The mental health burden of racial and ethnic minorities during the COVID-19 pandemic.
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The mental health burden of racial and ethnic minorities during the COVID-19 pandemic. / Nguyen, Long; Anyane-Yeboa, A; Klaser, K; Jordi Merino, PhD; Drew, DA; Ma, W; Mehta, RS; Kim, DY; Warner, Erica T.; Joshi, AD; Graham, Mark; Sudre, Carole; Thompson, Ellen J.; May, A; Hu, C; Jørgensen, S; Selvachandran, S; Berry, SE; David, Sean; Martinez, ME; Figueiredo, Jane; Murray, AM; Sanders, Alan R; Koenen, KC; Wolf, J; Ourselin, Sebastien; Spector, TD; Steves, CJ; Chan, Andrew.
In: PLoS ONE, Vol. 17, No. 8, e0271661, 2022.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - The mental health burden of racial and ethnic minorities during the COVID-19 pandemic.
AU - Nguyen, Long
AU - Anyane-Yeboa, A
AU - Klaser, K
AU - Jordi Merino, PhD
AU - Drew, DA
AU - Ma, W
AU - Mehta, RS
AU - Kim, DY
AU - Warner, Erica T.
AU - Joshi, AD
AU - Graham, Mark
AU - Sudre, Carole
AU - Thompson, Ellen J.
AU - May, A
AU - Hu, C
AU - Jørgensen, S
AU - Selvachandran, S
AU - Berry, SE
AU - David, Sean
AU - Martinez, ME
AU - Figueiredo, Jane
AU - Murray, AM
AU - Sanders, Alan R
AU - Koenen, KC
AU - Wolf, J
AU - Ourselin, Sebastien
AU - Spector, TD
AU - Steves, CJ
AU - Chan, Andrew
PY - 2022
Y1 - 2022
N2 - Racial/ethnic minorities have been disproportionately impacted by COVID-19. The effects of COVID-19 on the long-term mental health of minorities remains unclear. To evaluate differences in odds of screening positive for depression and anxiety among various racial and ethnic groups during the latter phase of the COVID-19 pandemic, we performed a cross-sectional analysis of 691,473 participants nested within the prospective smartphone-based COVID Symptom Study in the United States (U.S.) and United Kingdom (U.K). from February 23, 2021 to June 9, 2021. In the U.S. (n=57,187), compared to White participants, the multivariable odds ratios (ORs) for screening positive for depression were 1·16 (95% CI: 1·02 to 1·31) for Black, 1·23 (1·11 to 1·36) for Hispanic, and 1·15 (1·02 to 1·30) for Asian participants, and 1·34 (1·13 to 1·59) for participants reporting more than one race/other even after accounting for personal factors such as prior history of a mental health disorder, COVID-19 infection status, and surrounding lockdown stringency. Rates of screening positive for anxiety were comparable. In the U.K. (n=643,286), racial/ethnic minorities had similarly elevated rates of positive screening for depression and anxiety. These disparities were not fully explained by changes in leisure time activities. Racial/ethnic minorities bore a disproportionate mental health burden during the COVID-19 pandemic. These differences will need to be considered as health care systems transition from prioritizing infection control to mitigating long-term consequences.
AB - Racial/ethnic minorities have been disproportionately impacted by COVID-19. The effects of COVID-19 on the long-term mental health of minorities remains unclear. To evaluate differences in odds of screening positive for depression and anxiety among various racial and ethnic groups during the latter phase of the COVID-19 pandemic, we performed a cross-sectional analysis of 691,473 participants nested within the prospective smartphone-based COVID Symptom Study in the United States (U.S.) and United Kingdom (U.K). from February 23, 2021 to June 9, 2021. In the U.S. (n=57,187), compared to White participants, the multivariable odds ratios (ORs) for screening positive for depression were 1·16 (95% CI: 1·02 to 1·31) for Black, 1·23 (1·11 to 1·36) for Hispanic, and 1·15 (1·02 to 1·30) for Asian participants, and 1·34 (1·13 to 1·59) for participants reporting more than one race/other even after accounting for personal factors such as prior history of a mental health disorder, COVID-19 infection status, and surrounding lockdown stringency. Rates of screening positive for anxiety were comparable. In the U.K. (n=643,286), racial/ethnic minorities had similarly elevated rates of positive screening for depression and anxiety. These disparities were not fully explained by changes in leisure time activities. Racial/ethnic minorities bore a disproportionate mental health burden during the COVID-19 pandemic. These differences will need to be considered as health care systems transition from prioritizing infection control to mitigating long-term consequences.
U2 - 10.1371/journal.pone.0271661
DO - 10.1371/journal.pone.0271661
M3 - Journal article
C2 - 35947543
VL - 17
JO - PLoS ONE
JF - PLoS ONE
SN - 1932-6203
IS - 8
M1 - e0271661
ER -
ID: 347792446