The role of financial stress in mental health changes during COVID-19

Simonse, Olaf; Dijk, Wilco W. van; Dillen, Lotte F. van; Dijk, Eric van

doi:10.1038/s44184-022-00016-5

Cited by 13 publications

(10 citation statements)

References 75 publications

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“…However, regional disparities could return or even intensify if the post-COVID-19 rebound in dental services lags in Midwest or South (which had the lowest rates of adults reporting a dental visit in the past year for both 2019 and 2020). Emerging research has begun to highlight that these prepandemic regional disparities in healthcare utilization were likely impacted by regional capacity variation [ 27 ]. Unfortunately, the pandemic appears to have widened the regional divide of access to and availability of healthcare resources [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…In fact, for the full sample and most subgroups, we find a lower proportion of adults reporting delayed dental care because of cost. Now, this conclusion should not be interpreted to infer that the pandemic, or any other event in 2020, addressed financial barriers to dental care [ 27 ]. The reported declines in the proportion of adults delaying dental care due to cost and reporting an inability to obtain care were most likely due to the lower propensity and interest in visiting a dentist in 2020.…”

Section: Discussionmentioning

confidence: 99%

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Estimating the Within-Person Change in Dental Service Access Measures during the COVID-19 Pandemic in the United States

Semprini

2023

International Journal of Dentistry

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Background. American adults delay dental care more than any other healthcare service. Unfortunately, the COVID-19 pandemic may have stalled efforts to address dental service delays. Early evidence has suggested substantial declines in dental service visits in the early phase of the pandemic; however, our study is among the first to measure within-person changes from 2019 to 2020 and conduct subgroup analyses to examine if changing dental patterns were mediated by exposure to the pandemic, risk of adverse COVID-19 outcomes, or dental insurance. Methods. We analyzed a National Health Interview Survey panel of individuals initially surveyed in 2019, with subsequent follow-up in 2020. The outcomes included dental service access measures and the interval of a most recent dental visit. By constructing a probability-weighted linear regression model with fixed-effects, we estimated the average within-person change from 2019 to 2020. Robust standard errors were clustered within each respondent. Results. From 2019 to 2020, adults reported a 4.6%-point reduction in the probability of visiting the dentist ( p < 0.001 ). Significantly higher declines were found in Northeast and West regions compared to Midwest and South regions. We find no evidence that declining dental services in 2020 were associated with more chronic diseases, older age, or lack of dental insurance coverage. Adults did not report more financial or nonfinancial access barriers to dental care in 2020 compared to 2019. Conclusions. The long-term effects of the COVID-19 pandemic on delayed dental care warrant continued monitoring as policymakers aim to mitigate the pandemic’s negative consequences on oral health equity.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Estimating the Within-Person Change in Dental Service Access Measures during the COVID-19 Pandemic in the United States

Semprini

2023

International Journal of Dentistry

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“…During the prevention and control of COVID-19, social support could help reduce a variety of symptoms of mental illnesses [42]. Additionally, a greater amount of debts were associated with a higher level of stress and, in turn, worse mental health [43].…”

Section: Diverse Spending Patterns Of the Child Tax Creditmentioning

confidence: 99%

Child Tax Credit, Spending Patterns, and Mental Health: Mediation Analyses of Data from the U.S. Census Bureau’s Household Pulse Survey during COVID-19

