Mental Health Consequences of COVID-19: The Role of Social Determinants of Health   [open pdf - 371KB]

"Experts have raised concerns about COVID-19 [coronavirus disease 2019]'s intersection with mental health since the start of the pandemic, especially among individuals with pre-existing mental health conditions. Individuals with mental health conditions have more chronic medical conditions that increase their risk for contracting severe COVID-19 compared with individuals without any mental health condition. Although researchers have predicted adverse mental health outcomes following a COVID-19 diagnosis, few studies quantify the mental health sequelae of COVID-19. [...] The pandemic has also raised concerns that social inequalities in health could unevenly impact COVID-19 related mortality and morbidity, with individuals and families living in poverty and disadvantaged conditions being disproportionately impacted. During the COVID-19 pandemic, many low-wage workers have been deemed as essential including agricultural workers, home care workers, grocery store workers, and restaurant workers. In addition, evidence suggests that social determinants of health (SDOH) indicators such as low income, social exclusion, unemployment, adverse childhood experiences, and food and housing insecurity can lead to poor mental health outcomes. [...] [T]he dual purposes of this brief are: (1) to estimate the rate of new onset of mental health conditions among individuals with a COVID-19 diagnosis who had no mental health conditions or mental health-related health services utilization in the 12 months prior to their COVID-19 diagnosis; and (2) to quantify the contribution of SDOH indicators to the development of the mental health condition."

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U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation: https://aspe.hhs.gov/
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