Mental Health Status by Race, Ethnicity and Socioeconomic Status among Young Adults in Texas during COVID-19.

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Tác giả: Stephanie L Clendennen, Melissa B Harrell, Dale S Mantey, Priya B Thomas

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: Switzerland : Journal of racial and ethnic health disparities , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 714672

 BACKGROUND: Differences in symptoms of depression and anxiety by race/ethnicity and socioeconomic status (SES) among a diverse cohort of young adults during the COVID-19 pandemic (Spring 2020-Fall 2021) have not been examined. METHOD: We analyzed four waves of biannual, panel data from n = 2629 emerging adults (16-25 years old) from the Texas Adolescent Tobacco and Marketing Surveillance study (TATAMS). We conducted a series of mixed effects ordinal logistic regression models to compare the independent and joint effects of race/ethnicity and SES on symptoms of (a) depression and (b) anxiety, adjusting for sex, cohort, and time. RESULTS: Symptoms of depression (aOR range: 1.54 - 2.19
  95% CI: 1.02 - 3.08) and anxiety (aOR range: 1.64 - 2.19
  95% CI: 1.22 - 2.79) were elevated among low SES young adults, across all racial/ethnic groups. Across SES groups, symptoms of depression were lower among non-Hispanic Blacks compared to non-Hispanic Whites (aOR range: 0.33 - 0.41
  95% CI: 0.18 - 0.62) and Hispanics /Latinos (aOR range: 0.33 - 0.38
  95% CI: 0.20 - 0.57)
  similarly, symptoms of anxiety were lower among non-Hispanic Blacks compared to non-Hispanic Whites (aOR range: 0.44
  95% CI: 25 - 0.77) and Hispanics/Latinos (aOR range: 0.47 - 0.56
  95% CI: 0.29 - 0.83). No significant interaction (joint effect) was observed between SES and race/ethnicity during this period. CONCLUSION: Low SES was persistently related to poor mental health. Lower odds of symptoms of anxiety and depression among non-Hispanic Black young adults may reflect the 'mental health paradox'. Overall, mental health policies should prioritize lower SES young adults regardless of race and ethnicity.
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