Suss Rachel, Caton Jo-Anne, Close Melanie, Sihaloho Dewi, Tuazon Ellenie, Norman Christina
Rachel Suss, Jo-Anne Caton, Melanie Close, Ellenie Tuazon, and Christina Norman are with the New York City (NYC) Health Department. Dewi Sihaloho was with the NYC Health Department at the time of this study.
Am J Public Health. 2025 Sep;115(9):1426-1435. doi: 10.2105/AJPH.2025.308163. Epub 2025 Jul 11.
To investigate the prevalence of serious psychological distress (SPD), mental health treatment, unmet need for mental health treatment, social isolation, and barriers to treatment access among emerging adults, aged 18 to 24 years, and compared with older adults. We use data from the New York City (NYC) Neighborhood Wellness Survey (2023), a representative survey of adults in NYC (n = 43 606), to calculate weighted prevalence estimates and fit logistic regression models controlling for sociodemographic characteristics. Emerging adults had higher odds of SPD and social isolation than adults aged 35 to 44 years, 45 to 64 years, and 65 years or older, and lower odds of past-year mental health treatment among those with SPD compared with all other age groups. Emerging adults reported different reasons for unmet need for mental health treatment than other age groups. Among emerging adults, individuals who identified as noncisgender, bisexual, or unsure of their sexual orientation, or who experienced financial strain, violence, or discrimination, had poorer mental health outcomes. These findings demonstrate the need for expanded efforts to increase mental health treatment access focused on those aged 18 to 24 years, as their needs may differ from those of other age groups. (. 2025;115(9):1426-1435. https://doi.org/10.2105/AJPH.2025.308163).
为调查18至24岁青年成人中严重心理困扰（SPD）的患病率、心理健康治疗情况、未满足的心理健康治疗需求、社会隔离状况以及治疗获取障碍，并与老年人进行比较。我们使用来自纽约市（NYC）社区健康调查（2023年）的数据，这是一项对纽约市成年人具有代表性的调查（n = 43606），来计算加权患病率估计值并拟合控制社会人口学特征的逻辑回归模型。与35至44岁、45至64岁以及65岁及以上的成年人相比，青年成人出现SPD和社会隔离的几率更高，且与所有其他年龄组相比，患有SPD的青年成人在过去一年接受心理健康治疗的几率更低。青年成人报告的未满足心理健康治疗需求的原因与其他年龄组不同。在青年成人中，那些自我认定为非顺性别、双性恋或不确定自己性取向的人，或经历过经济压力、暴力或歧视的人，心理健康状况较差。这些发现表明，需要加大力度，针对18至24岁的人群扩大心理健康治疗的获取途径，因为他们的需求可能与其他年龄组不同。（. 2025;115(9):1426 - 1435. https://doi.org/10.2105/AJPH.2025.308163）
