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Elevated serious psychological distress, economic disruption, and the COVID-19 pandemic in the nonmetropolitan American West.
Mueller, J Tom; Merdjanoff, Alexis; McConnell, Kathryn; Burow, Paul; Farrell, Justin.
  • Mueller JT; Department of Geography and Environmental Sustainability, University of Oklahoma, United States of America. Electronic address: tom.mueller@ou.edu.
  • Merdjanoff A; NYU School of Global Public Health, New York University, United States of America.
  • McConnell K; Yale School of the Environment, Yale University, United States of America.
  • Burow P; Department of Anthropology, Yale University, United States of America.
  • Farrell J; Yale School of the Environment, Yale University, United States of America.
Prev Med ; 155: 106919, 2022 02.
Article in English | MEDLINE | ID: covidwho-1586234
ABSTRACT
In this study we examined the psychological distress, self-rated health, COVID-19 exposure, and economic disruption of a sample of the nonmetropolitan western U.S. population and labor force one year after the start of the COVID-19 pandemic. Using novel primary survey data from non-metropolitan counties in the eleven contiguous western United States collected from February 28 until April 3, 2021 (n = 1203), we descriptively analyzed variables and estimated binomial and multinomial logit models of the association between economic disruption, COVID-19 exposure, self-rated health, and psychological distress. Results showed there was widespread presence of psychological distress, COVID-19 exposure, and economic disruption among the overall sample and members of the labor force. There was extremely high incidence of serious psychological distress (14.8% CI [12.1,17.8] of the weighted sample), which was heightened among the labor force (16.6%, CI [13.0,20.9] of those in the labor force). We found economic disruption was associated with severe psychological distress, but exposure to infection was not. Comparatively, overall self-rated health was at similar levels as prior research and was not significantly associated with economic disruption or COVID-19 exposure. COVID-19, particularly its associated economic effects, had a significant relationship with serious psychological distress in this sample of adults in the nonmetropolitan western United States.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Psychological Distress / COVID-19 Type of study: Observational study Limits: Adult / Humans Country/Region as subject: North America Language: English Journal: Prev Med Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Psychological Distress / COVID-19 Type of study: Observational study Limits: Adult / Humans Country/Region as subject: North America Language: English Journal: Prev Med Year: 2022 Document Type: Article