Investigating the Economic Impacts of COVID-19 on the Mental Health of Different Demographics
DOI:
https://doi.org/10.47611/jsrhs.v10i3.1554Keywords:
COVID-19, United States, employment income loss, economy, mental health, anxiety, depression, recession, race, income bracket, age group, gender, demographicAbstract
With increases in unemployment and individuals experiencing mental health symptoms, the effects of the COVID-19 pandemic have become a prevalent issue in society. The purpose of this paper is to educate communities about the current effects of COVID-19 on the economy as well as mental health. We aim to establish connections between economic hardships and patterns of depression and anxiety across different demographic groups within the U.S. labor force participation pool aged 18 or older. We analyzed existing literature on past recessions, past pandemics, and the current pandemic’s impacts. The findings from past literature suggest that the pandemic has caused various economic impacts which in turn affect mental health, particularly
anxiety and depression rates. We used data from the U.S. Census Bureau Household Pulse Survey (HPS) to conduct chi-squared tests of independence on employment income loss and symptoms of anxiety and depression over 12 weeks of the pandemic. For each demographic variable (race, income level, gender, and age), we found an association between each category
and experienced employment income loss. The tests yielded the same conclusions for the data of the symptoms of anxiety and depression.
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Albert, P. R. (2015, July). Why is depression more prevalent in women? Retrieved August, 2020, from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478054/
Amadeo, K. (2020c, June 30). The 9 principal effects of the great depression. The Balance. Retrieved July 28, 2020,
from https://www.thebalance.com/effects-of-the-great-depression-4049299
American Psychiatric Association. (2017). Mental health disparities: diverse populations. American Psychiatric
Association. Retrieved July 28, 2020, from https://www.psychiatry.org/psychiatrists/cultural-
competency/education/mental-health-facts
Anxiety and Depression Association of America (2020). Low-Income Communities. Retrieved February 6, 2021,
from https://adaa.org/finding-help/low-income-communities
Asnaani, A., Richey, A., Dimaite, R., Hinton, D., & Hofmann, S. (2010). Across-ethnic comparison of lifetime prevalence rates of anxiety disorders. The Journal of Nervous and Mental Disease, 198(8), 551-555. https://doi.org/10.1097/NMD.0b013e3181ea169f
Banerjee, D. (2020). 'Age and ageism in COVID-19': Elderly mental health-care vulnerabilities
and needs. Asian Journal of Psychiatry, 51, 102154. https://doi.org/10.1016/j.ajp.2020.102154
Bartuska, A., Shtasel, D., & Marques, L. (2020). Understanding the cracks: What COVID-19
means for the mental health of the marginalized in the United States and opportunities for response.
Anxiety and Depression Association of America. Retrieved July 31, 2020, from https://adaa.org/learn-
from-us/from-the-experts/blog-posts/professional/understanding-cracks-what-covid-19-means
Bekaert, G., Engstrom, E., & Ermolov, A. (n.d.). Aggregate demand and aggregate supply effects of covid-19: A
real-time analysis. Finance and Economics Discussion Series Divisions of Research & Statistics and
Monetary Affairs Federal Reserve Board, Washington, D.C. Retrieved July 28, 2020, from
https://doi.org/10.17016/FEDS.2020.049
Bertrand, M. (2020, May 5). Coronavirus pandemic has harmed lower-income workers the most. Uchicago News.
Retrieved July 28, 2020, from https://news.uchicago.edu/story/coronavirus-pandemic-has-harmed-lower-
income-workers-most
Breslau, J., Aguilar-Gaxiola, S., Kendler, K., Su, M., Williams, D., & Kessler, R. (2006).
