Social Support and Technology Use and Their Association With Mental and Physical Health During the COVID-19 Pandemic Among Asian Americans: The COMPASS Cross-sectional Study.
Social Support and Technology Use and Their Association With Mental and Physical Health During the COVID-19 Pandemic Among Asian Americans: The COMPASS Cross-sectional Study.
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DOI：
10.2196/35748
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发表时间：
2023-01-23
影响因子：
8.5
通讯作者：
Park, Van M. Ta
中科院分区：
文献类型：
--
作者：
Park, Linda G.;Meyer, Oanh L.;Dougan, Marcelle M.;Golden, Bethany;Ta, Kevin;Nam, Bora;Tsoh, Janice Y.;Tzuang, Marian;Park, Van M. Ta
关键词：
2019冠状病毒病全球大流行对亚裔美国人和太平洋岛民的影响尤为严重，并显示出严重的健康差距，有报告称歧视和仇外心理加剧。在亚太裔中，疫情加剧了他们在社会、语言和地理上的孤立。鉴于集体主义作为一种文化价值的显著性，社会支持对亚太裔来说可能尤其重要。另一个支持亚太裔的机制是技术的使用，因为技术在这一群体中普遍存在。然而，老年人可能感觉不到同样的好处。我们通过COVID-19大流行在亚太裔中研究了社会支持和技术使用及其与身心健康结果的关系。数据来自2020年10月至2021年2月期间的新冠肺炎对亚太裔心理和身体健康的影响调查研究（COMPASS）。COMPASS是一项横断面、多语言的全国性调查，与美国的学术和社区合作伙伴合作，通过在线、电话和亲自对年龄≥18岁的AAPI成年人进行调查。使用多变量线性回归分析数据，使用心理和身体健康的结果变量以及各种预测因子，如社会支持和技术使用。我们测试了特定年龄和种族的相互作用。4631名亚太裔患者(平均年龄45.9岁，SD 16.3岁；2992/4631, 63.1%女性)，我们发现(1)增加的社会支持与更好的身体健康相关，(2)总社会支持与更好的心理健康正相关，(3)高技术使用与较差的心理健康相关，与较差的身体健康负相关，(4)低社会支持的人（与高社会支持的人相比）技术使用与心理健康的相关性较弱。(5) 60岁以下的成年人（相对于≥60岁）在社会支持和心理健康方面受到的负面影响更大；(6)随着技术使用的增加，韩裔美国人似乎是身体健康状况不佳的高危群体。我们的论文确定了在大流行期间观察到的亚太裔患者的心理和身体健康需求以及支持性治疗。未来研究如何利用社会支持，特别是在60岁以下的亚太裔人群中，以及如何利用各种技术，对于指导恢复工作，解决因COVID-19大流行而导致的社区精神和身体差异非常重要。
The global COVID-19 pandemic disproportionately affected Asian Americans and Pacific Islanders (AAPIs) and revealed significant health disparities with reports of increased discrimination and xenophobia. Among AAPIs, the pandemic exacerbated their social, linguistic, and geographic isolation. Social support may be especially important for AAPIs given the salience of collectivism as a cultural value. Another mechanism for support among AAPIs was technology use, as it is generally widespread among this population. However, older adults may not perceive the same benefits. We examined social support and technology use and their relationships with mental and physical health outcomes through the COVID-19 pandemic among AAPIs. Data were drawn from the COVID-19 Effects on the Mental and Physical Health of AAPI Survey Study (COMPASS) for the time period of October 2020 to February 2021. COMPASS was a cross-sectional, multilingual, national survey conducted online, by phone, and in person with AAPI adults who were ≥18 years of age, in collaboration with academic and community partners in the United States. Data were analyzed using multivariable linear regression using the outcome variables of mental and physical health with various predictors such as social support and technology use. We tested for interactions specific to age and ethnicity. Among 4631 AAPIs (mean age 45.9, SD 16.3 years; 2992/4631, 63.1% female), we found that (1) increased social support was associated with better physical health, (2) total social support was positively associated with better mental health, (3) higher technology use was associated with poorer mental health and inversely associated with poorer physical health, (4) the association of technology use with mental health was weaker among those with low social support (vs those with high social support), (5) adults younger than 60 years old (vs ≥60 years old) were more negatively affected with social support and mental health, and (6) Korean Americans appeared to be a high-risk group for poor physical health with increased technology use. Our paper identified mental and physical health needs along with supportive therapies observed among AAPIs during the pandemic. Future research on how social support can be leveraged, especially among AAPIs younger than 60 years old, and how various types of technology are being utilized are important to guide the recovery efforts to address both mental and physical disparities across communities as a result of the COVID-19 pandemic.
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