Park

Kim

2023

IJERPH

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This study examined the relationship between the receipt of COVID-19 child tax credit and adult mental health problems in the United States, and we explored whether and the extent to which a wide range of spending patterns of the credit—15 patterns regarding basic necessities, child education, and household expenditure—mediated the relationship. We used COVID-19-specialized data from the U.S. Census Bureau’s Household Pulse Survey, a representative population sample (N = 98,026) of adult respondents (18 and older) who participated between 21 July 2021 and 11 July 2022. By conducting mediation analyses with logistic regression, we found relationships between the credit and lower levels of anxiety (odds ratio [OR] = 0.914; 95% confidence interval [CI] = 0.879, 0.952). The OR was substantially mediated by spending on basic necessities such as food and housing costs (proportion mediated = 46% and 44%, respectively). The mediating role was relatively moderate in the case of spending on child education and household expenditure. We also found that spending the credit on savings or investments reduces the effect of the child tax credit on anxiety (−40%) while donations or giving to family were not a significant mediator. Findings on depression were consistent with anxiety. The child tax credit–depression relationships were substantially mediated by spending on food and housing (proportion mediated = 53% and 70%). These mediation analyses suggested that different patterns of credit spending are important mediators of the relationship between the receipt of the child tax credit and mental illnesses. Public health approaches to improve adult mental health during and after the COVID-19 pandemic need to consider the notable mediating role of spending patterns.

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“…During a red lockdown, almost everyone had to stay home except the first responders, while an orange lockdown meant that most of the businesses, gatherings, schools, and sports activities were restricted 17 . During the lockdown period, people suffered financially and emotionally 19 . The COVID‐19 measures and lockdowns may have played a considerable role in increasing the incidence of DV 20–25 …”

Section: Introductionmentioning

confidence: 99%

“…17 During the lockdown period, people suffered financially and emotionally. 19 The COVID-19 measures and lockdowns may have played a considerable role in increasing the incidence of DV. [20][21][22][23][24][25] The aim of the study was to compare the incidence of DV-related oral and maxillofacial injuries in Ulaanbaatar, Mongolia, before and during the COVID-19 lockdowns.…”

mentioning

confidence: 99%

A cross‐sectional study of the impact of the COVID‐19 lockdown on domestic violence‐related oral and maxillofacial injuries

Naran‐Ochir,

Narantsetseg,

Bayartsogt

et al. 2024

Dental Traumatology

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BackgroundDuring the COVID‐19 lockdown, more domestic violence‐related traumas were reported. In this study, we investigated and compared the incidence of domestic violence‐related injuries—in particular oral and maxillofacial injuries—in Ulaanbaatar, Mongolia, before and during the COVID‐19 lockdown.Materials and MethodsWe conducted a cross‐sectional study based on 3974 domestic violence cases registered at the Public Health Department, National Traumatology and Orthopedics Research Center of Mongolia between 2018 and 2022. Descriptive and binary logistic regression analyses were conducted. The victims were categorized according to their age (child, adult, and elderly).ResultsThe mean age of the victims was children 9.7 ± 5.4 years, adults 34.8 ± 8.3 years, and elderly 64.3 ± 8.7 years. Binary logistic regression analysis (no/yes) showed that oral and maxillofacial injuries during the lockdown increased 1.3 times (OR = 1.3; CI 95% = 1.0–1.6; p = .003) in adults and 2.5 times in children (OR = 2.5; CI 95% = 1.7–3.9; p = .001). Additionally, injuries to upper limbs increased 4.6 times (OR = 4.6; CI 95% = 3.5–6.1; p = .001) in adults and 5.2 times in elderly patients (OR = 5.2; CI 95% = 1.8–16.2; p = .01). Additionally, thorax injury in children increased 3.1 times (OR = 3.1; CI 95% = 1.7–5.7; p = .001).ConclusionsDuring the lockdown, injury to oral and maxillofacial regions increased in adult and child victims of domestic violence.

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The role of financial stress in mental health changes during COVID-19

Cited by 13 publications

References 75 publications

Estimating the Within-Person Change in Dental Service Access Measures during the COVID-19 Pandemic in the United States

Estimating the Within-Person Change in Dental Service Access Measures during the COVID-19 Pandemic in the United States

Child Tax Credit, Spending Patterns, and Mental Health: Mediation Analyses of Data from the U.S. Census Bureau’s Household Pulse Survey during COVID-19

A cross‐sectional study of the impact of the COVID‐19 lockdown on domestic violence‐related oral and maxillofacial injuries

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