The Impact of the COVID-19 Pandemic on Depressive Symptoms in China: A Longitudinal, Population-Based Study

Objectives: We aimed to examine how COVID-19 incidence is associated with depressive symptoms in China, whether the association is transient, and whether the association differs across groups.Methods: We used a longitudinal sample from 2018 to 2020 waves of the China Family Panel Study. We construct...

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Main Authors: Yi Zhou, Weicheng Cai, Liyang Xie
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604919/full
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author Yi Zhou
Weicheng Cai
Liyang Xie
author_facet Yi Zhou
Weicheng Cai
Liyang Xie
author_sort Yi Zhou
collection DOAJ
description Objectives: We aimed to examine how COVID-19 incidence is associated with depressive symptoms in China, whether the association is transient, and whether the association differs across groups.Methods: We used a longitudinal sample from 2018 to 2020 waves of the China Family Panel Study. We constructed COVID-19 incidence rates as the number of new cases per 100,000 population in respondents’ resident provinces in the past 7, 14, and 28 days when a respondent was surveyed. We performed linear or logistic regressions to examine the associations, and performed stratified analyses to explore the heterogeneity of the associations.Results: Our sample included 13,655 adults. The 7-day incidence rate was positively associated with the CES-D score (coef. = 2.551, 95% CI: 1.959–3.142), and likelihood of being more depressed (adjusted odds ratio = 6.916, 95% CI: 4.715–10.144). The associations were larger among those with less education, pre-existing depression, or chronic conditions. We did not find any significant association between the 14- or 28-day local incidence rates and depressive symptoms.Conclusion: The impact of COVID-19 incidence on mental health in China’s general population was statistically significant and moderate in magnitude and transient. Disadvantaged groups experienced higher increases in depressive symptoms.
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spelling doaj.art-5d3d7004d0404558a175ff159b917bc12022-12-22T03:30:21ZengFrontiers Media S.A.International Journal of Public Health1661-85642022-10-016710.3389/ijph.2022.16049191604919The Impact of the COVID-19 Pandemic on Depressive Symptoms in China: A Longitudinal, Population-Based StudyYi Zhou0Weicheng Cai1Liyang Xie2Guanghua School of Management, Peking University, Beijing, ChinaGuanghua School of Management, Peking University, Beijing, ChinaInstitute of Behavioral Science, University of Colorado Boulder, Boulder, CO, United StatesObjectives: We aimed to examine how COVID-19 incidence is associated with depressive symptoms in China, whether the association is transient, and whether the association differs across groups.Methods: We used a longitudinal sample from 2018 to 2020 waves of the China Family Panel Study. We constructed COVID-19 incidence rates as the number of new cases per 100,000 population in respondents’ resident provinces in the past 7, 14, and 28 days when a respondent was surveyed. We performed linear or logistic regressions to examine the associations, and performed stratified analyses to explore the heterogeneity of the associations.Results: Our sample included 13,655 adults. The 7-day incidence rate was positively associated with the CES-D score (coef. = 2.551, 95% CI: 1.959–3.142), and likelihood of being more depressed (adjusted odds ratio = 6.916, 95% CI: 4.715–10.144). The associations were larger among those with less education, pre-existing depression, or chronic conditions. We did not find any significant association between the 14- or 28-day local incidence rates and depressive symptoms.Conclusion: The impact of COVID-19 incidence on mental health in China’s general population was statistically significant and moderate in magnitude and transient. Disadvantaged groups experienced higher increases in depressive symptoms.https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604919/fullCOVID-19Chinaeducationchronic diseasedepressive symptoms
spellingShingle Yi Zhou
Weicheng Cai
Liyang Xie
The Impact of the COVID-19 Pandemic on Depressive Symptoms in China: A Longitudinal, Population-Based Study
International Journal of Public Health
COVID-19
China
education
chronic disease
depressive symptoms
title The Impact of the COVID-19 Pandemic on Depressive Symptoms in China: A Longitudinal, Population-Based Study
title_full The Impact of the COVID-19 Pandemic on Depressive Symptoms in China: A Longitudinal, Population-Based Study
title_fullStr The Impact of the COVID-19 Pandemic on Depressive Symptoms in China: A Longitudinal, Population-Based Study
title_full_unstemmed The Impact of the COVID-19 Pandemic on Depressive Symptoms in China: A Longitudinal, Population-Based Study
title_short The Impact of the COVID-19 Pandemic on Depressive Symptoms in China: A Longitudinal, Population-Based Study
title_sort impact of the covid 19 pandemic on depressive symptoms in china a longitudinal population based study
topic COVID-19
China
education
chronic disease
depressive symptoms
url https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604919/full
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