COVID-Related Stressors and Psychological Distress Among Chicago Residents: the Moderating Role of Race.

ABSTRACT

BACKGROUND: Racial and ethnic minorities have been disproportionately affected by the COVID-19 pandemic and have experienced greater financial loss, housing instability, and food insecurity due to COVID-related restrictions. As a result, Black and Hispanic communities may be at greater risk of experiencing psychological distress (PD). METHODS: Using data collected between October 2020 and January 2021from 906 Black (39%), White (50%), and Hispanic (11%) adults, we assessed racial/ethnic differences in the effect of three COVID-related stressors-employment stress, housing instability, and food insecurity-on PD using ordinary least square regression. RESULTS: Black adults reported lower PD levels compared to White adults (ß = - 0.23, P < 0.001), but Hispanic adults did not differ significantly from White adults. COVID-related housing instability (ß = 0.46, P < 0.001), food insecurity (ß = 0.27, P < 0.001), and employment stress (ß = 0.29, P < 0.001) were associated with higher PD. Employment stress was the only stressor to differentially affect PD by race/ethnicity. Among those that reported employment stress, Black adults had lower levels of distress compared to Whites (ß = - 0.54, P < 0.001) and Hispanics (ß = - 0.04, P = 0.85). CONCLUSION: Despite relatively high exposure to COVID-related stressors, Black respondents had lower levels of PD compared to Whites and Hispanics which may reflect differences in race-specific coping mechanisms. Future research is needed to elucidate the nuances of these relationships and identify policies and interventions that prevent and minimize the impact of employment, food, and housing-related stressors and support coping mechanisms that promote mental health among minority populations, such as policies that support easier access to mental health and financial and housing assistance.