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Change in Health-Related Socioeconomic Risk Factors and Mental Health During the Early Phase of the COVID-19 Pandemic: A National Survey of U.S. Women.
Lindau, Stacy Tessler; Makelarski, Jennifer A; Boyd, Kelly; Doyle, Kate E; Haider, Sadia; Kumar, Shivani; Lee, Nita Karnik; Pinkerton, El; Tobin, Marie; Vu, Milkie; Wroblewski, Kristen E; Lengyel, Ernst.
  • Lindau ST; Departments of Obstetrics and Gynecology and Medicine-Geriatrics, The University of Chicago, Chicago, Illinois, USA.
  • Makelarski JA; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Illinois, USA.
  • Boyd K; Benedictine University, College of Education and Health Services, Lisle, Illinois, USA.
  • Doyle KE; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Illinois, USA.
  • Haider S; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Illinois, USA.
  • Kumar S; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Illinois, USA.
  • Lee NK; Department of Psychiatry and Behavioral Neuroscience, The University of Chicago, Chicago, Illinois, USA.
  • Pinkerton E; Department of Obstetrics and Gynecology/Section of Gynecologic Oncology, The University of Chicago, Chicago, Illinois, USA.
  • Tobin M; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Illinois, USA.
  • Vu M; Department of Psychiatry and Behavioral Neuroscience, The University of Chicago, Chicago, Illinois, USA.
  • Wroblewski KE; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Illinois, USA.
  • Lengyel E; Department of Public Health Sciences, The University of Chicago, Chicago, Illinois, USA.
J Womens Health (Larchmt) ; 30(4): 502-513, 2021 04.
Article in English | MEDLINE | ID: covidwho-1169611
Semantic information from SemMedBD (by NLM)
1. Symptoms PROCESS_OF Woman
Subject
Symptoms
Predicate
PROCESS_OF
Object
Woman
2. Anxiety PROCESS_OF Woman
Subject
Anxiety
Predicate
PROCESS_OF
Object
Woman
3. Depressive disorder PROCESS_OF Woman
Subject
Depressive disorder
Predicate
PROCESS_OF
Object
Woman
4. Symptoms PROCESS_OF Woman
Subject
Symptoms
Predicate
PROCESS_OF
Object
Woman
5. Anxiety PROCESS_OF Woman
Subject
Anxiety
Predicate
PROCESS_OF
Object
Woman
6. Depressive disorder PROCESS_OF Woman
Subject
Depressive disorder
Predicate
PROCESS_OF
Object
Woman
ABSTRACT

Background:

During a pandemic, women may be especially vulnerable to secondary health problems driven by its social and economic effects. We examined the relationship between changes in health-related socioeconomic risks (HRSRs) and mental health. Materials and

Methods:

A cross-sectional survey of 3,200 women aged 18-90 years was conducted in April 2020 using a quota-based sample from a national panel (88% cooperation rate). Patterns of change in HRSRs (food insecurity, housing instability, interpersonal violence, and difficulties with utilities and transportation) were described. Weighted, multivariate logistic regression was used to model the odds of depression, anxiety, and traumatic stress symptoms among those with and without incident or worsening HRSRs.

Results:

More than 40% of women had one or more prepandemic HRSRs. In the early pandemic phase, 49% of all women, including 29% with no prepandemic HRSRs, had experienced incident or worsening HRSRs. By April 2020, the rates of depression and anxiety were twice that of prepandemic benchmarks (29%); 17% of women had symptoms of traumatic stress. The odds of depression, anxiety, and posttraumatic stress symptoms were two to three times higher among women who reported at least one incident or worsening HRSR; this finding was similar for women with and without prepandemic HRSRs.

Conclusions:

Increased health-related socioeconomic vulnerability among U.S. women early in the coronavirus disease 2019 (COVID-19) pandemic was prevalent and associated with alarmingly high rates of mental health problems. Pandemic-related mental health needs are likely to be much greater than currently available resources, especially for vulnerable women.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Socioeconomic Factors / Stress, Psychological / Mental Health / Depression / Pandemics / COVID-19 Type of study: Etiology study / Prevalence study / Prognostic study / Randomized controlled trials / Risk factors Limits: Adolescent / Adult / Aged / Child / Female / Humans / Middle aged / Young adult Language: English Journal: J Womens Health (Larchmt) Journal subject: Gynecology / Women's Health Year: 2021 Document Type: Article Affiliation country: Jwh.2020.8879

Full text: Available Collection: International databases Database: MEDLINE Main subject: Socioeconomic Factors / Stress, Psychological / Mental Health / Depression / Pandemics / COVID-19 Type of study: Etiology study / Prevalence study / Prognostic study / Randomized controlled trials / Risk factors Limits: Adolescent / Adult / Aged / Child / Female / Humans / Middle aged / Young adult Language: English Journal: J Womens Health (Larchmt) Journal subject: Gynecology / Women's Health Year: 2021 Document Type: Article Affiliation country: Jwh.2020.8879