Department of Psychology, City College of New York, New York, New York, USA.
School of Public Health, Boston University, Boston, Massachusetts, USA.
J Trauma Stress. 2021 Feb;34(1):12-22. doi: 10.1002/jts.22600. Epub 2020 Oct 12.
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.
心理健康在国家灾难后的差异以及社会经济地位的保护作用都有充分的记录。我们评估了在纽约市 COVID-19 大流行期间资源匮乏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 5 月 2 日期间,CUNY 系统的成年学生(N=1821)完成了一项在线调查,调查了 COVID-19 相关压力源以及心理健康和社会人口因素。使用多变量逻辑回归来评估 COVID-19 相关压力源与抑郁和焦虑症状之间的关联,我们发现抑郁和焦虑症状的患病率和严重程度都很高。我们还观察到,更多地接触 COVID-19 相关压力源与抑郁症状(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 COVID-19 相关压力源的程度是抑郁和焦虑症状的重要预测因素。与高水平的压力源相比,低水平压力源的抑郁几率为 0.2,95%CI[0.2,0.3],中水平压力源的抑郁几率为 0.4,95%CI[0.3,0.5];对于焦虑症,低水平压力源的几率为 0.2,95%CI[0.2,0.3],中水平压力源的几率为 0.05,95%CI[0.4,0.6]。最后,家庭储蓄少于 5000 美元会增加焦虑症的风险,但不会增加抑郁症的风险,OR=1.3,95%CI[1.0,1.6]。总之,这些发现讲述了一个在美国 COVID-19 大流行中心生活的来自社会经济地位较低群体的学生心理困扰的毁灭性故事。
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