The U.S. Census Bureau, in collaboration with five federal agencies, launched the Household Pulse Survey to produce data on the social and economic impacts of Covid-19 on American households. The Household Pulse Survey was designed to gauge the impact of the pandemic on employment status, consumer spending, food security, housing, education disruptions, and dimensions of physical and mental wellness. The survey was designed to meet the goal of accurate and timely weekly estimates. It was conducted by an internet questionnaire, with invitations to participate sent by email and text message. The sample frame is the Census Bureau Master Address File Data. Housing units linked to one or more email addresses or cell phone numbers were randomly selected to participate, and one respondent from each housing unit was selected to respond for him or herself. Estimates are weighted to adjust for nonresponse and to match Census Bureau estimates of the population by age, gender, race and ethnicity, and educational attainment. All estimates shown meet the NCHS Data Presentation Standards for Proportions.

The U.S. Census Bureau, in collaboration with five federal agencies, launched the Household Pulse Survey to produce data on the social and economic impacts of Covid-19 on American households. The Household Pulse Survey was designed to gauge the impact of the pandemic on employment status, consumer spending, food security, housing, education disruptions, and dimensions of physical and mental wellness.

The survey was designed to meet the goal of accurate and timely weekly estimates. It was conducted by an internet questionnaire, with invitations to participate sent by email and text message. The sample frame is the Census Bureau Master Address File Data. Housing units linked to one or more email addresses or cell phone numbers were randomly selected to participate, and one respondent from each housing unit was selected to respond for him or herself. Estimates are weighted to adjust for nonresponse and to match Census Bureau estimates of the population by age, sex, race and ethnicity, and educational attainment. All estimates shown meet the NCHS Data Presentation Standards for Proportions.

The U.S. Census Bureau, in collaboration with five federal agencies, launched the Household Pulse Survey to produce data on the social and economic impacts of Covid-19 on American households. The Household Pulse Survey was designed to gauge the impact of the pandemic on employment status, consumer spending, food security, housing, education disruptions, and dimensions of physical and mental wellness.

The survey was designed to meet the goal of accurate and timely weekly estimates. It was conducted by an internet questionnaire, with invitations to participate sent by email and text message. The sample frame is the Census Bureau Master Address File Data. Housing units linked to one or more email addresses or cell phone numbers were randomly selected to participate, and one respondent from each housing unit was selected to respond for him or herself. Estimates are weighted to adjust for nonresponse and to match Census Bureau estimates of the population by age, sex, race and ethnicity, and educational attainment. All estimates shown meet the NCHS Data Presentation Standards for Proportions.

Updated on 3/31/2025 to comply with the President’s Executive Order 14168.

U.S. Household Mental Health & Covid-19

Assessing the Impact of the Pandemic

By US Open Data Portal, data.gov [source]

About this dataset

This dataset offers a closer look into the mental health care received by U.S. households in the last four weeks during the Covid-19 pandemic. The sheer scale of this crisis is inspiring people of all ages, backgrounds, and geographies to come together to tackle the problem. The Household Pulse Survey from the U.S. Census Bureau was published with federal agency collaboration in order to draw up accurate and timely estimates about how Covid-19 is impacting employment status, consumer spending, food security, housing stability, education interruption, and physical and mental wellness amongst American households. In order to deliver meaningful results from this survey data about wellbeing at various levels of society during this trying period – which includes demographic characteristics such as age gender race/ethnicity training attainment – each consulted household was randomly selected according to certain weighted criteria to maintain accuracy throughout the findings This dataset will help you explore what's it like on the ground right now for everyone affected by Covid-19 - Will it inform your decisions or point you towards new opportunities?

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How to use the dataset

This dataset contains information about the mental health care that U.S. households have received in the last 4 weeks, during the Covid-19 pandemic. This data is valuable when wanting to track and measure mental health needs across the country and draw comparisons between regions based on support available.

To use this dataset, it is important to understand each of its columns or variables in order to draw meaningful insights from the data. The ‘Indicator’ column indicates which type of indicator (percentage or absolute number) is being measured by this survey, while ‘Group’ and 'Subgroup' provide more specific details about who was surveyed for each indicator included in this dataset.

The Columns ‘Phase’ and 'Time Period' provide information regarding when each of these indicators was measured - whether during a certain phase or over a particular timespan - while columns such as 'Value', 'LowCI' & 'HighCI' show us how many individuals fell into what quartile range for each measurement taken (e.g., how many people reported they rarely felt lonely). Similarly, the column Suppression Flag helps us identify cases where value has been suppressed if it falls below a certain benchmark; this allows us to calculate accurate estimates more quickly without needing to sort through all suppressed values manually each time we use this dataset for analysis purposes. Finally, columns such as ‘Time Period Start Date’ & ‘Time Period End Date’ indicate which exact dates were used for measurements taken over different periods throughout those dates specified – useful when conducting time-series related analyses over longer periods of time within our research scope)

Overall, when using this dataset it's important to keep in mind exactly what indicator type you're looking at - percentage points or absolute numbers - as well its associated group/subgroup characteristics so that you can accurately interpret trends based on key findings had by interpreting any correlations drawn from these results!

