Mental Health Among Chinese Immigrants in the United States During the COVID-19 Pandemic.

ABSTRACT

INTRODUCTION: Chinese immigrants have faced tremendous health challenges during the coronavirus disease 2019 pandemic. The purpose of this study was to examine the prevalence of depression and anxiety and associated factors among Chinese immigrants in the United States. METHODOLOGY: This is a cross-sectional study conducted online. Sociodemographic, immigration-related, and pandemic-related factors, racism, social support, depression, and anxiety were measured. RESULTS: A total of 507 Chinese immigrants completed the survey, with 36% of participants having depression and 29% having anxiety. Younger age (p = .048), residing in the South (p = .017), being affected by the pandemic (p < .001), racism (p < .001), and lower levels of social support (p < .001) were associated with depression. Lower education levels (p = .017), unemployment (p = .036), being U.S.-born (China-born p = .012; Other nativity p = .034), being affected by the pandemic (p = .006), racism (p < .001), and lower levels of social support (p = .006) were associated with anxiety. DISCUSSION: There is a pressing need for health care professionals and policymakers to develop effective strategies to decrease anti-Chinese racism and address Chinese immigrants' mental health needs during the pandemic and afterward.