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美国成年人在 COVID-19 大流行初期的媒体接触与精神困扰之间的关联。

Associations Between Media Exposure and Mental Distress Among U.S. Adults at the Beginning of the COVID-19 Pandemic.

机构信息

Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.

Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland; Department of Neuropsychology, Kennedy Krieger Institute, Johns Hopkins University, Baltimore, Maryland.

出版信息

Am J Prev Med. 2020 Nov;59(5):630-638. doi: 10.1016/j.amepre.2020.06.008. Epub 2020 Jul 10.

Abstract

INTRODUCTION

Exposure to disaster-related media may be a risk factor for mental distress, but this has not been examined in the context of the COVID-19 pandemic. This study assesses whether exposure to social and traditional media during the rise of the COVID-19 pandemic was associated with mental distress among U.S. adults.

METHODS

Data came from the Understanding America Study, conducted with a cross-sectional, nationally representative sample of adults who completed surveys online. Participants included 6,329 adults surveyed between March 10 and March 31, 2020. Regression analyses examined the associations of (1) self-reported average time spent on social media in a day (hours) and (2) number of traditional media sources (radio, TV, and newspaper) consulted to learn about COVID-19 with self-reported mental distress (4-item Patient Health Questionnaire). Data were analyzed in April 2020.

RESULTS

Participants responding at later survey dates reported more time spent on social media (β=0.02, 95% CI=0.01, 0.03), a greater number of traditional media sources consulted to learn about COVID-19 (β=0.01, 95% CI=0.01, 0.02), and greater mental distress (β=0.07, 95% CI=0.04, 0.09). Increased time spent on social media and consulting a greater number of traditional media sources to learn about COVID-19 were independently associated with increased mental distress, even after adjusting for potential confounders (social media: β=0.14, 95% CI=0.05, 0.23; traditional media: β=0.14, 95% CI=0.08, 0.20).

CONCLUSIONS

Exposure to a greater number of traditional media sources and more hours on social media was modestly associated with mental distress during the rise of the COVID-19 pandemic in the U.S.

摘要

简介

接触与灾难相关的媒体可能是精神困扰的一个风险因素,但这一点尚未在 COVID-19 大流行的背景下得到检验。本研究评估了在美国成年人中,COVID-19 疫情期间接触社会和传统媒体是否与精神困扰有关。

方法

数据来自于“理解美国研究”,该研究采用了一项具有全国代表性的横断面成年人在线调查。参与者包括 2020 年 3 月 10 日至 3 月 31 日期间完成调查的 6329 名成年人。回归分析检验了(1)自我报告的平均每天在社交媒体上花费的时间(小时)和(2)为了解 COVID-19 而查阅的传统媒体来源数量(广播、电视和报纸)与自我报告的精神困扰(4 项患者健康问卷)之间的关联。数据分析于 2020 年 4 月进行。

结果

在较晚的调查日期做出回应的参与者报告说,他们在社交媒体上花费的时间更多(β=0.02,95%CI=0.01,0.03),查阅了解 COVID-19 的传统媒体来源更多(β=0.01,95%CI=0.01,0.02),并且精神困扰更大(β=0.07,95%CI=0.04,0.09)。即使在调整了潜在混杂因素后,更多地使用社交媒体和查阅更多的传统媒体来源来了解 COVID-19 与精神困扰的增加仍独立相关(社交媒体:β=0.14,95%CI=0.05,0.23;传统媒体:β=0.14,95%CI=0.08,0.20)。

结论

在美国 COVID-19 疫情期间,接触更多的传统媒体来源和更多的社交媒体使用时间与精神困扰适度相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d92a/7351429/5fad5de5236d/gr1_lrg.jpg

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