PDF(Pubmed)
Abstract：
BACKGROUND: Strict social distancing public health measures to decrease COVID-19 spread increased social distancing stress. However, differences in social distancing stress by anxiety/depression symptoms are understudied, especially based on COVID-19 diagnosis status, gender identity, and immigration status. We examined whether the association between social distancing stress and anxiety/depression symptoms was moderated by COVID-19 diagnosis status, gender identity, and immigration status. We further examined the associations of social distancing stress with anxiety/depression symptoms, gender identity, and immigration status among individuals with and without COVID-19.
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.
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.
摘要：
背景：严格的社会距离公共卫生措施，以减少COVID-19传播增加的社会距离压力。然而,焦虑/抑郁症状在社交距离压力方面的差异没有得到充分研究，特别是基于COVID-19的诊断状态，性别认同,移民身份。我们检查了社会疏远压力和焦虑/抑郁症状之间的关联是否由COVID-19诊断状态调节，性别认同,移民身份。我们进一步检查了社交距离压力与焦虑/抑郁症状的关联，性别认同,以及有和没有COVID-19的个人的移民身份。
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。
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。
