Boen Courtney E, Keister Lisa A, Gibson-Davis Christina M, Luck Anneliese
University of Pennsylvania, Philadelphia, PA, USA.
Duke University, Durham, NC, USA.
J Health Soc Behav. 2023 Jun 19:221465231175939. doi: 10.1177/00221465231175939.
The COVID-19 pandemic spurred an economic downturn that may have eroded population mental health, especially for renters and homeowners who experienced financial hardship and were at risk of housing loss. Using household-level data from the Census Bureau's Household Pulse Survey (n = 805,223; August 2020-August 2021) and state-level data on eviction/foreclosure bans, we estimated linear probability models with two-way fixed effects to (1) examine links between COVID-related financial hardship and anxiety/depression and (2) assess whether state eviction/foreclosure bans buffered the detrimental mental health impacts of financial hardship. Findings show that individuals who reported difficulty paying for household expenses and keeping up with rent or mortgage had increased anxiety and depression risks but that state eviction/foreclosure bans weakened these associations. Our findings underscore the importance of state policies in protecting mental health and suggest that heterogeneity in state responses may have contributed to mental health inequities during the pandemic.
新冠疫情引发了经济衰退,这可能侵蚀了民众的心理健康,尤其是对于那些经历了经济困难并有住房丧失风险的租房者和房主而言。利用美国人口普查局家庭脉搏调查的家庭层面数据(n = 805,223;2020年8月至2021年8月)以及关于驱逐/止赎禁令的州层面数据,我们估计了具有双向固定效应的线性概率模型,以(1)研究与新冠相关的经济困难与焦虑/抑郁之间的联系,以及(2)评估州驱逐/止赎禁令是否缓冲了经济困难对心理健康的有害影响。研究结果表明,报告难以支付家庭开支以及难以跟上租金或抵押贷款支付的个人,焦虑和抑郁风险增加,但州驱逐/止赎禁令削弱了这些关联。我们的研究结果强调了州政策在保护心理健康方面的重要性,并表明州应对措施的异质性可能导致了疫情期间的心理健康不平等。