Perceived discrimination based on the symptoms of covid-19, mental health, and emotional responses–the international online COVISTRESS survey

  • Michaël Dambrun*
  • , Eric Bonetto
  • , Ladislav Motak
  • , Julien S. Baker
  • , Reza Bagheri
  • , Foued Saadaoui
  • , Hana Rabbouch
  • , Marek Zak
  • , Hijrah Nasir
  • , Martial Mermillod
  • , Yang Gao
  • , Samuel Antunes
  • , Ukadike Chris Ugbolue
  • , Bruno Pereira
  • , Jean-Baptiste Bouillon-Minois
  • , Armelle Nugier
  • , Maëlys Clinchamps
  • , Frédéric Dutheil
  • , The COVISTRESS Network
  • , Stéphanie Mestres
  • Cécile Miele, Valentin Navel, Lenise M. Parreira, Karine Rouffiac, Yves Boirie, Martine Duclos, Maria Livia Fantini, Jeannot Schmidt, Stéphanie Tubert-Jeannin, Mickael Berthon, Pierre Chausse, Sylvie Droit-Volet, Julien Guegan, Serge Guimond, Laurie Mondillon, Pascal Huguet, Samuel Dewavrin, Sébastien Couarraze, Louis Delamarre, Fouad Marhar, Geraldine Naughton, Amanda Benson, Claus Lamm, Karen Gbaglo, Vicky Drapeau, Raimundo Avilés Dorlhiac, Benjamin Bustos, Yaodong Gu, Haifeng Zhang, Peter Dieckmann, Wendy Yajun Huang, Jiao Jiao, Binh Quach, Chunqing Zhang, Perluigi Cocco, Rosamaria Lecca, Monica Puligheddu, Michela Figorilli, Morteza Charkhabi, Daniela Pfabigan, Peter Dieckmann, Tomasz Sikorski, Magdalena Wasik-Jan Kochanowski, David Neto, Pedro Almeida, Maria João Gouveia, Pedro Quinteiro, Constanta Urzeala, Benoït Dubuis, Juliette Lemaignen, Kuan-Chou Chen, Andy Su-I Liu, Keri Kulik
*Corresponding author for this work

Research output: Contribution to journalJournal articlepeer-review

3 Citations (Scopus)

Abstract

Background: Despite the potential detrimental consequences for individuals’ health and discrimination from covid-19 symptoms, the outcomes have received little attention. This study examines the relationships between having personally experienced discrimination based on the symptoms of covid-19 (during the first wave of the pandemic), mental health, and emotional responses (anger and sadness). It was predicted that covid-19 discrimination would be positively related to poor mental health and that this relationship would be mediated by the emotions of anger and sadness. Methods The study was conducted using an online questionnaire from January to June 2020 (the Covistress network; including 44 countries). Participants were extracted from the COVISTRESS database (Ntotal = 280) with about a half declaring having been discriminated due to covid-19 symptoms (N = 135). Discriminated participants were compared to non-discriminated participants using ANOVA. A mediation analysis was conducted to examine the indirect effect of emotional responses and the relationships between perceived discrimination and self-reported mental health.

Results: The results indicated that individuals who experienced discrimination based on the symptoms of covid-19 had poorer mental health and experienced more anger and sadness. The relationship between covid-19 personal discrimination and mental health disappeared when the emotions of anger and sadness were statistically controlled for. The indirect effects for both anger and sadness were statistically significant. 

Discussion: This study suggests that the covid-19 pandemic may have generated discriminatory behaviors toward those suspected of having symptoms and that this is related to poorer mental health via anger and sadness.

Original languageEnglish
Article numbere0279180
Number of pages16
JournalPLoS ONE
Volume18
Issue number1
DOIs
Publication statusPublished - 4 Jan 2023

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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