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长期COVID患者中的焦虑和抑郁:与社会脆弱性的关联
Victoria Menzies1, Fern Webb2, Debra E Lyon3
1Department of Family & Community Health Sciences, University of Florida College of Nursing, 1225 Center Drive, Gainesville, FL 32610, United States of America.
Journal of affective disorders
|September 5, 2024
概括
来自种族和少数民族的长期COVID患者报告了与社会脆弱性相关的更高的焦虑和抑郁率. 解决这些差异对于定制的公共卫生计划至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 长期的COVID与严重的心理健康挑战有关,包括焦虑和抑郁.
- 健康的社会决定因素,如财务压力和住房不安全,可能会加剧这些心理健康结果.
研究的目的:
- 为了调查长期COVID症状,焦虑和抑郁之间的关联.
- 检查五个主要社会弱点 (开支,就业,粮食不足,住房,保险) 与心理健康结果有关的作用.
- 探索这些协会中的种族和民族差异.
主要方法:
- 利用了人口普查局家庭脉冲调查 (HPS) (2022年6月至11月) 的二次数据.
- 包括COVID-19发病率,持续时间,症状的数据,以及对焦虑 (GAD-2) 和抑郁 (PHQ-2) 的验证尺度.
- 采用通用双项逻辑回归和结构方程建模来分析因种族/种族和社会脆弱性而产生的关联和调解效应.
主要成果:
- 与白人相比,长期COVID的种族和少数民族 (黑人,亚洲人/其他,西班牙裔) 报告了更高的焦虑率,抑郁症和社会脆弱性.
- 发现了具体的关联:与开支,就业和住房相关的黑人焦虑;与食物不足相关的西班牙裔焦虑;与开支和就业相关的黑人抑郁.
- 调解分析表明,社会脆弱性的数量部分解释了种族/种族和焦虑之间的关系.
结论:
- 社会脆弱性对经历长期COVID的种族和少数民族群体的心理健康结果产生重大影响.
- 调查结果强调需要针对性的公共卫生干预措施,以应对不同人群面临的独特社会和经济挑战.
- 量身定制的计划对于减轻长期COVID的弱势种族和民族群体中不成比例的焦虑和抑郁的负担至关重要.
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