Cancer Epidemiology Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.
Morsani College of Medicine, University of South Florida, Tampa, FL.
Ethn Dis. 2022 Apr 21;32(2):131-144. doi: 10.18865/ed.32.2.131. eCollection 2022 Spring.
To examine social engagement and mental health symptoms during the COVID-19 pandemic across Asian American (AA) ethnic groups.
Data from three waves of the nationally representative COVID-19 Household Impact Survey (4/20/2020-6/8/2020) were used to describe social engagement and mental health symptoms during the pandemic. Associations between mental health and social engagement were assessed via multinomial logistic regression.
In this sample of 312 AAs (36.9% Chinese American, 30.9% South Asian American, 20.1% Filipino/Vietnamese American, and 12.0% Japanese/Korean American), daily communication with neighbors declined for Chinese, South Asian and Filipino/Vietnamese Americans but increased for Japanese/Korean Americans (P=.012) whereas communication with friends/family increased only for Filipino/Vietnamese, Japanese/Korean and South Asian Americans (P<0.001). Differences in self-reported symptoms of anxiety, depression, loneliness, and hopelessness were observed across AA ethnic groups. In adjusted models, lower social engagement was associated with frequent (3-4 days/week) depressive symptoms during the preceding week (cOR:3.26, 95%CI:1.01-10.5). This association was heightened for Asian men (cOR:14.22, 95%CI:3.62-55.8).
Heterogeneity of social engagement and mental health symptoms across AA ethnicities was observed. Understanding associations between social engagement and mental health within different communities is necessary to provide culturally and linguistically appropriate mental health treatment and care.
研究在新冠疫情期间，不同亚裔美国人（AA）族群的社会参与度和心理健康症状。
本研究使用全国代表性的新冠疫情家庭影响调查（4/20/2020-6/8/2020）的三波数据，描述疫情期间的社会参与度和心理健康症状。通过多项逻辑回归评估心理健康与社会参与之间的关联。
在这 312 名 AA 参与者（36.9%为华裔美国人，30.9%为南亚裔美国人，20.1%为菲律宾裔/越南裔美国人，12.0%为日裔/韩裔美国人）中，与邻居的日常交流减少了华裔、南亚裔和菲律宾裔/越南裔美国人，但增加了日裔/韩裔美国人（P=.012），而与朋友/家人的交流仅增加了菲律宾裔/越南裔、日裔/韩裔和南亚裔美国人（P<0.001）。在不同的 AA 族群中观察到焦虑、抑郁、孤独和绝望等自我报告症状存在差异。在调整后的模型中，前一周经常（3-4 天/周）出现抑郁症状与较低的社会参与度相关（校正比值比：3.26，95%置信区间：1.01-10.5）。这种关联在亚裔男性中更为明显（校正比值比：14.22，95%置信区间：3.62-55.8）。
观察到不同 AA 族群的社会参与度和心理健康症状存在异质性。了解不同社区内社会参与度和心理健康之间的关联，对于提供文化和语言适宜的心理健康治疗和护理是必要的。
