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Negative Employment Changes During the COVID-19 Pandemic and Psychological Distress

Timothy A. Matthews, Liwei Chen, Zhuo Chen, Xuesong Han, Lu Shi, Yan Li, Ming Wen, Donglan Zhang, Hongmei Li, Dejun Su, Jian Li

2021Journal of Occupational and Environmental Medicine33 citationsDOIOpen Access PDF

Abstract

OBJECTIVE: We examined associations of negative employment changes during the COVID-19 pandemic with mental health in a national sample of U.S. workers, and whether the associations differed by race. METHODS: Data were from the Health, Ethnicity, and Pandemic Study, a cross-sectional survey. The effects of negative employment changes on psychological distress in 1510 workers were examined via linear regression, and stratified analyses were conducted across racial subgroups. RESULTS: After adjustment for covariates, compared to workers with no change in employment, those who experienced permanent job loss had the highest psychological distress (β and 95% CI = 3.27 [1.89, 4.65]). Permanent job loss had the greatest effect on psychological distress in Blacks and Asians. CONCLUSION: Negative employment changes related to the pandemic may have deleterious impacts on workers' mental health, with disproportionate effects on racial minorities.

Topics & Concepts

Coronavirus disease 2019 (COVID-19)PandemicPsychological distress2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)DistressMedicineCoronavirus InfectionsBetacoronavirusPsychologyPsychiatryVirologyClinical psychologyMental healthInternal medicineInfectious disease (medical specialty)OutbreakDiseaseEmployment and Welfare StudiesCOVID-19 and Mental HealthWorkplace Health and Well-being