Specifying race-ethnic differences in risk for psychiatric disorder in a USA national sample. Psychological
Medicine, 36(1), 57-68. https://doi.org/10.1017/S0033291705006161 =
Centers for Disease Control and Prevention. (2020, July 22). Mental health. CDC. Retrieved July 29, 2020,
from https://www.cdc.gov/nchs/covid19/pulse/mental-health.htm
Chakravarty, M., & Philipose, M. (2009, August 10). Economic impact of swine flu. Livemint. Retrieved July 28,
, from
https://www.livemint.com/Money/ALhNfoq6XIf5Vxja4fmniM/Economic-impact-of-swine-flu.html
Chiavegatto Filho, A. D. P., Kawachi, I., Wang, Y. P., Viana, M. C., & Andrade, L. H. S. G.
(2013). Does income inequality get under the skin? A multilevel analysis of depression, anxiety and mental
disorders in São Paulo, Brazil. Journal of Epidemiology and Community Health, 67(11), 966-972.
https://doi.org/10.1136/jech-2013-202626
Cubanski, J., Neuman, T., & Koma, W. (2020, May 13). Older adults are hit hard by COVID-19 – and also losing
jobs. Kaiser Family Foundation. Retrieved July 28, 2020, from https://www.kff.org/coronavirus-policy-watch/older-adults-are-hit-hard-by-covid-19-and-also-losing-jobs/# :~:text=The%20unemployment%20rate%20among%20people,people%20ages%2055%20to%2064.
Department of Gender and Women’s Health. (2002, June). Gender and mental health. WHO. Retrieved August 3,
, from https://www.who.int/gender/other_health/genderMH.pdf
Despard, M., Grinstein-Weiss, M., Chun, Y., & Roll, S. (2020, July 13). COVID-19 job and income loss leading to more hunger and financial hardship. Brookings. Retrieved July 28, 2020, from https://www.brookings.edu/blog/up-front/2020/07/13/covid-19-job-and-income-loss-leading-to-more-hunger-and-financial-hardship/
Dijkstra-Kersten, S. M. A., Biesheuvel-Leliefeld, K. E. M., Van Der Wouden, J. C., Penninx, B. W. J. H., & Van
Marwijk, H. W. J. (2015). Associations of financial strain and income with depressive and anxiety
disorders. Journal of Epidemiology and Community Health, 69(7), 660-665. https://doi.org/10.1136/jech-
-205088
Duca, J. V. (2013, November 22). Subprime mortgage crisis. Federal Reserve History. Retrieved July 28, 2020, from
https://www.federalreservehistory.org/essays/subprime_mortgage_crisis?WT.si_n=Search&WT.si_x=3#how
Dunlop, D. D., Song, J., Lyons, J. S., Manheim, L. M., & Chang, R. W. (2003). Racial/Ethnic differences in rates of
depression among preretirement adults. American Journal of Public Health, 93(11), 1945-1952.
https://doi.org/10.2105/ajph.93.11.1945
Forbes, M. K., & Krueger, R. F. (2019). The great recession and mental health in the United States. Clinical
Psychological Science, 7(5), 900-913. https://doi.org/10.1177/2167702619859337
Graham, C., Grinstein-Weiss, M., & Roll, S. (2020, June 24). Well-being and mental health amid COVID-19:
differences in resilience across minorities and whites. Brookings. Retrieved July 31, 2020, from
https://www.brookings.edu/research/well-being-and-mental-health-amid-covid-19-differences-in-
resilience-across-minorities-and-whites/
Gramigna, J., Lee, J., Lipson, S. K., Parikh, S. V., & Hawkley, L. C. (2020, April 8). COVID-19's mental health effects by age group: Children, college students, working-age adults and older adults. Helio. Retrieved
July 28, 2020, from https://www.healio.com/news/psychiatry/20200408/covid19s-mental-health-effects-by-age-group-children-college-students-workingage-adults-and-older-ad
Hamel, L., & Salganicoff, A. (2020, April 6). Is there a widening gender gap in coronavirus
