Black Americans demonstrate comparatively low levels of depression and anxiety during the COVID-19 pandemic.

Black Americans demonstrate comparatively low levels of depression and anxiety during the COVID-19 pandemic.
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DOI:
10.1371/journal.pone.0253654
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发表时间:
2021
期刊:
影响因子:
3.7
通讯作者:
Saw HW
Saw HW
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Owens V;Saw HW

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在COVID-19大流行等公共卫生危机期间,人们的心理健康状况可能会恶化。之前的报告表明,在大流行之前,美国黑人的焦虑和抑郁率低于美国白人;然而,在大流行期间,结果可能会有所不同,因为美国黑人在死亡率、住院率、COVID-19感染和失业方面受到了不成比例的影响。我们记录了COVID-19对黑人和非黑人美国人心理健康的不同影响。我们分析了2020年3月至11月期间“了解美国研究COVID-19跟踪调查”中具有全国代表性的纵向数据,以评估黑人和非黑人美国人之间焦虑和抑郁患病率随时间的差异。我们发现,在大流行期间,美国黑人报告焦虑、抑郁或两者兼而有之的症状的可能性要低得多。在2020年3月至11月的一个月内,美国黑人报告此类症状的几率平均约为非黑人美国人的一半。我们还发现,在2020年9月,报告抑郁症症状的差距开始逐渐扩大。具体来说,从那时起,抑郁症的患病率在非黑人美国人中保持稳定,而在黑人美国人中逐渐下降。我们的主要结果在调整人口统计学、风险认知和基线大流行前精神健康状况方面是稳健的。尽管美国黑人在大流行期间与经济、健康和种族不平等作斗争,但他们的心理健康状况明显好于非黑人。我们讨论了我们的结果的意义和含义,并确定了未来研究的机会。
During public health crises like the COVID-19 pandemic, populations can experience worsening mental health. Prior reports have suggested that Black Americans experienced lower rates of anxiety and depression than White Americans before the pandemic; however, during the pandemic, outcomes may be different as Black Americans have been disproportionately affected in terms of mortality, hospitalization, COVID-19 infection, and job loss. We documented the differential mental health impact of COVID-19 on Black and Non-Black Americans. We analyzed nationally representative longitudinal data from the Understanding America Study COVID-19 Tracking Survey spanning March through November of 2020 to assess differences over time in prevalence of anxiety and depression between Black and non-Black Americans. We found that Black Americans were significantly less likely to report symptoms for anxiety, depression, or both during the pandemic. In a given month between March through November of 2020, the odds of Black Americans reporting such symptoms was on average about half that of Non-Black Americans. We also found that in September 2020, the gap in reporting symptoms for depression began to widen gradually. Specifically, since that time, prevalence of depression remained stable among non-Black Americans while it declined gradually among Black Americans. Our main results were robust to adjusting for demographics, risk perceptions, and baseline pre-pandemic mental health status. Black Americans maintained significantly better mental health than Non-Black Americans despite their struggle against economic, health, and racial inequalities during the pandemic. We discuss the significance and implications of our results and identify opportunities for future research.
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发表时间: 2020-04-17
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