Depression and Anxiety During the COVID-19 Pandemic in an Urban, Low-Income Public University Sample
Depression and Anxiety During the COVID-19 Pandemic in an Urban, Low-Income Public University Sample
复制标题
DOI：
10.1002/jts.22600
复制
发表时间：
2020-10-12
影响因子：
3.3
通讯作者：
Galea, Sandro
中科院分区：
文献类型：
--
作者：
Rudenstine, Sasha;McNeal, Kat;Galea, Sandro
国家灾难后的精神健康差距和社会经济地位的保护作用都得到了很好的记录。我们评估了在纽约市新冠肺炎大流行期间，资源不足的公立大学学生中抑郁和焦虑症状的患病率。在2020年4月8日至2020年5月2日期间，纽约州立大学系统的成年学生(N=1,821人)完成了一项在线调查，调查了与新冠肺炎相关的压力源、心理健康和社会人口因素。运用多元Logistic回归分析新冠肺炎相关压力源与抑郁、焦虑症状的关系，发现抑郁、焦虑症状的患病率和严重程度均较高。我们还观察到，接触更多与新冠肺炎相关的压力源与抑郁(低、中、高水平压力源分别为27.0%、41.4%和63.1%)和焦虑症状(19.3%、34.6%和52.2%)相关。此外，接触新冠肺炎相关压力源的程度也是抑郁和焦虑症状的重要预测指标。与高水平应激源相比，低水平应激源患抑郁症的几率为0.2，95%CI[0.2，0.3]，中度应激源为0.4，95%CI[0.3，0.5]；焦虑，低水平应激源患抑郁症的几率为0.2，95%CI[0.2，0.3]，中等应激源为0.05，95%CI[0.4，0.6]。最后，家庭储蓄低于5000美元会增加焦虑的风险，但不会增加抑郁症状的风险，OR=1.3，95%CI[1.0，1.6]。总而言之，这些发现讲述了一个毁灭性的故事，来自美国新冠肺炎疫情中心的较低社会经济群体的学生心理困扰。
Mental health disparities in the aftermath of national disasters and the protective role of socioeconomic status are both well documented. We assessed the prevalence of depression and anxiety symptoms among underresourced public university students during the COVID-19 pandemic in New York City. Between April 8, 2020, and May 2, 2020, adult students (N =1,821) across the CUNY system completed an online survey examining COVID-19-related stressors and mental health and sociodemographic factors. Using multivariable logistical regression to assess the association between COVID-19-related stressors and depression and anxiety symptoms, we found a high prevalence and severity of depression and anxiety symptoms. We also observed that more exposure to COVID-19-related stressors was associated with increased depressive (27.0%, 41.4%, and 63.1% for low-, medium-, and high-level stressors, respectively) and anxiety symptoms (19.3%, 34.6%, 52.2%). In addition, the degree of exposure to COVID-19-related stressors served as an important predictor of depression and anxiety symptoms. Compared to high levels of stressors, the odds of depression were 0.2, 95% CI [0.2, 0.3] for low- and 0.4, 95% CI [0.3, 0.5] for medium-level stressors; for anxiety, the odds were 0.2, 95% CI [0.2, 0.3] for low and 0.05, 95% CI [0.4, 0.6] for medium stressors. Finally, household savings of less than $5,000 increased the risk of anxiety but not depression symptoms,OR= 1.3, 95% CI [1.0,1.6]. Together, these findings tell a devastating story of psychological distress among students from lower socioeconomic groups living in the COVID-19 epicenter of the U.S. pandemic.