Time trend analysis of social inequalities in psychological distress among young adults before and during the pandemic: evidence from the UK Household Longitudinal Study COVID-19 waves.

Time trend analysis of social inequalities in psychological distress among young adults before and during the pandemic: evidence from the UK Household Longitudinal Study COVID-19 waves.
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大流行之前和期间年轻人心理困扰社会不平等的时间趋势分析:来自英国家庭纵向研究COVID-19浪潮的证据。

DOI:
10.1136/jech-2021-217266
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发表时间:
2021-10-29
影响因子:
6.3
通讯作者:
Schoon I
Schoon I
中科院分区:
医学2区
文献类型:
--
作者:
Gagné T;Nandi A;Schoon I

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尽管人们对英格兰 16-24 岁人群的心理健康问题感到担忧,但在过去十年和 COVID-19 大流行期间,哪些社会群体面临的风险最大,但仍不清楚。我们利用英国家庭纵向研究的数据研究了英格兰 16-24 岁年轻人的心理困扰趋势。我们使用纵向数据作为重复的横断面波,研究了从第 1 波(2009-2010 年)到第 10 波(2018-2019 年)以及 2020 年 4 月至 11 月期间收集的 6 波 COVID-19 的平均一般健康问卷(GHQ)得分随时间的差异,按经济活动、与父母同居、父母教育、地区剥夺、种族、年龄和性别划分。与 2009-2010 年相比,2018-2019 年 GHQ 分数的增幅,女性高于男性(2.1 vs 1.3),16-18 岁年龄段高于 22-24 岁(2.6 vs 0.9),英国白人群体高于其他少数族裔,非劳动力人口(3.6)或兼职员工(2.2)高于全职员工(0.8)。与2018-2019年相比,2020年生活在最贫困地区的年轻人的心理困扰也进一步增加(4.1比最贫困地区的1.2)。 2020 年,失业或失去大部分工作时间与较高的心理困扰有关,并使剥夺四分位数之间的差异缩小了 17%。在英格兰,在 COVID-19 大流行期间,年轻人心理困扰的不平等可能发生了变化并加剧。投资于年轻人的机会,特别是在较贫困地区,可能是改善人口心理健康水平的关键。
Despite concerns about mental health problems among those aged 16–24 in England, which social groups have been most at risk, both over the past decade and during the COVID-19 pandemic, remains unclear. We examined trends in psychological distress among young adults 16–24 years old in England using data from the UK Household Longitudinal Study. Using longitudinal data as repeated cross-sectional waves, we examined differences over time in mean General Health Questionnaire (GHQ) scores from wave 1 (2009–2010) to wave 10 (2018–2019) and six COVID-19 waves collected between April and November 2020, by economic activity, cohabitation with parents, parental education, area deprivation, ethnicity, age and sex. Compared with 2009–2010, increases in GHQ scores in 2018–2019 were higher in women than men (2.1 vs 1.3), those aged 16–18 than aged 22–24 (2.6 vs 0.9), those from white UK group versus other ethnic minorities, and those out of the labour force (3.6) or employed part time (2.2) than those employed full time (0.8). Compared with 2018–2019, psychological distress in 2020 also further increased among young adults residing in the most deprived areas (4.1 vs 1.2 in the least deprived areas). In 2020, losing one’s job or most of one’s work hours was associated with higher psychological distress and attenuated the differences between deprivation quartiles by 17%. In England, inequalities in psychological distress among young adults may have changed and increased during the COVID-19 pandemic. Investing in opportunities for young adults, particularly in more deprived areas, may be key to improve population levels of mental health.
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影响因子: --
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