Department of Pediatrics, Mount Sinai Adolescent Health Center, Icahn School of Medicine at Mount Sinai, Manhattan, New York; Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, Manhattan, New York.
Department of Pediatrics, Mount Sinai Adolescent Health Center, Icahn School of Medicine at Mount Sinai, Manhattan, New York.
J Adolesc Health. 2022 Feb;70(2):220-227. doi: 10.1016/j.jadohealth.2021.10.015. Epub 2021 Oct 16.
New York City (NYC) was the global epicenter of the COVID-19 pandemic in spring 2020. A "shelter in place" mandate was issued in March 2020. The effect on vulnerable populations of adolescent and young adult females has not been well documented.
We administered a monthly online survey between May and November 2020 to adolescent and young adult females participating in a longitudinal study at Mount Sinai Adolescent Health Center. Surveys asked about death of loved ones, financial impacts, social interactions, exposure to dangerous situations, and mental health impacts. Differences in responses by age, race/ethnicity, and living situation were assessed, and compared to data obtained on the same cohort prior to the pandemic.
Four hundred seventeen females aged 15-28 years completed at least one survey, 94% of whom were youth of color. A third of responders (33%) had lost relatives or other people they were close to (loved ones). Most (68%) reported one or more financial losses, and 21% reported food insecurity, with those not living with parents or a guardian experiencing significantly higher rates. One in 10 reported experiencing sexual abuse or interpersonal partner violence during the "shelter in place" period. Over a third (37%) reported symptoms of clinical depression, which represented a significant increase compared to before the pandemic (p = .01). The negative financial impacts and higher proportion of patients with depressive symptomatology remained elevated for adolescents without support at home.
The COVID-19 pandemic had unprecedented negative short-term financial and psychosocial health impacts on inner-city female youth with potential long-term negative impacts.
2020 年春季，纽约市（NYC）成为 COVID-19 大流行的全球中心。2020 年 3 月发布了“就地避难”命令。这项命令对青少年和年轻女性弱势群体的影响尚未得到很好的记录。
我们在 2020 年 5 月至 11 月期间，向在西奈山青少年健康中心参加纵向研究的青少年和年轻女性进行了每月一次的在线调查。调查询问了失去亲人、经济影响、社交互动、接触危险情况以及心理健康影响。根据年龄、种族/族裔和居住情况评估了回答的差异，并与大流行前同一队列的数据进行了比较。
417 名年龄在 15-28 岁之间的女性完成了至少一次调查，其中 94%是有色人种的青年。三分之一的受访者（33%）失去了亲戚或其他亲近的人（亲人）。大多数（68%）报告了一项或多项经济损失，21%报告了粮食不安全，没有与父母或监护人同住的人报告的比例显著更高。十分之一的人报告在“就地避难”期间遭受性虐待或人际伴侣暴力。超过三分之一（37%）报告有临床抑郁症状，与大流行前相比显著增加（p =.01）。对于没有家庭支持的青少年来说，负面的经济影响和更多有抑郁症状的患者比例仍然很高。
COVID-19 大流行对城市内的年轻女性青年造成了前所未有的短期财务和社会心理健康负面影响，可能会产生长期的负面影响。
