在COVID-19期间,多民族乳腺癌幸存者的压力和孤立度的纵向变化
Fangyuan Zhao1, Jincong Q Freeman1, Nora Jaskowiak2
1Department of Public Health Sciences, University of Chicago, Chicago, Illinois, USA.
概括
在COVID-19大流行期间,压力和孤立等心理健康挑战在黑人乳腺癌幸存者 (BCS) 中持续时间比白人BCS更长. 社会经济因素对这些种族差异的心理健康结果有显著的贡献.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
背景情况:
- COVID-19流行病对癌症幸存者的长期心理健康影响仍未得到充分研究.
- 乳腺癌幸存者 (BCS) 可能会经历与其健康状况和与流行病有关的破坏有关的独特压力因素.
研究的目的:
- 在COVID-19大流行期间,纵向评估BCS在不同种族/族群的压力和隔离水平的变化.
- 确定导致BCS中心理健康结果种族差异的社会经济因素.
主要方法:
- 一项纵向研究在2020年至2022年间调查了1899个BCS,测量了11项隔离/压力评分.
- 混合效应线性回归模型分析了随着时间的推移以及跨种族/族群的得分变化.
- 评估了社会经济因素,以了解它们与观察到的种族差异之间的联系.
主要成果:
- 白人BCS的压力和隔离得分持续下降,但黑人BCS的得分稍后才开始下降.
- 与白色BCS相比,黑色BCS在2021年和2022年报告了显著更高的隔离/压力得分.
- 在调整社会经济因素后,压力/孤立的种族差异减少了,较低的收入,教育和保险与较高的分数相关.
结论:
- 对于乳腺癌幸存者的种族群体来说,从大流行中恢复精神健康是不平等的.
- 保险,教育,收入和家庭结构的社会经济差异似乎推动了这些不平等的心理健康结果.
- 有针对性的干预措施对于在卫生危机期间面临弱势BCS人口面临的障碍至关重要.
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