@article{ref1,
title="Stop Asian hate: the mental health impact of racial discrimination among Asian Pacific Islander young and emerging adults during COVID-19",
journal="Journal of affective disorders",
year="2023",
author="Zhou, Sasha and Banawa, Rachel and Oh, Hans",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: The rapid surge in anti-API discrimination and assault during the COVID-19 pandemic has the potential to exacerbate mental health disparities already pervasive among API populations. The primary of this study was to understand the impact of the pandemic and COVID-related discrimination on API college and university student mental health. <br><br>METHODS: Secondary data was used from three administrations (Fall 2019, Spring 2020, and Fall 2020) of the Healthy Minds Study (HMS). We conducted Chi-square analyses to analyze differences in mental health symptoms across the three academic semesters. Cross-sectional multivariable logistic regression models were utilized to examine the association between COVID-related discrimination and mental health symptoms and help-seeking behavior during Spring 2020 and Fall 2020. <br><br>RESULTS: Comparing Fall 2019 to Fall 2020, we found that API students reported a 17 % increase in severe depression and a 30 % increase in severe anxiety. Mental health treatment utilization among those experiencing clinically-significant mental health problems decreased by 26 % between Fall 2019 and Spring 2020. COVID-related discrimination was associated with greater odds of severe depression in both Spring 2020. LIMITATIONS: HMS does not include a random sample of campuses as schools themselves elect to participate. Analyses rely on self-report data. <br><br>CONCLUSIONS: Throughout the COVID-19 pandemic, API students reported significant increases in clinically-significant mental health symptoms and decreases in treatment utilization. Our analyses also suggest that COVID-related discrimination is correlated with greater odds of clinically-significant mental health symptoms, including severe depression and severe anxiety, as well as lower odds of treatment utilization.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2022.12.132",
url="http://dx.doi.org/10.1016/j.jad.2022.12.132"
}