SSM. Mental health最新文献

{"title":"The social construction of mental illness stigma amongst Asians: A systematic review and meta-ethnography","authors":"Athel J. Hu ,&nbsp;Pearlyn Neo ,&nbsp;Amanda Soon ,&nbsp;Harry Tan ,&nbsp;Yuxin He ,&nbsp;Rayner Kay Jin Tan","doi":"10.1016/j.ssmmh.2024.100371","DOIUrl":"10.1016/j.ssmmh.2024.100371","url":null,"abstract":"<div><div>Known to be discrediting and discriminatory in nature, scholars have argued that the impact of stigma against persons with lived experiences of mental illnesses (PWLEs) is far worse than living with the symptoms of the conditions itself. Particularly in Asia where mental illnesses tend to be highly moralized, where PWLEs are often conceived as displaying poor character due to Confucius ideology or religious reasons, evidence has shown that stigma against PWLEs is much stronger in Asia than in the Western contexts. Currently, there is limited insights on the origins of mental illness stigma and how stigma is constructed into moralized forms and perpetuated across society. Underpinned by social constructionism, this systematic review and meta-ethnography paper undertook a theory-driven approach to address ‘how is mental illness stigma socially constructed amongst Asians?’ Systematic search for primary qualitative research journal papers was conducted across six databases (PubMed; Embase; PsycINFO; CINAHL; Social Science Database; SCOPUS), yielding 4516 articles. 30 articles were identified for synthesis. Results revealed how historical context of governmental (colonialism; Confucius ideology; industrialization) and religious institutions and country-specific power elites and individuals shaped the constructions of cultural stigma. Cultural stigma permeates societies through culturally dependent language via word-of-mouth (facilitated by collectivism) and media into forms of public stigma, causing a lack of trust between public and PWLEs. Individuals in societies further perpetuate stigma by means of interpreting, labelling anomalies and discriminating PWLEs based on preconceived learnt cultural prejudices that are activated during social interactions, further reinforcing public stigma. Finally, while most PWLEs anticipate stigma and self-stigmatize due to internalization of cultural and public stigma, unique to this study, a small group of PWLEs was able to resist and contest stigma due to holding socially valued roles that <em>‘matter most’</em>. Recommendations for destigmatization strategies are suggested in view of these findings.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100371"},"PeriodicalIF":4.1,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the societal implications of digital mental health technologies: A critical review","authors":"Olivia A. Stein,&nbsp;Audrey Prost","doi":"10.1016/j.ssmmh.2024.100373","DOIUrl":"10.1016/j.ssmmh.2024.100373","url":null,"abstract":"<div><h3>Introduction</h3><div>Digital mental health technologies are services that rely significantly on big data and artificial intelligence and are widely championed as possible solutions to global mental healthcare shortages. Services include prediction and detection of symptoms, personalized treatment, chatbot therapy, and both personal and population-level monitoring. Existing research has focused on describing the functionality, acceptability, and efficacy of these technologies, as well as data governance challenges. This critical review explores the societal implications of digital mental health technologies in terms of its impacts on mental healthcare, population-based monitoring of mental health, and commodification of mental health data.</div></div><div><h3>Methods</h3><div>Searched six databases for literature on digital mental health technologies published between 2014 and 2023 following PRISMA-ScR. Conducted qualitative data analysis of 53 records using the Framework method, bringing into conversation wider literature on mental healthcare, ethics, health equity, and data capitalism.</div></div><div><h3>Results</h3><div>The literature on digital mental health technologies highlights three main areas of ethical concern. First, these technologies could affect treatment and management through changes in accessibility, quality and resource availability of mental healthcare in either positive or negative ways, depending on linkages with clinical services. In addition, these technologies may have ramifications due to the objectification or dehumanization of mental healthcare, the medicalization of poor mental health, and the prominence of self-management. Second, the implications of novel clinical and population-based monitoring are explored, including algorithm-triggered mental health interventions and surveillance. Third, the literature brings forth reservations about the commodification of mental health data through the practice of data capitalism.