Emotional and Financial Stressors in New York City During the COVID-19 Pandemic: A Consecutive Cross-Sectional Analysis.

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2025-04-01 Epub Date: 2024-02-21 DOI:10.1007/s40615-024-01921-5
David J Heller, Devin Madden, Timnit Berhane, Nina A Bickell, Grace Van Hyfte, Sarah Miller, Umut Ozbek, Jung-Yi Lin, Rebecca M Schwartz, Robert A Lopez, Guedy Arniella, Victoria Mayer, Carol R Horowitz, Emma K Benn, Nita Vangeepuram
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Abstract

Mental and financial hardship during the COVID-19 pandemic in New York City was severe, but how vulnerable groups have been disproportionately impacted is incompletely understood. In partnership with community stakeholders, we administered a web-based survey to a convenience sample of New York City residents (18 + years) from May 2020 to April 2021 to evaluate their financial and emotional stressors. We analyzed outcomes by race, ethnicity, and education level. A total of 1854 adults completed the survey across three consecutive non-overlapping samples. Fifty-five percent identified other than non-Latinx White. Sixty-four percent reported emotional stress; 38%, 32%, and 32% reported symptoms of anxiety, depression, and post-traumatic stress disorder respectively; and 21% reported a large adverse financial impact. The leading unmet needs were mental health and food services (both 19%), and health services (18%). Need for both resources grew over time. Adverse financial impact directly correlated with presence of all four adverse mental health outcomes above. In multivariate analysis, non-White race and lack of college degree were associated with adverse financial impact, whereas LGBT identity and lack of college degree were associated with mental health impact. Throughout the COVID-19 pandemic, participants in this research demonstrated a large and growing mental and financial strain, disproportionately associated with lower education level, non-White race, and LGBT status. Our findings suggest an urgent need to differentially target COVID-19 mental health and resource support in New York City to persons in these vulnerable communities.

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COVID-19 大流行期间纽约市的情感和经济压力:连续横断面分析。
纽约市在 COVID-19 大流行期间遭受了严重的精神和经济困难,但对弱势群体如何受到不成比例的影响却不甚了解。我们与社区利益相关者合作,在 2020 年 5 月至 2021 年 4 月期间对纽约市居民(18 岁以上)进行了网络调查,以评估他们的经济和精神压力。我们按种族、民族和教育水平对结果进行了分析。在连续三个不重叠的样本中,共有 1854 名成年人完成了调查。55%的人被认定为非拉丁裔白人。64%的人报告了情绪压力;分别有 38%、32% 和 32% 的人报告了焦虑、抑郁和创伤后应激障碍的症状;21% 的人报告了巨大的负面经济影响。最主要的未满足需求是心理健康和食品服务(均为 19%)以及医疗服务(18%)。随着时间的推移,对这两种资源的需求都在增加。不利的财务影响与上述所有四种不利的心理健康结果直接相关。在多变量分析中,非白人种族和缺乏大学学位与不良经济影响相关,而女同性恋、男同性恋、双性恋和变性者身份和缺乏大学学位与心理健康影响相关。在 COVID-19 大流行的整个过程中,本研究的参与者表现出了巨大且不断增长的精神和经济压力,这与较低的教育水平、非白人种族和 LGBT 身份有着不成比例的关系。我们的研究结果表明,纽约市迫切需要针对这些弱势群体提供不同的 COVID-19 心理健康和资源支持。
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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.
期刊最新文献
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