How do state policies shape experiences of household income shocks and mental health during the COVID-19 pandemic?
How do state policies shape experiences of household income shocks and mental health during the COVID-19 pandemic?
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DOI：
10.1016/j.socscimed.2020.113557
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发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
Farina MP
中科院分区：
文献类型：
--
作者：
Donnelly R;Farina MP
新冠肺炎疫情期间的大量失业和减薪引发了人们对民众心理健康的担忧。在大流行期间，收入冲击对心理健康的影响可能在美国各州有所不同，因为各州的政策背景不同，可能会影响心理健康。本研究使用人口普查局的家庭脉搏调查(2020年4月至7月)的调查数据来检查美国各州的心理健康结果是否有所不同，以及特定的州一级环境在多大程度上缓和了家庭收入冲击与抑郁(n=6582,440)和焦虑(n=1582,796)之间的联系。我们发现，抑郁和焦虑的流行率因家庭收入冲击状况而在各州有所不同。对于个人来说，生活在一个拥有支持性社会政策的州-主要是与医疗补助、失业保险和大流行期间暂停的公用事业关闭有关的政策-削弱了家庭收入冲击和心理健康之间的联系。研究结果表明，在过去40年里，联邦政府对疫情缺乏强有力的反应，同时联邦权力下放给各州，这导致了各州之间的心理健康不平等。我们提供了关于现有和与紧急情况相关的具体政策如何能够减少家庭收入冲击带来的不利心理健康后果的见解。
The tremendous job loss and wage cuts during the COVID-19 pandemic raises concerns about the mental health of the population. The impacts of income shocks on mental health may differ across U.S. states during the pandemic, as states have different policy contexts that likely influence mental health. The present study uses survey data from the Census Bureau's Household Pulse Survey (April–July 2020) to examine whether mental health outcomes vary across U.S. states and to what extent specific state-level contexts moderate the associations between household income shocks and depression (n = 582,440) and anxiety (n = 582,796). We find that the prevalence of depression and anxiety differs across states by household income shock status. For individuals, living in a state with supportive social policies – primarily those related to Medicaid, unemployment insurance, and suspended utility shut offs during the pandemic – weakens the association between household income shocks and mental health. Findings suggest that the lack of a strong federal response to the pandemic alongside the devolution of federal power to states over the past 40 years contributes to inequalities in mental health across states. We provide insight about how specific existing and emergency-related policies can reduce adverse mental health consequences of household income shocks.
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影响因子：
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DOI：
10.1146/annurev-soc-071913-043237
发表时间：
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期刊：
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