Nuffield College, University of Oxford, Oxford OX1 1NF, United Kingdom;
Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY 10029.
Proc Natl Acad Sci U S A. 2020 Nov 3;117(44):27277-27284. doi: 10.1073/pnas.2009609117. Epub 2020 Oct 12.
The COVID-19 economic crash is idiosyncratic because of its virtual standstill of economic activity. We therefore ask how individual labor market experiences are related to the development of mental health complaints in the spring of 2020. As clinical data collection was compromised during the lockdowns, standardized surveys of the European labor force provide an opportunity to observe mental health complaints as the crisis unfolded. Data are representative of active members of the labor force of six European nations that contained varying levels of COVID-19 burdens in terms of mortality and lockdown measures. We document a steep occupational prestige level gradient on the probability of facing economic hardship during the lockdowns-looming job loss, income loss, and workload decline-which evidently exacerbate socioeconomic inequalities. Analyses indicate a striking positive relationship between instantaneous economic hardships during the COVID-19 lockdown and expressing feelings of depression and health anxiety. Importantly, the magnitude of the association between such hardships and indicators of mental health deterioration is highly dependent on workers' occupational standing, revealing a second layer of exacerbating inequality.
新冠疫情引发的经济崩溃是特殊的,因为其导致经济活动几乎完全停滞。因此,我们想了解在 2020 年春季,个人劳动力市场的经历与心理健康问题的发展有何关系。由于封锁期间临床数据的收集受到影响,因此对欧洲劳动力进行标准化调查为观察危机爆发期间的心理健康问题提供了机会。这些数据来自六个欧洲国家劳动力中积极成员的代表性样本,这些国家在死亡率和封锁措施方面存在着不同程度的新冠疫情负担。我们记录了在封锁期间面临经济困难(即将失业、收入损失和工作负荷下降)的可能性与职业声望水平之间明显的梯度关系,这显然加剧了社会经济不平等。分析表明,新冠疫情封锁期间的即时经济困难与表达抑郁和健康焦虑的情绪之间存在显著的正相关关系。重要的是,这种困难与心理健康恶化指标之间的关联程度高度取决于工人的职业地位,揭示了加剧不平等的第二层。