stress? Kaiser Family Foundation. Retrieved August 5, 2020, from https://www.kff.org/policy-watch/is-
there-widening-gender-gap-in-coronavirus-stress/
Henry-Nickie, M., & Hudak, J. (2020, May 19). Social distancing in Black and white neighborhoods in Detroit: A
data-driven look at vulnerable communities. Brookings. https://www.brookings.edu/blog/fixgov/2020/05/
/social-distancing-in-black-and-white-neighborhoods-in-detroit-a-data-driven-look-at-vulnerable-
communities/
Himle, J. A., Baser, R. E., Taylor, R. J., Campbell, R. D., & Jackson, J. S. (2009). Anxiety disorders among African Americans, blacks of Caribbean descent, and non-Hispanic whites in the United States. Journal of Anxiety
Disorders, 23(5), 578-590. https://doi.org/10.1016/j.janxdis.2009.01.002
Hoynes, H., Miller, D. L., & Schaller, J. (2012). Who suffers during recessions? Journal of Economic Perspectives,
(3), 27-48. https://doi.org/10.1257/jep.26.3.27
Jalloh, M. F., Li, W., Bunnell, R. E., Ethier, K. A., O'Leary, A., Hageman, K. M., Sengeh, P., Jalloh, M. B., Morgan, O., Hersey, S., Marston, B. J., Dafae, F., & Redd, J. T. (2018). Impact of Ebola experiences and risk
perceptions on mental health in Sierra Leone, July 2015. BMJ Global Health, 3(2), e000471.
https://doi.org/10.1136/bmjgh-2017-000471
Kalev, A. (2020, April 20). Research: U.S. unemployment rising faster for women and people of color. Harvard
Business Review. Retrieved August 5, 2020, from
https://hbr.org/2020/04/research-u-s-unemployment-rising-faster-for-women-and-people-of-color
Kirzinger, A., Kearney, A., Hamel, L., & Brodie, M. (2020, April 2). KFF Health Tracking Poll - early April 2020:
The impact of coronavirus on life in America. Kaiser Family Foundation. Retrieved July 31, 2020, from
https://www.kff.org/health-reform/report/kff-health-tracking-poll-early-april-2020/
Kochhar, R. (2020a, June 9). Hispanic women, immigrants, young adults, those with less education hit hardest by
COVID-19 job losses. Pew Research Center. Retrieved July 28, 2020, from https://pewrsr.ch/2MW8M17
Kochhar, R. (2020b, June 11). Unemployment rose higher in three months of COVID-19 than it did in two years of
the Great Recession. Pew Research Center. Retrieved July 28, 2020, from https://pewrsr.ch/2UADTTZ
Lenzen, M., Li, M., Malik, A., Pomponi, F., Sun, Y.-Y., Wiedmann, T., Faturay, F., Fry, J., Arne Geschke, B. G.,
Gómez-Paredes, J., Kanemoto, K., Kenway, S., Nansai, K., Prokopenko, M., Wakiyama, T., Wang, Y., &
Yousefzadeh, M. (2020). Global socio-economic losses and environmental gains from the Coronavirus
pandemic. Plos One, 15(7). https://doi.org/10.1371/Journal.pone.0235654
Levine, C. (2020, June 23). Single moms hit hard by economic impact of COVID-19. Nonprofit Quarterly. Retrieved August 5, 2020, from https://nonprofitquarterly.org/single-moms-hit-hard-by-economic-impact-of-covid-19/
Library of Congress. (n.d. -a). Americans react to the Great Depression. Library of Congress. Retrieved July 29,
, from
/depress/
Library of Congress. (n.d. -b). Race relations in the 1930s and 1940s. Library of Congress. Retrieved July 29, 2020,
race/
Lock, H. (2020, May 21). Women are bearing the brunt of COVID-19 lockdown anxiety in the UK. Global Citizen.
Retrieved August 3, 2020, from
https://www.globalcitizen.org/en/content/women-uk-covid-19-anxiety-mental-health/
Mak, I., Chu, C., Pan, P., Yiu, M., & Chan, V. (2009). Long-term psychiatric morbidities among SARS survivors.
