The differential impact of COVID-19 on mental health: Implications of ethnicity, sexual orientation, and disability status in the United States.
The differential impact of COVID-19 on mental health: Implications of ethnicity, sexual orientation, and disability status in the United States.
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DOI：
10.3389/fpsyg.2022.902094
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发表时间：
2022
影响因子：
3.8
通讯作者：
Levanda, Liya
中科院分区：
文献类型：
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作者：
Brooks, Jordan M.;Patton, Cyrano;Maroukel, Sharon;Perez, Amy M.;Levanda, Liya
COVID-19大流行对心理健康的影响与先前存在的健康风险和差异相互作用，对不同人群产生不同的影响。这项研究探讨了人口统计学变量之间的关系（例如，种族、性取向和残疾状况）、痛苦和心理健康（例如，抑郁、焦虑、躯体不适和流行病困扰），以及COVID-19的脆弱性因素（例如，个人健康脆弱性、社区成员健康脆弱性以及工作或家庭环境暴露风险）。于二零二零年六月十八日至七月十七日进行了一项在线横断面研究，反映了美国早期COVID-19大流行及相关就地庇护措施的影响。参与者为居住在美国的成年人（N = 594），其中大量子样本（N ≥ 70）为美国印第安人、亚裔美国人、非洲裔美国人、西班牙裔和/或拉丁裔参与者，以及残疾人和性少数群体。测量的结果包括抑郁、绝望、躯体主诉、焦虑相关障碍、控制源（locus of control，缩写为PNC）和一种新的流行病相关痛苦测量方法。数据采用协方差分析（ANCOVA）、卡方检验和相关系数进行分析。一般来说，年轻人和那些经济实力较弱的人（包括所有身份的人）遭受的痛苦更多。当控制年龄时，较低的经济能力与流行病学研究中心抑郁量表修订版的高分相关（CESD-R; r =-0.21，p = < 0.001），Beck绝望量表（BHS; r =-0.17，p < 0.001），患者健康问卷-15（PHQ-15; r =-0.09，p = 0.01），成人惊恐障碍的儿童焦虑相关情绪障碍筛查（SCARED-A PD; r =-0.14，p < 0.001），SCARED-A广泛性焦虑障碍（GAD; r =-0.13，p = 0.002），SCARED-A强迫症（OCD; r =-0.08，p = 0.04）和COVID-19大流行性疾病限制/断开量表（C19 PDS; r =-0.10，p = 0.009）。此外，一般来说，按性别、性取向和残疾状况分列的边缘化身份存在差异。重要的是，每个种族子样本都显示了COVID-19风险变量与心理健康症状之间的独特关系模式。研究结果支持了这样一个假设，即任何流行病都可能扩大先前存在的社会和金融差距。总体而言，临床、政府或卫生公平层面的干预措施应考虑到弱势群体的需求。
The COVID-19 pandemic’s effects on mental health interact with preexisting health risks and disparities to impact varying populations differently. This study explored the relationship between demographic variables (e.g., ethnicity, sexual orientation, and disability status), distress and mental health (e.g., depression, anxiety, somatic complaints, and pandemic distress), and vulnerability factors for COVID-19 (e.g., personal health vulnerabilities, community members’ health vulnerabilities, and environmental exposure risks at work or home). An online cross-sectional study was conducted from 18 June to 17 July 2020, reflecting the impact of early phase COVID-19 pandemic and related shelter-in-place measures in the United States. Participants were adults residing in the United States (N = 594), with substantial subsamples (N ≥ 70) of American Indian, Asian American, African-American, and Hispanic and/or Latinx participants, as well as people with disabilities and sexual minorities. Outcomes measured were depression, hopelessness, somatic complaints, anxiety-related disorders, locus of control (LOC), and a novel measure of pandemic-related distress. Data were analyzed using analyses of covariance (ANCOVA), chi-square test, and correlation coefficients. Generally, younger individuals, and those with less financial power—across all identities—suffered more distress. When controlling for age, lower financial power was associated with higher scores on the Center for Epidemiologic Studies Depression Scale-Revised (CESD-R; r = –0.21, p = < 0.001), Beck Hopelessness Scale (BHS; r = –0.17, p < 0.001), Patient Health Questionnaire-15 (PHQ-15; r = –0.09, p = 0.01), Screen for Child Anxiety Related Emotional Disorders for Adults Panic Disorder (SCARED-A PD; r = –0.14, p < 0.001), SCARED-A generalized anxiety disorder (GAD; r = –0.13, p = 0.002), SCARED-A obsessive–compulsive disorder (OCD; r = –0.08, p = 0.04), and the COVID-19 Pandemic Distress restriction/disconnection scale (C19PDS; r = –0.10, p = 0.009). In addition, disparities were found, in general, for marginalized identities by gender, sexual orientation, and disability status. Importantly, each ethnicity subsample showed a unique pattern of relationships between COVID-19 risk variables and mental health symptoms. The results support the hypothesis that any pandemic may amplify preexisting social and financial disparities. Overall, interventions at the clinical, governmental, or health equity level should take into consideration the needs of vulnerable groups.
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DOI：
10.3390/ijerph18126178
发表时间：
2021-06-08
影响因子：
--
作者：
Jesus TS;Bhattacharjya S;Papadimitriou C;Bogdanova Y;Bentley J;Arango-Lasprilla JC;Kamalakannan S;The Refugee Empowerment Task Force International Networking Group Of The American Congress Of Rehabilitation Medicine
通讯作者：
The Refugee Empowerment Task Force International Networking Group Of The American Congress Of Rehabilitation Medicine
DOI：
10.3390/ijerph18084348
发表时间：
2021-04-20
影响因子：
--
作者：
Kamalakannan S;Bhattacharjya S;Bogdanova Y;Papadimitriou C;Arango-Lasprilla JC;Bentley J;Jesus TS;Refugee Empowerment Task Force International Networking Group Of The American Congress Of Rehabilitation Medicine
通讯作者：
Refugee Empowerment Task Force International Networking Group Of The American Congress Of Rehabilitation Medicine
影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
DOI：
10.1007/s40615-020-00833-4
发表时间：
2020-09-01
影响因子：
3.9
作者：
Abedi, Vida;Olulana, Oluwaseyi;Zand, Ramin
通讯作者：
Zand, Ramin
影响因子：
33.9
作者：
Hatcher, Sarah M.;Agnew-Brune, Christine;McCollum, Jeffrey
通讯作者：
McCollum, Jeffrey