Among 2023 respondents aged 50–80 years, most reported their mental health as no worse than before the pandemic. However, 18.3% reported their mental health to be worse; 18.7% of respondents reported worse sleep, 18.9% worse depression, and 28.3% worse anxiety.
In adjusted analyses, several groups were more likely to report worse mental health including the following: females (AOR 1.75, 95% CI 1.36–2.25), those with a bachelor’s degree (AOR 2.00, 95% CI 1.42–2.80), and respondents rating physical health as fair to poor (AOR 1.69, 95% CI 1.20–2.38; Table 1). By contrast, respondents who were older were less likely to report worse mental health (AOR 0.58, 95% CI 0.44–0.77). Findings by age were consistent for sleep, depression, and anxiety.
After March 2020, 29.0% of respondents made a lifestyle change to address mental health. 12.7% discussed a new mental health concern with their primary care provider while 5.4% and 5.6% of respondents started seeing a mental health provider or adjusted/started a new medication. Making lifestyle changes to address mental health was more common among female, non-Hispanic Black, and Hispanic respondents (Table 2). Female respondents were significantly more likely to discuss such concerns with their primary care provider (AOR 1.78, 95% CI 1.30–2.42) and consider medication treatment (AOR 1.79, 95% CI 1.09–2.94).