Mental health inequalities during the second COVID-19 wave among Millennials who grew up in England: Evidence from the Next Steps cohort study.
Mental health inequalities during the second COVID-19 wave among Millennials who grew up in England: Evidence from the Next Steps cohort study.
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DOI：
10.1016/j.jad.2023.01.101
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发表时间：
2023-04-14
影响因子：
6.6
通讯作者：
McMunn, A.
中科院分区：
文献类型：
--
作者：
Gagne, T.;McMunn, A.
尽管年轻人在疫情开始时面临更差的心理健康和各年龄组的经济冲击，但在英国第一波COVID-19疫情结束后，有关年轻人心理健康的社会经济不平等的证据相对较少。我们在2020年9月和2021年2月这两个时间点，对4167名年龄在30-31岁之间的千禧一代进行了心理健康方面的研究，使用生活不满、心理困扰（GHQ-12）、焦虑（GAD-2）和抑郁症状（PHQ-2）。我们通过随机截距模型报告了调整后的患病率（aPR），通过教育程度和随时间变化的条件（关系状态，与成人和儿童的生活安排，工作状态以及与爆发前相比的财务变化）来测试差异，调整13-14岁的基线协变量和25-26岁的健康协变量。只有对生活的不满意度在时间点之间发生了变化（PR = 1.26，95%CI 1.02-1.55）。受教育程度与心理健康无显著相关。单身（aPR从1.36到1.89）和自大流行开始以来经济状况恶化（aPR从1.58到1.76）都与心理健康状况恶化有关。这些协会没有进一步不同的教育程度。在英格兰长大的千禧一代中，教育程度与心理健康无关，而在第二波COVID-19疫情期间，负面的社会和财务状况与心理健康状况恶化有关。在第一波COVID-19疫情结束后，这一代人的心理健康不平等可能会继续增加。
There is relatively little evidence on socioeconomic inequalities in mental health among young adults after the end of the first COVID-19 wave in the UK, despite this group having faced the worse mental health and economic shocks across age groups at the start of the pandemic. We examined differences in mental health across two points - September 2020 and February 2021 - in a cohort of 4167 Millennials aged 30–31 using life dissatisfaction, psychological distress (GHQ-12), anxiety (GAD-2), and depressive symptoms (PHQ-2). We report adjusted prevalence ratios (aPR) from random-intercept models, testing differences by educational attainment and time-varying conditions (relationship status, living arrangements with adults and children, work status, and financial changes compared with before the outbreak), adjusting for baseline covariates at ages 13–14 and health covariates at ages 25–26. Only dissatisfaction with life changed between time points (PR = 1.26, 95%CI 1.02–1.55). Educational attainment was not significantly associated with mental health. Being single (aPRs from 1.36 to 1.89) and being financially worse off since the start of the pandemic (aPRs from 1.58 to 1.76) were each associated with worse mental health. These associations did not further vary by educational attainment. Among Millennials who grew up in England, educational attainment was not associated with mental health whereas negative social and financial conditions were associated with worse mental health during the second COVID-19 wave. Mental health inequalities in this generation are likely to have continued increasing after the end of the first COVID-19 wave.
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