The differential impacts of COVID-19 mortality on mental health by residential geographic regions: The Los Angeles Pandemic Surveillance Cohort Study.

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  • Additional Information
    • Source:
      Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
    • Publication Information:
      Original Publication: San Francisco, CA : Public Library of Science
    • Subject Terms:
      COVID-19*/mortality ; COVID-19*/epidemiology ; COVID-19*/psychology ; Mental Health*/statistics & numerical data; Humans ; Los Angeles/epidemiology ; Male ; Female ; Cross-Sectional Studies ; Middle Aged ; Adult ; Aged ; Pandemics ; SARS-CoV-2/isolation & purification ; Cohort Studies
    • Abstract:
      Objective: This study examines the association between changes in mental health before and during the COVID-19 pandemic and COVID-19 mortality across geographic areas and by race/ethnicity.
      Methods: A cross-sectional survey was conducted in Los Angeles County between April and May 2021. The study used the Patient Health Questionnaire-2 to assess major depression risk. Participants' home ZIP codes were classified into low, middle, and high COVID-19 mortality impacted areas (CMIA).
      Results: While there were existing mental health disparities due to differences in demographics and social determinants of health across CMIA in 2018, the pandemic exacerbated the disparities, especially for residents living in high CMIA. Non-White residents in high CMIA reported the largest deterioration in mental health. Differences in mental health by CMIA persisted after controlling for resident characteristics.
      Conclusions: Living in an area with higher COVID-19 mortality rates may have been associated with worse mental health, with Non-White residents reporting worse mental health outcomes in the high mortality area.
      Policy Implications: It is crucial to advocate for greater mental health resources in high COVID-19 mortality areas especially for racial/ethnic minorities.
      Competing Interests: The authors have declared that no competing interests exist.
      (Copyright: © 2024 Lam et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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    • Publication Date:
      Date Created: 20240709 Date Completed: 20240709 Latest Revision: 20240711
    • Publication Date:
      20240711
    • Accession Number:
      PMC11232987
    • Accession Number:
      10.1371/journal.pone.0304779
    • Accession Number:
      38980887