@Article{ijmhp.2023.026956,
AUTHOR = {Aoli Li, Yan You, Kunli Wu, Huibin Shan, Younglee Kim, Qilian He},
TITLE = {The COVID-19 Pandemic: A Double Threat to Chinese Americans’ Mental Health},
JOURNAL = {International Journal of Mental Health Promotion},
VOLUME = {25},
YEAR = {2023},
NUMBER = {6},
PAGES = {783--797},
URL = {http://www.techscience.com/IJMHP/v25n6/52725},
ISSN = {2049-8543},
ABSTRACT = {<b>Objective: </b>To explore the double psychosocial threats of the COVID-19 pandemic, targeted behavior toward
Chinese Americans, and the correlates to their mental health. <b>Methods:</b> A quantitative, cross-sectional, and
descriptive design was utilized by using a purposive convenience sample of 301 Chinese Americans over the age
of 18 residing in the United States. Online data collection was conducted through the social media platform
WeChat from April 8–21, 2021. Descriptive statistical analysis was used for the participants’ demographic characteristics, Multidimensional Scale of Perceived Social Support (MSPSS), Double Threat Situations, COVID-19 Racial
Discrimination, and General Anxiety Disorder-7 (GAD-7). Stepwise logistic regression was conducted to verify
predictors for anxiety levels by GAD-7. <b>Results:</b> In this sample (N = 301), 127 (42.19%) were male and 174
(57.81%) were female. The average age was 41.67 (SD = 5.89). Among MSPSS subscales, social support from family
(MSPSS-Fam, 79.73%, n = 240) and social support from significant others (MSPSS-SO, 73.75%, n = 222) were high.
231 (76.74%) reported threats due to their Chinese ethnic background during the COVID-19 outbreak. Predictors
for the high anxiety level by GAD-7 were COVID-19 racial discrimination from the local community (OR = 0.47,
95% CI = 0.39–0.71, <i>p</i> < 0.001), media/online (OR = 0.36, 95% CI = 0.26–0.53, <i>p</i> < 0.001), the perceived threat from
the COVID-19 virus (OR = 0.33, 95% CI = 0.23–0.51, <i>p</i> < 0.001) and Perceived racism threat from Chinese background related to COVID-19 (OR = 0.31, 95% CI = 0.21–0.49, <i>p</i> < 0.001). <b>Conclusions:</b> COVID-19 double-threats
(The virus and racial discrimination) situations are significantly related to the high level of anxiety among Chinese
Americans. The sense of belonging and social perceptions of Chinese immigrants is closely related to public health
problems in Western societies and needs to be addressed at all levels. Our findings call for the attention of healthcare workers to specific racism double-threatened situations and high mental health risks, as well as direct and
indirect ethnic discrimination that Chinese Americans are experiencing during this pandemic, the long-term influences and effective coping ways related to this issue should be explored in further research.},
DOI = {10.32604/ijmhp.2023.026956}
}