Associations between local COVID-19 policies and anxiety in the USA: a longitudinal digital cohort study

IntroductionA lack of coordinated federal guidance led to substantial heterogeneity in local COVID-19 policies across US states and counties. Local government policies may have contributed to increases in anxiety and mental health disparities during the COVID-19 pandemic.MethodsWe analysed associati...

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Bibliographic Details
Published in:BMJ public health 2025-01, Vol.3 (1), p.e001135
Main Authors: Cozen, Aaron E, Hamad, Rita, Park, Soo, Marcus, Gregory M, Olgin, Jeffrey E, Faulkner Modrow, Madelaine, Chiang, Amy, Brandner, Matthew, Orozco, Jaime H, Azar, Kristen, Sudat, Sylvia E K, Isasi, Carmen R, Williams, Natasha, Ozluk, Pelin, Kitzman, Heather, Knight, Sara J, Sanchez-Birkhead, Ana, Kornak, John, Carton, Thomas, Pletcher, Mark
Format: Article
Language:English
Subjects:
Anxiety
COVID-19
Mental Health
Original research
Public Health
Sociodemographic Factors
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Summary:IntroductionA lack of coordinated federal guidance led to substantial heterogeneity in local COVID-19 policies across US states and counties. Local government policies may have contributed to increases in anxiety and mental health disparities during the COVID-19 pandemic.MethodsWe analysed associations between composite policy scores for containment and closure, public health or economic support from the US COVID-19 County Policy Database and self-reported anxiety scores (Generalised Anxiety Disorder-7) from COVID-19 Citizen Science participants between 22 April 2020 and 31 December 2021.ResultsIn 188 976 surveys from 36 711 participants in 100 counties across 28 states, associations between anxiety and containment and closure policy differed by employment (p
ISSN:2753-4294
2753-4294
DOI:10.1136/bmjph-2024-001135