학술논문

Racial and ethnic differences in perseverative cognition at the onset of the COVID-19 pandemic
Document Type
article
Source
Subject
Economics
Health Sciences
Human Society
Basic Behavioral and Social Science
Mental Health
Behavioral and Social Science
Clinical Research
Mind and Body
Good Health and Well Being
Adult
COVID-19
Cognition
Ethnicity
Humans
Pandemics
SARS-CoV-2
United States
Perseverative cognition
COVID
People of color
Worry
Mental health
Novel coronavirus
Medical and Health Sciences
Studies in Human Society
Public Health
Health sciences
Human society
Language
Abstract
RationaleCoronavirus (COVID-19) disproportionately affects people of color (e.g., Black and Latinx individuals) in the U.S., increasing their morbidity and mortality relative to White people. Despite this greater threat to their well-being, the mental health impact of COVID-19 on people of color remains poorly understood. Perseverative cognition (PC; i.e., excessive worry and/or rumination), is a common psychological response to such threats that independently associates with poor mental and physical health.ObjectiveTo examine patterns of PC across race/ethnicity when the COVID-19 pandemic began.MethodsThis study surveyed 6,514 respondents from the NORC AmeriSpeak panel, a probability-based representative national sample of U.S. adults between 3/18/20-4/18/20. We employed traditional statistical analyses and natural language processing of open-ended data to examine pandemic-related worries.ResultsWeighted regression analyses with relevant covariates revealed group differences across specific domains of COVID-related worry. Relative to White respondents, Hispanic/Latino respondents reported more worries about social disarray, meeting basic needs, experiencing economic impacts, obtaining healthcare, and contracting COVID-19. Black respondents reported more worry about economic impacts relative to Whites. Additional group differences in worry emerged in open-ended data: Black respondents perseverated about death from COVID-19, whereas Hispanic/Latino respondents reported concerns about COVID-19 spread, and people refusing to uphold mitigation mandates. In contrast, White respondents expressed worry over compromised immune systems and economic collapse.ConclusionsResults identify significant group differences in COVID-19 related PC, suggesting that people of color faced greater threat to mental well-being at the onset of the pandemic, and may be at greater risk for downstream PC-related physical health consequences.