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Racial and Ethnic Disparities in the Prevalence of Stress and Worry, Mental Health Conditions, and Increased Substance Use Among Adults During the Covid-19 Pandemic — United States, April and May 2020

Bibliographic Data

ID23364418
AuthorsLela R McKnight-Eily (corresponding author), Catherine A Okoro (0000-0003-2841-5016), Tara W Strine, Jorge Verlenden (0000-0003-3112-018X), NaTasha D Hollis (0000-0002-7283-9732), Rashid Njai (0000-0002-4181-1892), Elizabeth W Mitchell, Amy Board (0000-0001-8204-3060), Richard W Puddy (0000-0002-9770-2134), Richard Puddy, Craig W Thomas (0000-0003-0530-8058), Craig Thomas (0000-0001-6813-2390)
Year2021
Volume70
Issue5
Pages162-166
Publication date2021-02-05
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMMWR. Surveillance Summaries (JOURNAL)
Journal identifiersISSN: 1546-0738 • E-ISSN: 1545-8636
PublisherCenters for Disease Control MMWR Office (PUBLISHER)
DOI10.15585/mmwr.mm7005a3
PMID33539336
OpenAlexW3126611115
LanguageEN
Citations received141
References cited6

(1). Although reported prevalence estimates of certain mental disorders, substance use, or substance use disorders are not generally higher among racial and ethnic minority groups, persons in these groups are often less likely to receive treatment services (1). Persistent systemic social inequities and discrimination related to living conditions and work environments, which contribute to disparities in underlying medical conditions, can further compound health problems faced by members of racial and ethnic minority groups during the coronavirus disease 2019 (COVID-19) pandemic and worsen stress and associated mental health concerns (2,3). In April and May 2020, opt-in Internet panel surveys of English-speaking U.S. adults aged ≥18 years were conducted to assess the prevalence of self-reported mental health conditions and initiation of or increases in substance use to cope with stress, psychosocial stressors, and social determinants of health. Combined prevalence estimates of current depression, initiating or increasing substance use, and suicidal thoughts/ideation were 28.6%, 18.2%, and 8.4%, respectively. Hispanic/Latino (Hispanic) adults reported a higher prevalence of psychosocial stress related to not having enough food or stable housing than did adults in other racial and ethnic groups. These estimates highlight the importance of population-level and tailored interventions for mental health promotion and mental illness prevention, substance use prevention, screening and treatment services, and increased provision of resources to address social determinants of health. How Right Now (Qué Hacer Ahora) is an evidence-based and culturally appropriate communications campaign designed to promote and strengthen the emotional well-being and resiliency of populations adversely affected by COVID-19-related stress, grief, and loss (4).

Anxiety · Environmental health · Ethnic group · Health equity · Mental health · Population · Psychiatry · Psychological intervention · Psychosocial · Public health · Stressor · Substance abuse · Worry · COVID-19 and Mental Health · Health disparities and outcomes · Medicine · Mental Health Treatment and Access · Gerontology

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Unique citing works141
Citations per year28,2
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedYes
Citation typesNeutral: 132
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