</div></div><div><h3>Conclusion</h3><div>This critical review suggests an urgent need for comprehensive regulation of digital mental health technologies and scholarly collaboration to curb adverse effects on mental healthcare systems and society, while remaining optimistic regarding the potential benefits of these services if implemented in collaboration with clinicians and communities who experience mental illness.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100373"},"PeriodicalIF":4.1,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142719608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Juggling to stay afloat: Debt and health under financialization","authors":"Annie Harper ,&nbsp;Tommaso Bardelli ,&nbsp;Katherine Kwok","doi":"10.1016/j.ssmmh.2024.100363","DOIUrl":"10.1016/j.ssmmh.2024.100363","url":null,"abstract":"<div><div>Household debt has dramatically increased in the United States in the past four decades, notwithstanding a temporary reprieve during the Covid-19 Pandemic. While debt has expanded across social groups, low-income individuals are most negatively impacted, taking on high-cost debt that they struggle to repay, often simply to meet basic needs. This article explores indebtedness among low- and moderate-income US households, and its association with physical and mental health. While most existing studies explore health effects of specific debt types, or monetary value of total debt, our research proposes a categorization of debt into three types (potential wealth-building, problem short-term, and non-loan debt) that is more meaningful in health research and addresses the experience of managing multiple and intersecting debts, common among low-income households. Using mixed methods, we show how these debts are experienced by debtors, resulting in them feeling overwhelmed, anxious, and stressed, ultimately taking a toll on both their physical and mental health.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100363"},"PeriodicalIF":4.1,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing an explanatory model of alcohol misuse among South Sudanese refugees in northern Uganda: A qualitative study","authors":"Lena S. Andersen ,&nbsp;Catharina F. Van der Boor ,&nbsp;Abhijit Nadkarni ,&nbsp;Dalili Taban ,&nbsp;Alessandro Massazza ,&nbsp;Daniela C. Fuhr ,&nbsp;Bayard Roberts ,&nbsp;Nawaraj Upadhaya ,&nbsp;Wietse A. Tol ,&nbsp;Eugene Kinyanda","doi":"10.1016/j.ssmmh.2024.100366","DOIUrl":"10.1016/j.ssmmh.2024.100366","url":null,"abstract":"<div><h3>Background</h3><div>Alcohol misuse is a significant health problem among forcibly displaced populations including male South Sudanese refugees in northern Uganda, yet interventions are sorely lacking. Developing an explanatory model of alcohol misuse in this population is the first step to designing appropriate and effective interventions. The aim of the current study was to examine alcohol misuse in this setting and to conceptualize an explanatory model of alcohol misuse.</div></div><div><h3>Method</h3><div>A total of 57 interviews were conducted with male refugees (18+ years) with alcohol misuse (n = 17), their family members (n = 15), community and religious leaders (n = 15), and mental health and psychosocial support providers (n = 10) in Rhino Camp settlement in northern Uganda. A thematic analysis approach was used to inductively analyze the data.</div></div><div><h3>Results</h3><div>Alcohol misuse was identified as a significant psychosocial problem among men in this setting. The adversity (e.g. trauma, loss, poverty), psychological distress (e.g. demoralization), perpetuators (e.g. ease of availability of alcohol, family conflict), and consequences of alcohol use (e.g. interpartner violence, exacerbated poverty) were identified. An explanatory model emerged from the data showing a reinforcing relationship in which adversity causes psychological distress, which leads to increased alcohol use via a number of personal, interpersonal, community and societal perpetuators, and over time increased alcohol use amplifies psychological distress which further increases alcohol misuse.</div></div><div><h3>Conclusions</h3><div>Given the need to address alcohol misuse in this population, this explanatory model of alcohol misuse can be used to inform prevention and treatment interventions for alcohol misuse. These interventions should endeavor to address the identified determinants of alcohol misuse while being cognizant of the social and cultural considerations specific to males in this population.