Economic hardship and mental health complaints during COVID-19
Economic hardship and mental health complaints during COVID-19
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DOI：
10.1073/pnas.2009609117
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发表时间：
2020-11-03
影响因子：
11.1
通讯作者：
Velthorst, Eva
中科院分区：
文献类型：
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作者：
Witteveen, Dirk;Velthorst, Eva
COVID-19经济崩溃具有特殊性，因为经济活动几乎停滞。因此，我们询问个人劳动力市场经验如何与2020年春季心理健康投诉的发展相关。由于临床数据收集在封锁期间受到损害，欧洲劳动力的标准化调查提供了一个观察危机展开时心理健康投诉的机会。数据代表六个欧洲国家的活跃劳动力，这些国家在死亡率和封锁措施方面的COVID-19负担水平各不相同。我们记录了一个陡峭的职业声望水平梯度的概率面临经济困难，在封锁迫在眉睫的失业，收入损失和工作量下降，这显然加剧了社会经济不平等。分析表明，COVID-19封锁期间的瞬时经济困难与表达抑郁和健康焦虑之间存在显著的正相关关系。重要的是，这些困难与心理健康恶化指标之间的关联程度在很大程度上取决于工人的职业地位，这揭示了加剧不平等的第二层因素。
The COVID-19 economic crash is idiosyncratic because of its virtual standstill of economic activity. We therefore ask how individual labor market experiences are related to the development of mental health complaints in the spring of 2020. As clinical data collection was compromised during the lockdowns, standardized surveys of the European labor force provide an opportunity to observe mental health complaints as the crisis unfolded. Data are representative of active members of the labor force of six European nations that contained varying levels of COVID-19 burdens in terms of mortality and lockdown measures. We document a steep occupational prestige level gradient on the probability of facing economic hardship during the lockdowns-looming job loss, income loss, and workload decline-which evidently exacerbate socioeconomic inequalities. Analyses indicate a striking positive relationship between instantaneous economic hardships during the COVID-19 lockdown and expressing feelings of depression and health anxiety. Importantly, the magnitude of the association between such hardships and indicators of mental health deterioration is highly dependent on workers' occupational standing, revealing a second layer of exacerbating inequality.