METHODS: We utilized data from a national cross-sectional survey among adults aged ≥ 18 years in the United States between May 13, 2021, and January 9, 2022 (n = 5,255). Multivariable logistic regression models were used to examine the associations.
RESULTS: The prevalence of social distancing stress was higher among individuals with COVID-19 (79.23%) than among those without COVID-19 (67.51%). We observed significant associations between social distancing stress and anxiety/depression symptoms, moderated by COVID-19 diagnosis status, immigration status, and gender identity, respectively. Anxiety/depression symptoms were associated with social distancing stress among both individuals with and without COVID-19. Gender identity and immigration status were associated with social distancing stress among only individuals without COVID-19.
CONCLUSIONS: Our findings revealed that the association between social distancing stress and anxiety/depression varied by COVID-19 diagnosis status, gender identity, and immigration status. The findings underscore the need for more targeted psychological distress strategies to reduce social distancing stress and anxiety/depression among diverse US populations, while considering the impacts of COVID-19 diagnosis status, gender identity, and immigration status.
方法:我们利用了2021年5月13日至2022年1月9日美国18岁以上成年人的全国横断面调查数据(n=5,255)。使用多变量逻辑回归模型来检查相关性。
结果:患有COVID-19的个体的社交距离压力患病率(79.23%)高于没有COVID-19的个体(67.51%)。我们观察到社交距离压力和焦虑/抑郁症状之间存在显著关联,由COVID-19诊断状态调节,移民身份,和性别认同,分别。焦虑/抑郁症状与有和没有COVID-19的个体的社交距离压力有关。仅在没有COVID-19的个体中,性别认同和移民身份与社会距离压力有关。
结论:我们的研究结果表明,社会疏远压力和焦虑/抑郁之间的关联因COVID-19诊断状态而异,性别认同,移民身份。研究结果强调需要更有针对性的心理困扰策略,以减少不同美国人群的社交压力和焦虑/抑郁。在考虑COVID-19诊断状态的影响的同时,性别认同,移民身份。