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100366"},"PeriodicalIF":4.1,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142719607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative study of type 1 diabetes complications, mental health, and structural pathways of complications occurrence among young people (14–24 years) and caregivers in southern Ghana","authors":"Bernard Afriyie Owusu ,&nbsp;Prince Ofori-Boateng ,&nbsp;Elizabeth Bankah ,&nbsp;Nana Ama Barnes ,&nbsp;Yacoba Atiase ,&nbsp;Ernest Yorke ,&nbsp;Marc Kwame Dzradosi ,&nbsp;David Teye Doku","doi":"10.1016/j.ssmmh.2024.100368","DOIUrl":"10.1016/j.ssmmh.2024.100368","url":null,"abstract":"<div><h3>Background</h3><div>Young people (aged 14–24 years) living with Type 1 Diabetes (T1D), especially, those in low-resource settings experiencing having T1D complications, and poor mental health. Yet, little is known about T1D complications, mental health, and their lived experiences among young people and their caregivers in Ghana<strong>.</strong></div></div><div><h3>Objective</h3><div>This article sought to understand a) the dynamics of T1D complications, mental health, and lived experiences, and b) drawing on this evidence, develop structural and behavioural pathways of T1D complication occurrence among young people in Ghana.</div></div><div><h3>Methods</h3><div>The study design was interpretivist phenomenology (qualitative). Twenty-eight young people living with T1D (YPLWD), 12 caregivers, and six healthcare providers across three regions in southern Ghana were purposively recruited and interviewed using interview guides. The methods included a photovoice where the YPLWD took photographs to highlight visible complications. Themes were formed from the quotes and photovoice. The analytical technique was thematic - performed with the aid of QSR NVivo 14.</div></div><div><h3>Results</h3><div>Four main themes which were: physical complications, mental health, other adverse health outcomes, and structural pathways of complication occurrence were identified from the analyses. Physical complications discussed included visual impairment, diabetic coma, reproductive ill-health, and kidney disease. We found on the average, eight (8) years of living with T1D (with minimum and maximum years of 2 and 4 respectively). Mental health issues including anxiety and suicidal ideation transcended YPLWD to caregivers. Multiple structural and behavioural risk factors of T1D complications were also found.</div></div><div><h3>Conclusion</h3><div>The YPLWD and caregivers in Ghana experienced multiple T1D complications and poor mental health. Unfortunately, these manifested early in their natural history of T1D, and were influenced by inadequate structural resources, and the adoption of sub-optimal self-care practices. This article underscores the need to improve structural T1D resources, promote optimal blood glucose control, alongside mental/psychosocial support for patients and their caregivers in Ghana.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100368"},"PeriodicalIF":4.1,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opioid risk-reduction strategies for people with HIV on chronic opioid therapy: A qualitative study of patient perspectives","authors":"Karsten Lunze ,&nbsp;Jennifer J. Carroll ,&nbsp;Nishtha Ahuja ,&nbsp;Marlene C. Lira ,&nbsp;Judith I. Tsui ,&nbsp;Alicia Ventura ,&nbsp;Jonathan A. Colasanti ,&nbsp;Jane M. Liebschutz ,&nbsp;Carlos del Rio ,&nbsp;Jeffrey H. Samet","doi":"10.1016/j.ssmmh.2024.100364","DOIUrl":"10.1016/j.ssmmh.2024.100364","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100364"},"PeriodicalIF":4.1,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community mental health for migrant women in Barcelona (“Self-Care Among Women”): Protocol for a mixed-methods process evaluation of a pilot psychological intervention","authors":"Alba Cuxart-Graell ,&nbsp;Liv Mathilde Pampiri ,&nbsp;Helena Sainz-Elías ,&nbsp;Fajar Matloob Ahmed Butt ,&nbsp;Wafae Moussaoui Rahhab ,&nbsp;Irene de Gracia Alcaide ,&nbsp;Isabel Monter Alavedra ,&nbsp;Carla Cisneros Pinet ,&nbsp;Helena Marti-Soler ,&nbsp;Maria Marti-Castaner ,&nbsp;Laura Giménez ,&nbsp;Yolanda Osorio Lopez ,&nbsp;Ana Requena-Méndez ,&nbsp;Paula Cristóbal-Narváez ,&nbsp;Stella Evangelidou","doi":"10.1016/j.ssmmh.2024.100367","DOIUrl":"10.1016/j.ssmmh.2024.100367","url":null,"abstract":"<div><h3>Introduction</h3><div>Migrant populations, especially women, are often more susceptible to poor mental health and they face healthcare access barriers. This study aims to develop and evaluate a community-based mental health intervention through a participative research process to promote mental health and prevent psychiatric disorders among migrant women in Barcelona city. The intervention is built upon two evidence-based guidelines: <em>Group Problem Management Plus</em> (Group PM+) and <em>Self-Help Plus</em> (SH+).