Tran Sydney, Wormley Alexandra S, Louie Patricia, Sheehan Connor
Department of Psychology, Arizona State University, USA.
Department of Sociology, University of Washington, USA.
SSM Ment Health. 2022 Dec;2:100101. doi: 10.1016/j.ssmmh.2022.100101. Epub 2022 Apr 25.
The influence of the COVID-19 pandemic on mental health is of mounting concern to population-health researchers. While early reports indicated increases in mental health problems, noticeably absent from these studies is how mental health has changed in 2020 compared to previous years (2013-2019) and whether such trends vary by race/ethnicity. The present study used repeated cross-sectional data from the California Health Interview Survey (n = 168,216) to systematically document trends in psychological distress scores (Kessler-6 scale; K6) and severe psychological distress scores (K6; 13+) from 2013 to 2020 and by race/ethnicity over the same period. Among all Californians we find that the reported average psychological distress scores increased by 22% between 2013 and 2020. Reported severe psychological distress scores increased 61% from 2013 to 2020. These increases were largely concentrated in the years 2017-2020. Increases in psychological distress were also especially pronounced among non-Latino/a White Californians (29% increase in K6 from 2013 to 2020), Latino/a Californians (14% increase in K6 from 2013 to 2020), and Asian Californians (35% increase in K6 from 2013 to 2020). Multiple and logistic regression models that accounted for sociodemographic and behavioral health covariates echoed these findings. Future research should continue to investigate secular trends in mental health that coincided with the COVID-19 pandemic and carefully situate the shifts into broader temporal perspective.
新冠疫情对心理健康的影响日益引起人群健康研究人员的关注。虽然早期报告显示心理健康问题有所增加,但这些研究明显缺乏2020年与前几年(2013 - 2019年)相比心理健康状况如何变化以及这种趋势是否因种族/族裔而异的内容。本研究使用了加利福尼亚健康访谈调查的重复横断面数据(n = 168,216),系统记录了2013年至2020年心理困扰得分(凯斯勒6项量表;K6)和严重心理困扰得分(K6;13分及以上)的趋势,以及同期按种族/族裔划分的趋势。在所有加利福尼亚人中,我们发现报告的平均心理困扰得分在2013年至2020年间增加了22%。报告的严重心理困扰得分从2013年到2020年增加了61%。这些增加主要集中在2017 - 2020年。心理困扰的增加在非拉丁裔白人加利福尼亚人(2013年至2020年K6增加29%)、拉丁裔加利福尼亚人(2013年至2020年K6增加14%)和亚裔加利福尼亚人(2013年至2020年K6增加35%)中也尤为明显。考虑了社会人口统计学和行为健康协变量的多元和逻辑回归模型也印证了这些发现。未来的研究应继续调查与新冠疫情同时出现的心理健康长期趋势,并将这些变化置于更广泛的时间视角中进行仔细分析。
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