新冠疫情期间成年人心理健康咨询未满足需求的流行状况及其社会人口学相关性。
Prevalence and Sociodemographic Correlates of Unmet Need for Mental Health Counseling Among Adults During the COVID-19 Pandemic.
机构信息
Department of Pediatrics (Nagata), Department of Medicine (Garcia, Weiser), and Department of Epidemiology and Biostatistics (Vittinghoff), University of California, San Francisco;Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto (Ganson); Public Health Sciences Program, Santa Clara University, Santa Clara, California (Bonin, Twadell, Langrock, Magid);Center for Global Health and Mongan Institute, Massachusetts General Hospital, Boston (Tsai);Harvard Medical School, Boston (Tsai);Department of Epidemiology and Population Health, Stanford University, Stanford, California (Magid).
出版信息
Psychiatr Serv. 2022 Feb 1;73(2):206-209. doi: 10.1176/appi.ps.202100111. Epub 2021 Jun 30.
OBJECTIVE
This study aimed to determine the prevalence and correlates of unmet need for mental health counseling among U.S. adults during the COVID-19 pandemic.
METHODS
Data from the December 9-21, 2020, cross-sectional Household Pulse Survey (N=69,944) were analyzed.
RESULTS
Overall, 12.8% of adults reported an unmet need for mental health counseling in the past month, including 25.2% of adults with a positive screen for depression or anxiety. Among adults with a positive screen, risk factors associated with an unmet need for mental health counseling included female sex, younger age, income below the federal poverty line, higher education, and household job loss during the pandemic, while protective factors included Asian and Black race.
CONCLUSIONS
Over one-quarter of U.S. adults with a positive screen for depression or anxiety experienced an unmet need for mental health counseling during the pandemic. Policy makers should consider increasing funding for mental health services as part of pandemic relief legislation.
目的
本研究旨在确定在 COVID-19 大流行期间，美国成年人心理健康咨询需求未得到满足的流行率和相关因素。
方法
分析了 2020 年 12 月 9 日至 21 日进行的横断面家庭脉搏调查（N=69944）的数据。
结果
总体而言，12.8%的成年人在过去一个月报告了心理健康咨询需求未得到满足，其中 25.2%的成年人对抑郁或焦虑进行了阳性筛查。在对抑郁或焦虑进行阳性筛查的成年人中，与心理健康咨询需求未得到满足相关的风险因素包括女性、年龄较小、收入低于联邦贫困线、接受过高等教育以及在大流行期间家庭失业，而保护因素包括亚裔和非裔。
结论
在对抑郁或焦虑进行阳性筛查的美国成年人中，超过四分之一的人在大流行期间经历了心理健康咨询需求未得到满足。政策制定者应考虑增加精神卫生服务资金，作为大流行救济立法的一部分。
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