Occupational Health Branch, California Department of Public Health, Richmond, CA 94804, USA.
Public Health Institute, Oakland, CA 91746, USA.
Int J Environ Res Public Health. 2023 Jan 10;20(2):1253. doi: 10.3390/ijerph20021253.
Limited data exist on COVID-19's mental health impact on non-healthcare workers. We estimated the prevalence of depressed mood and suicidal ideation experienced in the past year among California workers and assessed whether the prevalence changed during the COVID-19 pandemic. We analyzed 2013-2020 California Health Interview Survey data using survey-weighted methods to assess the change in the prevalence of depressed mood and suicidal ideation from 2019 to 2020 for working adults by demographics and occupational groups. We used trend-adjusted quasi-Poisson regressions and report rate ratios (RR), comparing the prevalence of outcomes during 2020 to the pre-pandemic period (2013-2019). We identified priority occupation groups with a higher-than-average outcome prevalence in 2020 and rate increases after adjusting for pre-pandemic trends. Our analysis included 168,768 respondents, of which 65% were workers. Production and service workers were the priority occupation groups for depressed mood (RR: 1.46, CI: 1.1-1.9; RR: 1.23, CI: 1.1-1.4) and suicidal ideation (RR: 1.86, CI: 1.0-3.6; RR: 1.47, CI: 1.1-1.9). Workers aged 45-65 years experienced over a 30% relative increase in both outcomes from 2019 to 2020. Depressed mood and suicidal ideation in the past year increased for production, service, and older workers during the pandemic. These groups should be considered for mental health interventions.
关于 COVID-19 对非医护人员心理健康的影响,现有数据有限。我们评估了加利福尼亚州劳动者过去一年中经历的情绪低落和自杀意念的患病率,并评估了 COVID-19 大流行期间患病率是否发生了变化。我们使用调查加权方法分析了 2013-2020 年加利福尼亚州健康访谈调查数据,以评估成年劳动者按人口统计学和职业群体划分的情绪低落和自杀意念患病率从 2019 年到 2020 年的变化。我们使用趋势调整后的拟泊松回归和报告率比(RR),比较了 2020 年与大流行前时期(2013-2019 年)的结果患病率。我们确定了在 2020 年具有高于平均水平结果患病率的优先职业群体,并在调整了大流行前趋势后,计算了发病率的增加。我们的分析包括 168768 名受访者,其中 65%是劳动者。生产和服务劳动者是情绪低落(RR:1.46,CI:1.1-1.9;RR:1.23,CI:1.1-1.4)和自杀意念(RR:1.86,CI:1.0-3.6;RR:1.47,CI:1.1-1.9)的优先职业群体。45-65 岁的劳动者在 2019 年至 2020 年期间,这两种结果的相对增长率均超过 30%。在大流行期间,生产、服务和老年劳动者的过去一年中情绪低落和自杀意念增加。这些群体应考虑进行心理健康干预。