Mental Health Status by Race, Ethnicity and Socioeconomic Status among Young Adults in Texas during COVID-19.
J Racial Ethn Health Disparities
; 2024 Feb 12.
Article
em En
| MEDLINE
| ID: mdl-38347309
ABSTRACT
BACKGROUND:
Differences in symptoms of depression and anxiety by race/ethnicity and socioeconomic status (SES) among a diverse cohort of young adults during the COVID-19 pandemic (Spring 2020-Fall 2021) have not been examined.METHOD:
We analyzed four waves of biannual, panel data from n = 2629 emerging adults (16-25 years old) from the Texas Adolescent Tobacco and Marketing Surveillance study (TATAMS). We conducted a series of mixed effects ordinal logistic regression models to compare the independent and joint effects of race/ethnicity and SES on symptoms of (a) depression and (b) anxiety, adjusting for sex, cohort, and time.RESULTS:
Symptoms of depression (aOR range 1.54 - 2.19; 95% CI 1.02 - 3.08) and anxiety (aOR range 1.64 - 2.19; 95% CI 1.22 - 2.79) were elevated among low SES young adults, across all racial/ethnic groups. Across SES groups, symptoms of depression were lower among non-Hispanic Blacks compared to non-Hispanic Whites (aOR range 0.33 - 0.41; 95% CI 0.18 - 0.62) and Hispanics /Latinos (aOR range 0.33 - 0.38; 95% CI 0.20 - 0.57); similarly, symptoms of anxiety were lower among non-Hispanic Blacks compared to non-Hispanic Whites (aOR range 0.44; 95% CI 25 - 0.77) and Hispanics/Latinos (aOR range 0.47 - 0.56; 95% CI 0.29 - 0.83). No significant interaction (joint effect) was observed between SES and race/ethnicity during this period.CONCLUSION:
Low SES was persistently related to poor mental health. Lower odds of symptoms of anxiety and depression among non-Hispanic Black young adults may reflect the 'mental health paradox'. Overall, mental health policies should prioritize lower SES young adults regardless of race and ethnicity.
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Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article