A Comparison of COVID-19 Outcomes Between Reservation-Area American Indian and U.S. National Students.
AJPM Focus
; 2(1)2023 Mar.
Article
in English
| MEDLINE | ID: covidwho-2304431
ABSTRACT
Introduction:
This study presents data from 2 population-based surveys of youth (reservation-area American Indian adolescents and U.S. adolescents) on self, family, and friend morbidity and changes in substance use and negative impacts during COVID-19.Methods:
Data were obtained in spring 2021 from surveys of American Indian students living on or near reservations (8th grade, n=398; 10th grade, n=367; 12th grade, n=290) and national students from Monitoring the Future (8th grade, n=11,446; 10th grade, n=11,792; 12th grade, n=9,022). The main outcomes were COVID-19 testing, perceived morbidity/mortality, substance-use changes, and emotional changes during COVID-19.Results:
The American Indian sample had a greater proportion of testing (e.g., American Indian 8th grade 58.1% [95% CI=48.6, 68.8]; Monitoring the Future 8th grade 43.6% [95% CI=39.8, 47.5]) and friend/family hospitalization (e.g., American Indian 8th grade 36.2% [95% CI=26.2, 47.5]; Monitoring the Future 8th grade 11.9% [95% CI=10.6, 13.3]). Across grades, greater proportions of the national sample reported increased anxiety, anger, boredom, loneliness, depression, worry, and trouble concentrating, whereas greater proportions of reservation-area American Indians reported decreased anxiety, loneliness, and depression.Conclusions:
Findings indicate that reservation-area American Indian youth experienced unique health consequences 1 year into the COVID-19 pandemic compared with national students, illustrating the need for American Indian-specific COVID-19 public health monitoring and response.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Observational study
Language:
English
Year:
2023
Document Type:
Article
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