were 1·16 (95% CI: 1·02 to 1·31) for Black, 1·23 (1·11 to 1·36) for Hispanic, and 1·15 (1·02 to 1·30) for Asian participants, and 1·34 (1·13 to 1·59) for participants reporting more than one race/other even after accounting for personal factors such as prior history of a mental health disorder, COVID-19 infection status, and surrounding lockdown stringency. Rates of screening positive for anxiety were comparable. In the U.K. (n=643,286), racial/ethnic minorities had similarly elevated rates of positive screening for depression and anxiety. These disparities were not fully explained by changes in leisure time activities. Racial/ethnic minorities bore a disproportionate mental health burden during the COVID-19 pandemic. These differences will need to be considered as health care systems transition from prioritizing infection control to mitigating long-term consequences.
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