Science Direct, 31(4), 318-326. https://doi.org/10.1016/j.genhosppsych.2009.03.001
Mather, M. (2015, November 4). Effects of the Great Recession on older Americans' health and well-being. Today's
Research on Aging. Retrieved July 28, 2020, from https://www.prb.org/todays-research-aging-great-
recession-2/
McHenry, J., Carrier, N., Hull, E., & Kabbaj, M. (2014, January). Sex differences in anxiety and depression: Role of testosterone. Retrieved August, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3946856/
Mckibbin, W. & Sidorenko, A.A. (2006). “Global Macroeconomic Consequences of Pandemic Influenza”, Lowy Institute for International Policy, Sydney.
McLean, C. P., Asnaani, A., Litz, B. T., & Hofmann, S. G. (2011, August). Gender differences in anxiety disorders: Prevalence, course of illness, comorbidity and burden of illness. Retrieved August 5, 2020, from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3135672/
Miller, R. S., & Labonte, M. (2020). COVID-19: U.S. economic effects. Congressional Research Service.
https://crsreports.congress.gov/product/pdf/IN/IN11388.
Miyamoto, I. (2020, May). COVID-19 healthcare workers: 70% are women. Security Nexus Perspectives. Retrieved
August 4, 2020, from https://apcss.org/wp-content/uploads/2020/05/Security-nexus-COVID-19-Healthcare-Workers-miyamoto.pdf
Mossakowski, K. (2014). Social causation and social selection. Wiley Online Library. Retrieved
July 28, 2020, from https://doi.org/10.1002/9781118410868.wbehibs262
National Alliance on Mental Illness. (2019, September). Mental health by the numbers. National
Alliance on Mental Illness. Retrieved July 28, 2020, from https://www.nami.org/mhstats
Nicola, M., Alsafi, Z., Sohrabi, C., Kerwan, A., Al-Jabir, A., Iosifidis, C., Agha, M., & Agha, R. (2020). The
socio-economic implications of the coronavirus pandemic (COVID-19): A review. International Journal of
Surgery, 78, 185-193. https://doi.org/10.1016/j.ijsu.2020.04.018.
Noppert, G. (2020, April 14). COVID-19 is hitting Black and poor communities the hardest. JSTOR Daily.
Retrieved July 28, 2020, from https://daily.jstor.org/covid-10-hitting-black-poor-communities-hardest/
Parker, K., Menasce Horowitz, J., & Brown, A. (2020, April 21). About half of lower-income Americans report
household job or wage loss due to COVID-19. Pew Research Center. Retrieved July 28, 2020, from
or-wage-loss-due-to-covid-19/
Pew Research Center (2020, March 30). Most Americans say coronavirus outbreak has impacted their lives.
Retrieved July 28, 2020, from
-lives/
Purtle, J. (2020). COVID-19 and mental health equity in the United States. Social Psychiatry and Psychiatric
Epidemiology, 1–3. https://doi.org/10.1007/s00127-020-01896-8
Qiu, W., Chu, C., Mao, A., & Wu, J. (2018, June 28). The impacts on health, society, and economy of SARS and H7N9 outbreaks in china: a case comparison study. Hindawi. Retrieved July 28, 2020, from https://doi.org/10.1155/2018/2710185
Recovery Across Mental Health. (n.d.). Gender differences in mental health. Recovery Across Mental Health.
