加利福尼亚州居民的州代表性样本中，自新冠疫情封锁以来的时间、基于性别的暴力暴露情况以及心理健康结果。
Time from COVID-19 shutdown, gender-based violence exposure, and mental health outcomes among a state representative sample of California residents.
作者信息
Raj Anita, Johns Nicole E, Barker Kathryn M, Silverman Jay G
机构信息
Center on Gender Equity and Health, Department of Medicine, University of California San Diego, San Diego, 9500 Gilman Drive #0507, La Jolla, CA 92093-0507, United States.
Education Studies, Division of Social Sciences, University of California San Diego, La Jolla, CA, United States.
出版信息
EClinicalMedicine. 2020 Sep;26:100520. doi: 10.1016/j.eclinm.2020.100520. Epub 2020 Aug 24.
BACKGROUND
There is increasing evidence of the negative impact of the COVID-19 pandemic and resultant shutdowns on mental health. This issue may be of particular concern to those affected by intimate partner violence (IPV) and sexual violence.
METHODS
We conducted a cross-sectional analysis using data from a California state-representative online survey conducted in the two weeks following the state stay-at-home order, enacted March 19, 2020 (unweighted = 2081). We conducted a series of multivariate multinomial logistic regressions to assess the associations between a) time since stay-at-home order and b) partner and sexual violence exposure ever with our outcomes of interest: depression and/or anxiety symptoms in the past two weeks. Covariates included demographics and social support.
FINDINGS
Nearly one in five (19•7%) respondents reported moderate or severe mental health symptoms in the past two weeks; 15•5% had a history of IPV and 10•1% had a history of sexual violence. In models adjusting for gender, partner and sexual violence history, and other demographics, time was significantly associated with greater mental health symptom severity, as were IPV and sexual violence. When we additionally adjusted for current social support, effects of time were lost and effects related to violence were slightly attenuated.
INTERPRETATION
Time under shutdown is associated with higher odds of depression and anxiety symptoms, and may be worse for those with a history of IPV. However, those with greater social support appear to have better capacity to withstand the mental health impacts of the pandemic. Social support programs, inclusive of those available virtually, may offer an important opportunity to help address increased mental health concerns we are seeing under the pandemic.
FUNDING
Blue Shield Foundation of California Grant RP-1907-137. Bill and Melinda Gates Foundation OPP1179208.
背景
越来越多的证据表明，新冠疫情及其导致的封锁措施对心理健康产生了负面影响。这一问题可能尤其值得受亲密伴侣暴力（IPV）和性暴力影响的人群关注。
方法
我们使用了一项在2020年3月19日该州发布居家令后的两周内进行的加利福尼亚州代表性在线调查数据进行横断面分析（未加权样本量 = 2081）。我们进行了一系列多元多项逻辑回归分析，以评估：a）自居家令发布以来的时间与b）曾经遭受伴侣暴力和性暴力与我们感兴趣的结果（过去两周内的抑郁和/或焦虑症状）之间的关联。协变量包括人口统计学特征和社会支持。
研究结果
近五分之一（19.7%）的受访者报告在过去两周内有中度或重度心理健康症状；15.5%有亲密伴侣暴力史，10.1%有性暴力史。在调整了性别、伴侣暴力和性暴力史以及其他人口统计学特征的模型中，时间与更高的心理健康症状严重程度显著相关，亲密伴侣暴力和性暴力也是如此。当我们进一步调整当前社会支持因素时，时间的影响消失了，与暴力相关的影响略有减弱。
解读
封锁期间的时间与抑郁和焦虑症状的较高发生率相关，对有亲密伴侣暴力史的人可能更不利。然而，社会支持较多的人似乎有更强的能力抵御疫情对心理健康的影响。社会支持项目，包括那些在线提供的项目，可能为帮助解决我们在疫情期间看到的日益增加的心理健康问题提供一个重要机会。
资金来源
加利福尼亚蓝盾基金会资助项目RP - 1907 - 137。比尔及梅琳达·盖茨基金会OPP1179208。
Zotero 插件