A portrait of the early and differential mental health impacts of the COVID-19 pandemic in Canada: Findings from the first wave of a nationally representative cross-sectional survey

PREVENTIVE MEDICINE

卷:145

Article

Jenkins, Emily K.¹  McAuliffe, Corey¹  Hirani, Saima¹  Richardson, Chris^2,3  Thomson, Kimberly C.^2,3,4  McGuinness, Liza¹  Morris, Jonathan⁵  Kousoulis, Antonis⁶  Gadermann, Anne^2,3,4 

[1] Univ British Columbia, Sch Nursing, T201-2211 Westbrook Mall, Vancouver, BC V6T 2B5, Canada

[2] Univ British Columbia, Sch Populat & Publ Hlth, 2206 E Mall, Vancouver, BC V6T 1Z3, Canada

[3] St Pauls Hosp, Ctr Hlth Evaluat & Outcome Sci, 5881-1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada

[4] Univ British Columbia, Human Early Learning Partnership, Suite 440,2206 East Mall, Vancouver, BC V6T 1Z3, Canada

[5] Canadian Mental Hlth Assoc, BC Div, Suite 905-1130 West Pender St, Vancouver, BC V6E 4A4, Canada

[6] Mental Hlth Fdn, Res Programmes & Policy, Colechurch House,1 London Bridge Walk, London SE1 2SX, England

关键词: Mental health;    COVID-19;    Public health;    Social determinants of health;    Structural vulnerability;    Inequities;    Survey;    Syndemics theory;   

DOI  :  10.1016/j.ypmed.2020.106333

来源: Elsevier

【 摘 要 】

Evidence on the population-level mental health impacts of COVID-19 are beginning to amass; however, to date, there are significant gaps in our understandings of whose mental health is most impacted, how the pandemic is contributing to widening mental health inequities, and the coping strategies being used to sustain mental health. The first wave of a repeated cross-sectional monitoring survey was conducted between May 14?29, 2020 to assess the mental health impacts of the pandemic and to identify the disproportionate impacts on populations or groups identified as experiencing increased risks due to structural vulnerability and pre-existing health and social inequities. Respondents included a nationally representative probability sample (n = 3000) of Canadian adults 18 years and older. Overall, Canadian populations are experiencing a deterioration in mental health and coping due to the pandemic. Those who experience health, social, and/or structural vulnerabilities due to pre-existing mental health conditions, disability, income, ethnicity, sexuality, and/or gender are more likely to endorse mental health deterioration, challenging emotions, and difficulties coping. This monitoring study highlights the differential mental health impacts of the pandemic for those who experience health, social, and structural inequities. These data are critical to informing responsive, equity-oriented public health, and policy responses in real-time to protect and promote the mental health of those most at risk during the pandemic and beyond.

【 授权许可】

Free