Retrieved August 3, 2020, from https://ramh.org/guide/gender-differences-in-mental-health/
Rich, R. (2013, November 22). The Great Recession. Federal Reserve History. Retrieved July 28, 2020, from
https://www.federalreservehistory.org/essays/great_recession_of_200709
Romer, C. (n.d.). Great Depression. Encyclopedia Britannica. Retrieved July 28, 2020, from
https://www.britannica.com/event/Great-Depression/Portrayals-of-hope
Schaeffer, K., & Rainie, L. (2020, June 16). Experiences with the COVID-19 outbreak can vary for Americans of
different ages. Pew Research. Retrieved July 28, 2020, from https://www.pewresearch.org/fact-tank/2020/06/16/experiences-with-the-covid-19-outbreak-can-vary-for-americans-of-different-ages/
Schanzenbach, D. W., Nunn, R., Bauer, L., Boddy, D., & Nantz, G. (2016, May 23). Nine facts about the Great Recession and tools for fighting the next downturn. The Hamilton Project, 1-24. Retrieved July 28, 2020,
from https://www.brookings.edu/research/nine-facts-about-the-great-recession-and-tools-for-fighting-the-
next-downturn/
Substance Abuse and Mental Health Services Administration. (n.d.). Double jeopardy: COVID-19 and behavioral health disparities for Black and Latino communities in the U.S. (Submitted by OBHE). Retrieved July 28, 2020, from
Swagel, P. (2010, April 28). The cost of the financial crisis: The impact of the September 2008 economic collapse
(Cost of the financial crisis; Report No. 18). PEW. Retrieved July 28, 2020, from
collapse#:~:text=That%20equates%20to%20an%20average,income%20for%20each%20U.S.%20househol
d.&text=Jobs%20%E2%80%93%205.5%20million%20more%20American,the%20September%202008%2
CBO%20forecast.
The National Institute of Mental Health. (2017, November). Generalized anxiety disorder. The
National Institute of Mental Health. Retrieved July 28, 2020, from https://www.nimh.nih.gov/health/statistics/generalized-anxiety-disorder.shtml
The National Institute of Mental Health. (2019a, February). Major depression. The National Institute of Mental Health. Retrieved July 28, 2020, from https://www.nimh.nih.gov/health/statistics/major-depression.shtml
The National Institute of Mental Health. (2019b, February). Mental illness. The National Institute of Mental Health.
Retrieved July 29, 2020, from https://www.nimh.nih.gov/health/statistics/mental-illness.shtml
United Nations. (2020, April 9). Policy brief: The impact of COVID-19 on women. Retrieved August 5, 2020, from
U.S. Bureau of Labor Statistics, The employment situation - June 2020, Doc. (2020, July 2).
https://www.bls.gov/news.release/empsit.nr0.htm
United States Census Bureau. (2020a, June). Household Pulse Survey Public Use File (PUF). United States
Census Bureau. Retrieved January 31, 2021, from
https://www.census.gov/programs-surveys/household-pulse-survey/datasets.html
United States Census Bureau. (2020b, May). Week 1 household pulse survey: April 23 - May 5. United States
Census Bureau. Retrieved July 31, 2020, from
https://www.census.gov/data/tables/2020/demo/hhp/hhp1.html
United States Census Bureau. (2020c, July 22). Week 11 Household Pulse Survey: July 9 - July 14. United States
Census Bureau. Retrieved July 31, 2020, from
https://www.census.gov/data/tables/2020/demo/hhp/hhp11.html
Wan, W. (2020, May 4). The coronavirus pandemic is pushing America into a mental health crisis. Washington
Post. Retrieved July 28, 2020, from https://www.washingtonpost.com/health/2020/05/04/mental-health-coronavirus/
Wardrip, K., & Tranfaglia, A. (2020, April). Which workers will be most impacted? Federal Reserve Bank of
Philadelphia. Retrieved July 28, 2020, from https://www.philadelphiafed.org/covid-19/covid-19-equity-in-recovery/which-workers-will-be-most-impacted
Williams, D.R., González, H. M., Neighbors, H., Nesse, R., Abelson, J. M., Sweetman, J., & Jackson, J. J. (2007).
Prevalence and distribution of major depressive disorder in African Americans, Caribbean Blacks, and
Non-Hispanic Whites: Results from the national survey of American life. Archives of General Psychiatry,
(3), 305–315. https://doi.org/10.1001/archpsyc.64.3.305
Wilson, C. (2020, April 15). These graphs show how COVID-19 is ravaging New York City's low-income
neighborhoods. TIME. Retrieved July 28, 2020, from https://www.yahoo.com/lifestyle/york-city-exposes-
stark-disparity-165428765.html
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