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Article

Change in Depression and Its Determinants during the COVID-19 Pandemic: A Longitudinal Examination among Racially/Ethnically Diverse US Adults

1
UTHealth School of Public Health, Austin, TX 78701, USA
2
Michael and Susan Dell Center for Healthy Living, Austin, TX 78701, USA
3
Prevention Research Center, Brown School, Washington University in Saint Louis, Saint Louis, MO 63130, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2022, 19(3), 1194; https://doi.org/10.3390/ijerph19031194
Submission received: 29 December 2021 / Revised: 18 January 2022 / Accepted: 18 January 2022 / Published: 21 January 2022

Abstract

This study examined longitudinal data to identify changes in the occurrence of depressive symptoms, and to explore if such changes were associated with socio-demographic, movement behaviors, and health variables during the COVID-19 pandemic, among a diverse sample of central Texas residents. Participants who completed two online surveys in 2020 (in June and November) from an on-going longitudinal study were included. Depressive symptoms were measured by Patient Health Questionnaire-2. Change in depressive symptoms’ occurrence status between the two time points was categorized into (1) stable/improved, and (2) consistent depressive symptoms/declined. Sociodemographic factors, movement behaviors and health data were self-reported. Statistical analyses utilized descriptive statistics and logistical regression. Among a total of 290 individuals (84.1% female; 71.0% racial/ethnic minorities), 13.5% were categorized as consistent depressive symptoms/declined. Multivariable logistic regression indicated that racial/ethnic minorities, older age, and increased physical activity were associated with a lower likelihood, while greater sedentary time was associated with higher likelihood of consistent depressive symptoms/declined status. Between 3 months and 8 months into the pandemic, various socio-demographic and behavioral variables were associated with changes in depressive symptoms’ occurrence status. Future research should explore the longer-term impacts of COVID-19 on depression among a diverse population and identify risk factors for depression.
Keywords: depression; racial/ethnic minorities; health behaviors; longitudinal design; COVID-19; mental health; physical activity; sedentary time depression; racial/ethnic minorities; health behaviors; longitudinal design; COVID-19; mental health; physical activity; sedentary time

Share and Cite

MDPI and ACS Style

Zhang, Y.; Janda, K.M.; Ranjit, N.; Salvo, D.; Nielsen, A.; van den Berg, A. Change in Depression and Its Determinants during the COVID-19 Pandemic: A Longitudinal Examination among Racially/Ethnically Diverse US Adults. Int. J. Environ. Res. Public Health 2022, 19, 1194. https://doi.org/10.3390/ijerph19031194

AMA Style

Zhang Y, Janda KM, Ranjit N, Salvo D, Nielsen A, van den Berg A. Change in Depression and Its Determinants during the COVID-19 Pandemic: A Longitudinal Examination among Racially/Ethnically Diverse US Adults. International Journal of Environmental Research and Public Health. 2022; 19(3):1194. https://doi.org/10.3390/ijerph19031194

Chicago/Turabian Style

Zhang, Yuzi, Kathryn M. Janda, Nalini Ranjit, Deborah Salvo, Aida Nielsen, and Alexandra van den Berg. 2022. "Change in Depression and Its Determinants during the COVID-19 Pandemic: A Longitudinal Examination among Racially/Ethnically Diverse US Adults" International Journal of Environmental Research and Public Health 19, no. 3: 1194. https://doi.org/10.3390/ijerph19031194

APA Style

Zhang, Y., Janda, K. M., Ranjit, N., Salvo, D., Nielsen, A., & van den Berg, A. (2022). Change in Depression and Its Determinants during the COVID-19 Pandemic: A Longitudinal Examination among Racially/Ethnically Diverse US Adults. International Journal of Environmental Research and Public Health, 19(3), 1194. https://doi.org/10.3390/ijerph19031194

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