ArticleJournal of affective disorders2026
Facing the pandemic amidst mental health challenges: A longitudinal study of Black and Latino public housing residents.
Article in Journal of affective disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAs the COVID-19 pandemic unfolded in the U.S., individuals with mental health disorders faced compounded challenges exacerbated by existing inequities, including racial and economic injustice.
aimThis study examined the association between having a history of a prior mental health condition and psychological distress related to COVID-19 among predominantly Black and Latino public housing residents, identifying both risk and protective factors.
methodsWe used longitudinal data comprising eight time points from participants (N = 392) in a sample of 146 households of public housing residents in South Bronx, NYC. We conducted a mixed-effects multilevel logistic regression model for cross-sectional and longitudinal analysis to evaluate the association between recent psychological distress related to COVID-19 and self-reported mental health diagnosis, adjusting for sociodemographic, risk, and protective factors.
resultsParticipants with prior mental health conditions (31% of the sample) faced higher likelihood of distress related to COVID-19 (AOR = 3.54, 95% CI: 1.62-7.73) and over time (AOR = 4.88, 95% CI: 2.25-10.59). Resilience was a protective factor against distress for individuals with prior mental health conditions, while middle adulthood (age 36-55) emerged as a risk factor for distress. LIMITATIONS: All self-reported measures pose a potential risk of information bias.
conclusionsOur study highlights the significant impact of prior mental health conditions on COVID-19-related distress among public housing residents, emphasizing resilience as a protective factor. A targeted approach is critical, including screening for past mental health issues and promoting equity-centered programs tailored to the needs of Black and Latino individuals with pre-existing mental health conditions.
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