PDF(Pubmed)
Abstract：
In the United States, Asian and Pacific Islander (A/PI) communities have faced significant discrimination and stigma during the COVID-19 pandemic. We assessed the association between discrimination and depression, anxiety, and loneliness symptoms among Asian or Pacific Islander adults (n = 543) using data from a 116-item nationally distributed online survey of adults (≥ 18 years old) in the United States conducted between 5/2021-1/2022. Discrimination was assessed using the 5-item Everyday Discrimination Scale. Anxiety, depression, and loneliness symptoms were assessed using the 2-item Generalized Anxiety Disorder, 2-item Patient Health Questionnaire, and UCLA Loneliness Scale-Short form, respectively. We used multivariable logistic regression to estimate the association between discrimination and mental health. Overall, 42.7% of participants reported experiencing discrimination once a month or more. Compared with no discrimination, experiencing discrimination once a month was associated with increased odds of anxiety (Adjusted Odds Ratio [aOR] = 2.60, 95% CI = 1.38-4.77), depression (aOR = 2.58, 95% CI = 1.46-4.56), and loneliness (aOR = 2.86, 95% CI = 1.75-4.67). Experiencing discrimination once a week or more was associated with even higher odds of anxiety (aOR = 6.90, 95% CI = 3.71-12.83), depression, (aOR = 6.96, 95% CI = 3.80-12.74), and loneliness (aOR = 6.91, 95% CI = 3.38-13.00). Discrimination is detrimental to mental health, even at relatively low frequencies; however, more frequent discrimination was associated with worse mental health symptoms. Public health interventions and programs targeting anti-A/PI hate and reducing A/PI mental health burden are urgently needed.
摘要：
在美国,在COVID-19大流行期间，亚洲及太平洋岛民(A/PI)社区面临着严重的歧视和耻辱。我们评估了歧视和抑郁之间的关联，焦虑,亚洲或太平洋岛民成年人(n=543)的孤独感症状,使用2021年5月1日至2022年在美国进行的一项116项全国性成人(≥18岁)在线调查数据.使用5项日常歧视量表评估歧视。焦虑,抑郁症,孤独症状使用2项广泛性焦虑症进行评估，2项患者健康问卷，加州大学洛杉矶分校的孤独感量表-简称，分别。我们使用多变量逻辑回归来估计歧视与心理健康之间的关系。总的来说,42.7％的参与者报告每月遭受一次或更长时间的歧视。与没有歧视相比，每月经历一次歧视与焦虑几率增加相关(调整后赔率[aOR]=2.60，95%CI=1.38-4.77)，抑郁症（AOR=2.58，95%CI=1.46-4.56），孤独感(aOR=2.86，95%CI=1.75-4.67)。每周经历一次或更长时间的歧视与更高的焦虑几率相关(aOR=6.90，95%CI=3.71-12.83)，抑郁症,(AOR=6.96，95%CI=3.80-12.74)，孤独感(aOR=6.91，95%CI=3.38-13.00)。歧视不利于心理健康，即使在相对较低的频率；然而，更频繁的歧视与更严重的心理健康症状相关。迫切需要针对抗A/PI仇恨和减轻A/PI心理健康负担的公共卫生干预措施和计划。