</div></div><div><h3>Methods</h3><div>“Self-Care Among Women” is a mixed-methods process evaluation study for the development of a community-based psychological pilot intervention. A participatory approach will be employed to adapt the content agenda of the community mental health intervention. Process indicators on context, implementation and mechanisms of change will be assessed through an intersectionality lens to explore the way in which the intervention is developed and implemented. The contextual fit, acceptability and feasibility of the proposed psychological intervention will be examined through participants' and facilitators' perceptions of the intervention. Further, women's clinical mental health condition and wellbeing will be assessed before and after the intervention, through standardized and culturally-validated instruments.</div></div><div><h3>Ethics and dissemination</h3><div>Ethical approval of the research protocol has been obtained by the Research Ethics Committees of Hospital Clínic, Fundació Institut Universitari per a la recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol) and Parc Sanitari Sant Joan de Déu. Written informed consent will be requested from all research participants for inclusion in the study. The study results will be published in peer-reviewed journals and communicated to congresses.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100367"},"PeriodicalIF":4.1,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with mental health outcomes among peer refugee helpers in Greece: Results from a cross-sectional study","authors":"Michalis Lavdas,&nbsp;Gro Mjeldheim Sandal,&nbsp;Tormod Bøe","doi":"10.1016/j.ssmmh.2024.100365","DOIUrl":"10.1016/j.ssmmh.2024.100365","url":null,"abstract":"<div><h3>Background</h3><div>An increasing number of people are engaged in humanitarian responses worldwide as aid workers. Peer Refugee Helpers (PRHs) are refugees or asylum seekers engaged formally in humanitarian assistance through Aid/Humanitarian Organizations, yet the factors affecting their mental health are poorly understood.</div></div><div><h3>Objectives</h3><div>This study aims to investigate the mental health of PRHs and explore factors that may contribute to anxiety and depression in this group through the lens of the Salutogenic Model of Health (SMH).</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted comparing PRHs engaged with Aid/Humanitarian Organizations (AOs) in Greece with non-helpers (N = 248), all of whom had experienced forced migration. Standardized instruments were used to measure symptoms of depression and anxiety (GAD-7, PHQ-9), social support (SPS-24), sense of coherence (SOC-13), coping flexibility (PACT), and trauma exposure (BTQ-10). Using regression analyses, we compared symptoms of anxiety and depression in a group of PRHs (n = 107) to a control group of non-helpers (n = 141). Socio-demographic variables (ex. occupational status) were also included in the model. Furthermore, we investigated protective and risk factors for anxiety and depression within the group of PRHs.</div></div><div><h3>Results</h3><div>PRHs did not differ significantly from the non-helpers in their anxiety and depression levels. In the adjusted regression analyses within the group of PRHs, being paid and having a higher sense of coherence were significantly associated with lower anxiety and depression.</div></div><div><h3>Conclusions</h3><div>To enhance the well-being and mental health of refugees working as PRHs in the humanitarian field, AOs should first address post-migration living difficulties that contribute to anxiety and depression. Second, PRHs should be supported adequately through training and supervision that will help them build fundamental competencies. Third, compensation for the PRH engagement is instrumental in addressing job insecurity, while facilitating access to resources, relevant to basic and psychological needs.