Indicators of poor mental health and stressors during the COVID-19 pandemic, by disability status: A cross-sectional analysis.
Indicators of poor mental health and stressors during the COVID-19 pandemic, by disability status: A cross-sectional analysis.
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通过残疾状态：横断面分析，在19009年大流行期间精神健康和压力源不良的指标。
DOI：
10.1016/j.dhjo.2021.101110
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发表时间：
2021-10
影响因子：
4.5
通讯作者：
Hollis ND
中科院分区：
文献类型：
--
作者：
Okoro CA;Strine TW;McKnight-Eily L;Verlenden J;Hollis ND
以往突发公共卫生事件的证据表明，残疾成年人的发病率（身体和精神）和死亡率高于非残疾成年人。提供2020年4月至5月期间（即2019冠状病毒病大流行出现后不久）按残疾状况划分的美国成年人心理健康指标及压力源的估计。我们分析了2020年4月20日至5月18日期间在1004名年龄≥18岁的讲英语的成年人中进行的Porter Novelli View 360选择性互联网小组调查的数据，这些成年人没有残疾和残疾（听力，视力，认知或移动性严重困难;自我照顾或独立生活的任何困难）。使用加权logistic回归检验在P ≤ 0.05水平下计算的患病率估计值之间的显著差异。四分之一的成年人报告有残疾。有任何残疾的成年人比无残疾的成年人更有可能报告当前的抑郁症状、频繁的精神痛苦、自杀意念和COVID-19相关的开始或增加的物质使用（所有p值< .0001）。残疾成年人还报告了更高水平的压力源，如获得医疗保健服务（p < .0001），难以照顾自己（或他人）的慢性病（p < .0001），来自他人的情感或身体虐待（p < .001），以及没有足够的食物（p < .01）。残疾成年人的不良心理健康指标与非残疾成年人相比偏高，凸显了在COVID-19大流行期间和之后为残疾人提供及时心理健康筛查和治疗/干预的重要性。
Evidence from previous public health emergencies indicates that adults with disabilities have higher risk for morbidity (physical and mental) and mortality than adults without disabilities. To provide estimates of mental health indicators and stressors for US adults by disability status during April and May 2020, shortly following the emergence of the COVID-19 pandemic. We analyzed data from Porter Novelli View 360 opt-in Internet panel survey conducted during the weeks of April 20th and May 18th, 2020 among 1004 English-speaking adults aged ≥18 years without and with disabilities (serious difficulty with hearing, vision, cognition, or mobility; any difficulty with self-care or independent living). Weighted logistic regression was used to test for significant differences between calculated prevalence estimates at the P ≤ .05 level. One in four adults reported any disability. Adults with any disability were significantly more likely than adults without disability to report current depressive symptoms, frequent mental distress, suicidal ideation, and COVID-19-related initiated or increased substance use (all p values < .0001). Adults with disabilities also reported significantly higher levels of stressors, such as access to health care services (p < .0001), difficulty caring for their own (or another’s) chronic condition (p < .0001), emotional or physical abuse from others (p < .001), and not having enough food (p < .01). The disproportionately high levels of poor mental health indicators among adults with disabilities as compared to those without highlight the importance of delivering timely mental health screening and treatment/intervention during and after the COVID-19 pandemic to persons with disabilities.