Research Ideas

• Analyzing the effects of the Covid-19 pandemic on mental health care among different subgroups such as racial and ethnic minorities, gender and age categories.
• Identifying geographical disparities in mental health services by comparing state level data for the same time period.
• Comparing changes in mental health care indicators over time to understand how the pandemic has impacted people's access to care within a quarter or over longer periods

Acknowledgements

If you use this dataset in your research, please credit the original authors. Data Source

License

License: Dataset copyright by authors - You are free to: - Share - copy and redistribute the material in any medium or format for any purpose, even commercially. - Adapt - remix, transform, and build upon the material for any purpose, even commercially. - You must: - Give appropriate credit - Provide a link to the license, and indicate if changes were made. - ShareAlike - You must distribute your contributions under the same license as the original. ...

Research has documented direct negative impacts of crises, such as COVID-19, on people’s mental health. However, evidence is limited about how these events impact decision-making through direct influences on choices, or by indirectly changing decision-making through mental health effects. Research on avoidance behaviors suggests that affective states influence decisions to access healthcare and receive diagnoses. While there is significant evidence that hopelessness related to a potential health threat impacts decisions to learn about that threat, affective responses to crises may also cause spillovers to decision-making in other domains. In this study, we examine linkages between exposure to a stressor (COVID-19-related income loss), feelings of hopelessness, and foregoing or delaying healthcare across multiple cross-sections of the US Census’s Household Pulse Survey, featuring 2.76 million survey responses collected between April 23, 2020, and July 5, 2021. After removing observations with missing data for dependent variables, the final sample size is just under 2.3 million responses. We conduct ordered logistic regressions of the relationship of income loss with hopelessness levels, and logistic regression of the relationship of income loss and hopelessness levels on health care access. We additionally report versions of the regressions with demographic variables and time and state fixed effects to control for important factors related to those variables. We conduct a mediation analysis to estimate the pathway of income loss acting through hopelessness. The analyses find that experienced income loss predicts significantly higher levels of hopelessness (odds ratio (OR)=1.68 (95%CI = 1.67, 1.69)). Both hopelessness and income loss are, in turn, associated with healthcare access—an increased likelihood of foregoing and/or delaying needed medical care (e.g., hopelessness nearly every day (OR=4.18, 95%CI = 4.13, 4.23), experienced income loss OR=1.25, 95%CI = 1.24, 1.26)). A mediation analysis confirms that hopelessness significantly and consistently mediates approximately 30% of the relationship of COVID-19 income loss to foregoing/delaying healthcare.

To rapidly monitor recent changes in the use of telemedicine, the National Center for Health Statistics (NCHS) and the Health Resources and Services Administration’s Maternal and Child Health Bureau (HRSA MCHB) partnered with the Census Bureau on an experimental data system called the Household Pulse Survey. This 20-minute online survey was designed to complement the ability of the federal statistical system to rapidly respond and provide relevant information about the impact of the coronavirus pandemic in the U.S. The U.S. Census Bureau, in collaboration with five federal agencies, launched the Household Pulse Survey to produce data on the social and economic impacts of the COVID-19 pandemic on American households. The Household Pulse Survey was designed to gauge the impact of the pandemic on employment status, consumer spending, food security, housing, education disruptions, and dimensions of physical and mental wellness. The survey was designed to meet the goal of accurate and timely estimates. It was conducted by an internet questionnaire, with invitations to participate sent by email and text message. The sample frame is the Census Bureau Master Address File Data. Housing units linked to one or more email addresses or cell phone numbers were randomly selected to participate, and one respondent from each housing unit was selected to respond for him or herself. Estimates are weighted to adjust for nonresponse and to match Census Bureau estimates of the population by age, sex, race and ethnicity, and educational attainment. All estimates shown meet the NCHS Data Presentation Standards for Proportions.

The U.S. Census Bureau, in collaboration with five federal agencies, launched the Household Pulse Survey to produce data on the social and economic impacts of Covid-19 on American households. The Household Pulse Survey was designed to gauge the impact of the pandemic on employment status, consumer spending, food security, housing, education disruptions, and dimensions of physical and mental wellness. The survey was designed to meet the goal of accurate and timely weekly estimates. It was conducted by an internet questionnaire, with invitations to participate sent by email and text message. The sample frame is the Census Bureau Master Address File Data. Housing units linked to one or more email addresses or cell phone numbers were randomly selected to participate, and one respondent from each housing unit was selected to respond for him or herself. Estimates are weighted to adjust for nonresponse and to match Census Bureau estimates of the population by age, sex, race and ethnicity, and educational attainment. All estimates shown meet the NCHS Data Presentation Standards for Proportions.