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100365"},"PeriodicalIF":4.1,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What matters for sustainable psychosocial interventions and who decides? Critical ethnography of a lay counselling program in Nepal","authors":"Parbati Shrestha ,&nbsp;Aruna Limbu ,&nbsp;Kusumlata Tiwari ,&nbsp;Liana E. Chase","doi":"10.1016/j.ssmmh.2024.100359","DOIUrl":"10.1016/j.ssmmh.2024.100359","url":null,"abstract":"<div><div>Lay counselling, or the delivery of talk-based therapeutic support by people without a clinical degree, is gaining popularity as a way of addressing global shortages of mental health professionals. In Nepal, lay counselors have made significant contributions to mental health and psychosocial care over the last two decades, particularly in the aftermath of major emergencies. However, research on the longer-term integration and sustainability of lay counselling interventions remains limited. This ethnographic study explored the meaning and importance of sustainability to different stakeholders in a lay counselling program implemented following Nepal's 2015 earthquake. We conducted participant observation in the everyday lives of five counsellors as well as four focus group discussions and 51 semi-structured interviews with counsellors and other key stakeholders. Our analysis revealed significant discrepancies in perceptions of sustainability; while organizations involved in implementing the program described it as a sustainability success due to continued government financing, counsellors emphasized their own and the government's failure to sustain high-quality service delivery in practice. Program-level barriers included inadequate budget and remuneration, lack of clinical supervision, and poor integration within existing systems. We also identified wider sociopolitical influences on sustainability, including the social positioning of counsellors, low understanding and acceptability of counselling, and a rapidly changing political landscape. These findings reveal the need for a critical approach to sustainability in global mental health, warning against superficial engagement that prioritizes continuity of government financing over quality of care and workers' rights. Advocating for an ecological orientation within sustainability research, we also discuss the importance of looking beyond program design factors to consider how local and national sociopolitical dynamics influence frontline service provision.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100359"},"PeriodicalIF":4.1,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Has population mental health returned to pre-pandemic levels, among and between racialized groups and by immigration status?","authors":"Caitlin Patler,&nbsp;Paola D. Langer","doi":"10.1016/j.ssmmh.2024.100362","DOIUrl":"10.1016/j.ssmmh.2024.100362","url":null,"abstract":"<div><div>The COVID-19 pandemic profoundly impacted population health, including mental health, in ways that were patterned unevenly by pre-existing systemic inequalities such as structural gendered racism and xenophobia. However, it remains unclear whether pandemic-related mental health deterioration has persisted over time. Drawing on theories of disruptive events and structural racism, we conceptualize the pandemic as a <em>prolonged macro-level disruptive event</em> with unequal ramifications for different racialized groups and by immigration status. We use six waves (2017–2022) of repeated cross-sectional data from the California Health Interview Survey (CHIS; N = 121,063) from men and women from nine racialized and immigration status groups (US-born citizens, naturalized citizens, and noncitizens of White, Latina/o, and Asian racialized groups, respectively). We use multivariable regression to examine changes in psychological distress within each group, and then assess patterns of racialized health disparities between Latina/o and Asian groups, respectively, compared to White US-born citizens, who occupy the most structurally privileged social status. Our analyses reveal several key findings. First, we observed persistent increases in psychological distress from 2020 through 2022, relative to the pre-pandemic period (2017–2019), for all racialized and immigration status groups, among men and women. Second, few groups had returned to pre-pandemic distress levels as of 2022. Third, there was a consistent health advantage for White US-born citizens across the pre-pandemic and pandemic years, whose highest post-pandemic distress measure was lower or equivalent to the pre-pandemic distress of US-born Latina/o and Asian groups. Fourth, the psychological distress gap between the White US-born population and US-born Latina/o and Asian groups, respectively, grew or held steady through 2022. Finally, the 2020–2022 period was associated with a reduction in pre-pandemic health advantages among Asian immigrant groups, relative to US-born White citizens, especially among men. Our findings provide strong evidence that population mental health has not recovered from the pandemic period.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100362"},"PeriodicalIF":4.1,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}