The direct impact of the COVID-19 pandemic and the indirect impact of the ensuing economic and political response have affected the United States on a large scale. We document a substantial surge in anxiety and depression symptoms from 2019 to 2020 driven by the young adult population, indicating a disproportional indirect impact on the young. Multivariate regression analysis was utilized to quantify the stringency of state responses’ indirect effect on the changes in anxiety or depression symptoms during the pandemic. While we observe a slight decline in the share of the adult population experiencing anxiety and depression through July 2021- June 2022, such decline does not compensate for the large surge of mental health issues among young adults in 2020. Overall, our results indicate that the effects of the stringency of the mitigation measures on different areas of health are complex and vary by state, with a wide variation of mental health-related issues by age group and a higher prevalence in younger adult age categories. After discussing inequities in the accessibility of mental health treatment, lack of health insurance, and implications for quality of life among young adults, this paper adds to the breadth of ongoing COVID-19 research and emphasizes the importance of considering the overall health of the population in a large-scale health crisis as well as discussing the potential unintended consequences of the mitigation measures put in place. 
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                            Age Differences in COVID-19 Risk Perceptions and Mental Health: Evidence From a National U.S. Survey Conducted in March 2020
                        
                    
    
            Abstract Objectives Theories of aging posit that older adult age is associated with less negative emotions, but few studies have examined age differences at times of novel challenges. As COVID-19 spread in the United States, this study therefore aimed to examine age differences in risk perceptions, anxiety, and depression. Method In March 2020, a nationally representative address-based sample of 6,666 U.S. adults assessed their perceived risk of getting COVID-19, dying if getting it, getting quarantined, losing their job (if currently working), and running out of money. They completed a mental health assessment for anxiety and depression. Demographic variables and precrisis depression diagnosis had previously been reported. Results In regression analyses controlling for demographic variables and survey date, older adult age was associated with perceiving larger risks of dying if getting COVID-19, but with perceiving less risk of getting COVID-19, getting quarantined, or running out of money, as well as less depression and anxiety. Findings held after additionally controlling for precrisis reports of depression diagnosis. Discussion With the exception of perceived infection-fatality risk, U.S. adults who were relatively older appeared to have a more optimistic outlook and better mental health during the early stages of the pandemic. Interventions may be needed to help people of all ages maintain realistic perceptions of the risks, while also managing depression and anxiety during the COVID-19 crisis. Implications for risk communication and mental health interventions are discussed. 
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                            - Award ID(s):
- 2028683
- PAR ID:
- 10248655
- Editor(s):
- Isaacowitz, Derek
- Date Published:
- Journal Name:
- The Journals of Gerontology: Series B
- Volume:
- 76
- Issue:
- 2
- ISSN:
- 1079-5014
- Page Range / eLocation ID:
- e24 to e29
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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