在大流行的第一年,墨西哥裔美国母亲与新冠肺炎相关的风险、复原力和心理健康。

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Amy L Non, Elizabeth S Clausing, Sandraluz Lara-Cinisomo, Kimberly L D'Anna Hernandez
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引用次数: 0

摘要

背景:拉丁裔母亲尤其受到疫情的影响,历史上抑郁症和焦虑症的发病率很高。然而,很少有纵向研究评估疫情对这一弱势群体的影响。我们假设,在新冠肺炎大流行的第一年,与新冠肺炎相关的压力源会与拉丁裔母亲的心理困扰有关。方法:我们调查了两个关键时间点的COVID-19相关影响、耻辱感和恐惧感,以及这些指标的变化与居住在南加州的墨西哥裔母亲焦虑和抑郁的变化之间的关系(n=152)。在加利福尼亚州2020年3月19日新冠肺炎居家令发布后的5-16周内,以及2021年6月至12月期间,进行了调查。结果:高比例的女性报告称,新冠肺炎在疫情早期造成了中度至重度影响,一年后略有减少,例如家庭收入减少(2020年封锁55.9%,1年随访32.7%)。第一年的预期耻辱感很高,例如,至少有一段时间担心家庭成员会被驱逐出境(2020年封锁率为33.1%,而一年随访率为14.1%),或者他们无法照顾孩子(2020年锁定率为88.5%,一年随访为82.2%)。新冠肺炎的耻辱、影响和恐惧在两个时间点都与较高水平的焦虑和抑郁症状显著相关(P结论:研究结果强调了大流行对拉丁裔母亲的不利社会经济和心理影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COVID-19-Related Risk, Resilience, and Mental Health Among Mexican American Mothers Across the First Year of the Pandemic.

Background: Latina mothers have been especially affected by the pandemic and historically exhibit high rates of depression and anxiety. However, few longitudinal studies have assessed the effect of the pandemic on this vulnerable population. We hypothesized that COVID-19-related stressors would associate with psychological distress among Latina mothers across the first year of the pandemic.

Methods: We investigated COVID-19-related impact, stigma, and fears across two critical time points and changes in these measures in relation to changes in maternal anxiety and depression among mothers of Mexican descent living in Southern California (n=152). Surveys were administered within 5-16 weeks of the March 19, 2020 stay-at-home COVID-19 order in California and again between June to December 2021.

Results: High proportions of women reported moderate to severe impacts of COVID-19 early in the pandemic, which reduced modestly a year later, e.g., reduced family incomes (55.9% 2020 Lockdown vs 32.7% 1-year follow-up). Anticipatory stigma was high across the first year, e.g., worrying at least some of the time that a family member will be deported (33.1% 2020 Lockdown vs. 14.1% 1-year follow-up), or they would not be able to care for their children (88.5% 2020 lockdown vs 82.2% 1-year follow-up). COVID-19 stigma, impact, and fears were significantly associated with higher levels of anxiety and depressive symptoms at both time points (p<0.003), and changes in COVID-19 impact were associated with changes in depression (p=0.0004).

Conclusion: Findings emphasize the adverse socioeconomic and psychological effects of the pandemic for Latina mothers.

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来源期刊
Journal of Racial and Ethnic Health Disparities
Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
5.10%
发文量
263
期刊介绍: Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.
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