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Abstract：
UNASSIGNED: COVID-19 is a significant threat to people\'s mental health and social well-being. The research examined the effects of social determinants of health on COVID-19 related stress, family\'s stress and discord, and personal diagnosis of COVID-19.
UNASSIGNED: In November 2020, the data collection was conducted from 97 counties in North Carolina (N = 1500). Adult residents in North Carolina completed an online COVID-19 impact survey conducted using quota-based sampling on race, income, and county to provide a rapid quasi-representative assessment of COVID impact. The study investigated the variables in a structural model through structural equation modeling. For data analysis, IBM SPSS 26 and AMOS 27 were deployed.
UNASSIGNED: Social determinants of health had direct effects on COVID-19 related stress (β = 0.66, p < 0.001, r 2 = 0.43), family\'s stress and discord (β = 0.73, p < 0.001, r 2 = 0.53), and personal diagnosis of COVID-19 (β = 0.52, p < 0.001, r 2 = 0.27). These findings indicate that underserved populations experienced higher stress and discord at both individual and family levels and more severe COVID-19 symptoms. Moreover, black participants, whose family income and food access declined significantly more, had worse stress, discord, and COVID-19 symptoms than white participants.
UNASSIGNED: The study suggests that the government and health professionals enhance mental health and family support service accessibility for underprivileged populations through telehealth and community health programs to prevent associated social and health issues such as suicide, violence, and cancer.
UNASSIGNED: In November 2020, the data collection was conducted from 97 counties in North Carolina (N = 1500). Adult residents in North Carolina completed an online COVID-19 impact survey conducted using quota-based sampling on race, income, and county to provide a rapid quasi-representative assessment of COVID impact. The study investigated the variables in a structural model through structural equation modeling. For data analysis, IBM SPSS 26 and AMOS 27 were deployed.
UNASSIGNED: Social determinants of health had direct effects on COVID-19 related stress (β = 0.66, p < 0.001, r 2 = 0.43), family\'s stress and discord (β = 0.73, p < 0.001, r 2 = 0.53), and personal diagnosis of COVID-19 (β = 0.52, p < 0.001, r 2 = 0.27). These findings indicate that underserved populations experienced higher stress and discord at both individual and family levels and more severe COVID-19 symptoms. Moreover, black participants, whose family income and food access declined significantly more, had worse stress, discord, and COVID-19 symptoms than white participants.
UNASSIGNED: The study suggests that the government and health professionals enhance mental health and family support service accessibility for underprivileged populations through telehealth and community health programs to prevent associated social and health issues such as suicide, violence, and cancer.
摘要：
■COVID-19对人们的心理健康和社会福祉构成重大威胁。这项研究检查了健康的社会决定因素对COVID-19相关压力的影响，家庭的压力和不和谐，和COVID-19的个人诊断。
■2020年11月，数据收集来自北卡罗来纳州的97个县（N=1500）。北卡罗来纳州的成年居民完成了一项在线COVID-19影响调查，该调查使用基于配额的种族抽样进行，收入,和县提供对COVID影响的快速准代表性评估。该研究通过结构方程模型研究了结构模型中的变量。对于数据分析，部署了IBMSPSS26和AMOS27。
■健康的社会决定因素对COVID-19相关压力有直接影响(β=0.66，p<0.001，r2=0.43)，家庭的压力和不和谐(β=0.73，p<0.001，r2=0.53)，和COVID-19的个人诊断（β=0.52，p<0.001，r2=0.27）。这些结果表明，服务不足的人群在个人和家庭层面都经历了更高的压力和不和谐，以及更严重的COVID-19症状。此外，黑人参与者,他们的家庭收入和食物供应下降得更多，压力更大，不和谐,COVID-19症状高于白人参与者。
该研究表明，政府和卫生专业人员通过远程医疗和社区卫生计划，为贫困人群提高心理健康和家庭支持服务的可及性，以防止自杀等相关的社会和健康问题，暴力,和癌症。
■2020年11月，数据收集来自北卡罗来纳州的97个县（N=1500）。北卡罗来纳州的成年居民完成了一项在线COVID-19影响调查，该调查使用基于配额的种族抽样进行，收入,和县提供对COVID影响的快速准代表性评估。该研究通过结构方程模型研究了结构模型中的变量。对于数据分析，部署了IBMSPSS26和AMOS27。
■健康的社会决定因素对COVID-19相关压力有直接影响(β=0.66，p<0.001，r2=0.43)，家庭的压力和不和谐(β=0.73，p<0.001，r2=0.53)，和COVID-19的个人诊断（β=0.52，p<0.001，r2=0.27）。这些结果表明，服务不足的人群在个人和家庭层面都经历了更高的压力和不和谐，以及更严重的COVID-19症状。此外，黑人参与者,他们的家庭收入和食物供应下降得更多，压力更大，不和谐,COVID-19症状高于白人参与者。
该研究表明，政府和卫生专业人员通过远程医疗和社区卫生计划，为贫困人群提高心理健康和家庭支持服务的可及性，以防止自杀等相关的社会和健康问题，暴力,和癌症。