The U.S. Census Bureau, in collaboration with five federal agencies, launched the Household Pulse Survey to produce data on the social and economic impacts of Covid-19 on American households. The Household Pulse Survey was designed to gauge the impact of the pandemic on employment status, consumer spending, food security, housing, education disruptions, and dimensions of physical and mental wellness. The survey was designed to meet the goal of accurate and timely weekly estimates. It was conducted by an internet questionnaire, with invitations to participate sent by email and text message. The sample frame is the Census Bureau Master Address File Data. Housing units linked to one or more email addresses or cell phone numbers were randomly selected to participate, and one respondent from each housing unit was selected to respond for him or herself. Estimates are weighted to adjust for nonresponse and to match Census Bureau estimates of the population by age, sex, race and ethnicity, and educational attainment. All estimates shown meet the NCHS Data Presentation Standards for Proportions,

Adjusted Odds ratios and 95% confidence intervals of the impact of the experienced or expected loss of income on experienced hopelessness during the previous seven days from ordered logistic regression analysis of HPS Survey data with and without demographic and state/time control variables.

Odds ratios and 95% confidence intervals of the association of feeling hopeless to delaying medical care in previous four weeks using data from HPS waves 1–20 and 22–33 with and without demographic, health insurance, and state/time control variables.

Distribution of responses to question about feelings of hopelessness in the previous seven days.

Odds ratios and 95% confidence intervals of the association of feeling hopeless to foregoing non-COVID-related needed medical care in previous four weeks using data from HPS waves 1–20 and 22–33 with and without demographic, health insurance, and state/time control variables.

Average marginal effects of hopelessness and income loss variables on foregoing or delaying medical care in waves 1–27 and 28–33.

This layer shows Household Pulse Survey data on gender identity and sexual orientation. Gender identity is the internal perception of gender, and how one identifies based on how one aligns or doesn’t align with cultural options for gender. This is a different concept than sex assigned at birth. Sexual orientation is the type of sexual attraction one has the capacity to feel for others, generally labeled based on the gender relationship between the person and the people they are attracted to. This is not the same as sexual behavior or preference.Learn more about how the Census Bureau survey measures sexual orientation and gender identity. This page includes nation-wide characteristics such as age, Hispanic origin and race, and educational attainment. Also read some of their findings about experiences during the COVID-19 pandemic, such as lesbian, gay, bisexual, or transgender (LGBT) adults experiencing higher rates of both economic hardship and mental health hardship. See the questionnaire used in phase 3.2 of the Household Pulse Survey.Source: Household Pulse Survey Data Tables. Data values in this layer are from Week 34 (July 21 - August 2, 2021), the first week that gender identity and sexual orientation questions were part of this survey. Top 15 metros are based on total population and are the same 15 metros available for all Household Pulse Data Tables.This layer is symbolized to show the percent of adults who are lesbian, gay, bisexual, or transgender (LGBT) as well as adults whose gender or sexual orientation was not listed on the survey (LGBTQIA+). The color of the symbol depicts the percentage and the size of the symbol depicts the count. *Percent calculations do not use those who did not report either their gender or sexual orientation in either the numerator or denominator, consistent with methodology used by the source.*Data Prep Steps:Data prep used Table 1 (Child Tax Credit Payment Status and Use, by Select Characteristics) to perform tabular data transformation. SAS to Table conversion tool was used to bring the tables into ArcGIS Pro.The data is joined to 2019 TIGER boundaries from the U.S. Census Bureau.Using the counties in each metro according to the Metropolitan and Micropolitan Statistical Area Reference Files, metro boundaries created via Merge and Dissolve tools in ArcGIS Pro.In preparing the field aliases and long descriptions, "none of these" and "something else" were generally modified to "not listed."

Full results of logistic regression analysis of the relationship of foregoing medical care with hopelessness, income loss, and all control variables.

Regression analysis for anxiety, depression and worry and the composite unhappiness score, census household pulse surveys, April 2020—April 2022.

This research examined the association between COVID-19 cases and food insufficiency in the United States using repeated cross-sectional data from the Household Pulse Survey (April 23, 2020-May 24, 2021, n = 2,618,027). New daily cases averaged 65,160.93 throughout the study period. A 70,000-unit increase in COVID-19 cases was associated with a 13% higher odds of food insufficiency (OR = 1.13, 95% CI: 1.12–1.15). Participants with mild (OR = 2.72, 95% CI: 2.61–2.84), moderate (OR = 4.58, 95% CI: 4.36–4.81), or severe (OR = 8.75, 95% CI: 8.42–9.09) anxiety/depression and Black participants (OR = 2.36, 95% CI: 2.29–2.44) had the highest odds of reporting food insufficiency during the pandemic.

Full results of logistic regression analysis of the relationship of delaying medical care with hopelessness, income loss, and all control variables.

Regression analysis for composite unhappiness score and time by gender, census household pulse surveys, April 2020—April 2022.

Ordered logit estimates, physical mobility, remembering and understanding and mental health.