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美国成年人中新冠疫苗可及性与心理健康的关联

The association of COVID-19 vaccine availability with mental health among adults in the United States.

作者信息

Shen Chan, Rashiwala Lucy, Wiener R Constance, Findley Patricia A, Wang Hao, Sambamoorthi Usha

机构信息

Departments of Surgery and Public Health Sciences, Penn State College of Medicine, Hershey, PA, United States.

Department of Pharmacotherapy, College of Pharmacy, University of North Texas Health Science Center, Fort Worth, TX, United States.

出版信息

Front Psychiatry. 2022 Aug 9;13:970007. doi: 10.3389/fpsyt.2022.970007. eCollection 2022.

Abstract

OBJECTIVE

To assess whether COVID-19 vaccine approval and availability was associated with reduction in the prevalence of depression and anxiety among adults in the United States.

METHODS

We adopted cross sectional and quasi-experimental design with mental health measurements before vaccine availability (June 2020, = 68,009) and after vaccine availability (March 2021, = 63,932) using data from Census Pulse Survey. Depression and anxiety were derived from PHQ-2 and GAD-2 questionnaires. We compared rates of depression and anxiety between June 2020 and March 2021. Unadjusted and adjusted analysis with replicate weights were conducted.

RESULTS

Depression prevalence was 25.0% in June 2020 and 24.6% in March 2021; anxiety prevalence was 31.7% in June 2020 and 30.0% in March 2021 in the sample. In adjusted analysis, there were no significant differences in likelihood of depression and anxiety between June 2020 and March 2021.

CONCLUSION

Depression and anxiety were not significantly different between June 2020 and March 2021, which suggests that the pandemic effect continues to persist even with widespread availability of vaccines.

摘要

目的

评估2019冠状病毒病(COVID-19)疫苗的批准和可及性是否与美国成年人中抑郁症和焦虑症患病率的降低相关。

方法

我们采用横断面和准实验设计,利用人口普查脉搏调查的数据,在疫苗可及之前(2020年6月,n = 68,009)和之后(2021年3月,n = 63,932)进行心理健康测量。抑郁症和焦虑症的数据来自患者健康问卷-2(PHQ-2)和广泛性焦虑障碍问卷-2(GAD-2)。我们比较了2020年6月和2021年3月之间抑郁症和焦虑症的发病率。进行了未调整分析和使用重复权重的调整分析。

结果

在样本中,2020年6月抑郁症患病率为25.0%,2021年3月为24.6%;2020年6月焦虑症患病率为31.7%,2021年3月为30.0%。在调整分析中,2020年6月和2021年3月之间抑郁症和焦虑症的患病可能性没有显著差异。

结论

2020年6月至2021年3月期间抑郁症和焦虑症没有显著差异,这表明即使疫苗广泛可及,疫情的影响仍然持续存在。

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