Research Article

The Impact of COVID-19 Vaccination on Symptoms of Anxiety and Depression before and after COVID-19 Vaccines Were Universally Available for Adults in the United States

Table 1

Sociodemographic characteristics by vaccination status in the pre- and universal vaccine eras—CHASING COVID Cohort, USA, December 2020-January 2022.

Overall, (%)Preuniversal vaccine era (December 2020-April 18, 2021)Universal vaccine era (April 19, 2021-January 11, 2022)
Not vaccinated, (%)Vaccinated, (%)Not vaccinated, (%)Vaccinated, (%)

11,469 (100.0)4,846 (100.0)3,194 (100.0)2,628 (100.0)801 (100.0)
Age
18-498,129 (70.9)3,390 (70.0)2,006 (62.8)2,070 (78.8)663 (82.8)
50-591,536 (13.4)650 (13.4)479 (15.0)325 (12.4)82 (10.2)
60+1,804 (15.7)806 (16.6)709 (22.2)233 (8.9)56 (7.0)

Gender
Cisgender male4,889 (42.6)2,152 (44.4)1,502 (47.0)892 (33.9)343 (42.8)
Cisgender female6,296 (54.9)2,558 (52.8)1,594 (49.9)1,706 (64.9)438 (54.7)
Nonbinary/transgender284 (2.5)136 (2.8)98 (3.1)30 (1.1)20 (2.5)

Race/ethnicity
Hispanic2,007 (17.5)821 (16.9)401 (12.6)584 (22.2)201 (25.1)
Black non-Hispanic1,359 (11.8)496 (10.2)211 (6.6)528 (20.1)124 (15.5)
Asian\Pacific Islander781 (6.8)357 (7.4)239 (7.5)117 (4.5)68 (8.5)
White non-Hispanic6,915 (60.3)3,013 (62.2)2,252 (70.5)1,273 (48.4)377 (47.1)
Other407 (3.5)159 (3.3)91 (2.8)126 (4.8)31 (3.9)

Income
<$50,0004,724 (41.2)1,866 (38.5)1,005 (31.5)1,474 (56.1)379 (47.3)
$50,000 to $99,9993,489 (30.4)1,489 (30.7)1,033 (32.3)735 (28.0)232 (29.0)
$100,000 or more2,913 (25.4)1,353 (27.9)1,071 (33.5)331 (12.6)158 (19.7)
Unknown343 (3.0)138 (2.8)85 (2.7)88 (3.3)32 (4.0)

Education
<High school223 (1.9)70 (1.4)23 (0.7)110 (4.2)20 (2.5)
High school graduate1,362 (11.9)472 (9.7)183 (5.7)601 (22.9)106 (13.2)
Some college3,226 (28.1)1,275 (26.3)656 (20.5)1,020 (38.8)275 (34.3)
College graduate6,658 (58.1)3,029 (62.5)2,332 (73.0)897 (34.1)400 (49.9)

Employment status
Employed7,406 (64.6)3,175 (65.5)2,119 (66.3)1,596 (60.7)516 (64.4)
Out of work1,384 (12.1)547 (11.3)313 (9.8)403 (15.3)121 (15.1)
Other/unknown2,679 (23.4)1,124 (23.2)762 (23.9)629 (23.9)164 (20.5)

Any in household
No7,769 (67.7)3,409 (70.3)2,521 (78.9)1,368 (52.1)471 (58.8)
Yes3,700 (32.3)1,437 (29.7)673 (21.1)1,260 (47.9)330 (41.2)

Recent housing insecurity
Usually/always1,890 (16.5)759 (15.7)293 (9.2)664 (25.3)174 (21.7)
Rarely/sometimes3,648 (31.8)1,574 (32.5)861 (27.0)921 (35.0)292 (36.5)
Never5,931 (51.7)2,513 (51.9)2,040 (63.9)1,043 (39.7)335 (41.8)

Recent food insecurity
No8,341 (72.7)3,623 (74.8)2,696 (84.4)1,529 (58.2)493 (61.5)
Yes3,128 (27.3)1,223 (25.2)498 (15.6)1,099 (41.8)308 (38.5)

Potential SARS-CoV-2 exposure risk
Less exposure7,126 (62.1)3,100 (64.0)2,197 (68.8)1,368 (52.1)461 (57.6)
More exposure4,343 (37.9)1,746 (36.0)997 (31.2)1,260 (47.9)340 (42.4)

Susceptibility to severe COVID-19 disease
Less susceptible9,037 (78.8)3,834 (79.1)2,466 (77.2)2,073 (78.9)664 (82.9)
More susceptible2,432 (21.2)1,012 (20.9)728 (22.8)555 (21.1)137 (17.1)

Healthcare access
Fewer barriers to access6,518 (56.8)2,860 (59.0)2,165 (67.8)1,124 (42.8)369 (46.1)
More barriers to access4,951 (43.2)1,986 (41.0)1,029 (32.2)1,504 (57.2)432 (53.9)

Anxiety symptoms
None/mild8,574 (74.8)3,554 (73.3)2,538 (79.5)1,889 (71.9)593 (74.0)
Moderate/severe2,895 (25.2)1,292 (26.7)656 (20.5)739 (28.1)208 (26.0)
Mean (STD)6.39 (5.72)6.69 (5.64)5.87 (5.25)6.46 (6.29)6.35 (5.91)
Median (IQR)5 (2, 2)6 (2, 2)5 (2, 2)5 (1, 1)5 (1, 1)

Depressive symptoms
None/mild8,403 (73.3)3,521 (72.7)2,464 (77.1)1,839 (70.0)579 (72.3)
Moderate/severe3,066 (26.7)1,325 (27.3)730 (22.9)789 (30.0)222 (27.7)
Mean (STD)6.63 (6.16)6.80 (6.03)6.13 (5.71)6.90 (6.77)6.77 (6.52)
Median (IQR)5 (1, 1)5 (2, 2)5 (2, 2)5 (1, 1)5 (1, 1)

Measured at the survey closest to vaccine status. All other variables are measured at study enrollment.