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International Journal of
            Population Studies                                            Human behaviors during the COVID-19 pandemic



















































                                    Figure 29. Excess dementia deaths. Image obtained from Chen et al. (2023).

            7.3. Deaths of despair (DoD)                         The total number of US DoD in 2020 was 377,000, about
            With increased stress and loneliness, DoD significantly   20,000 higher than the number of 2020 US COVID-19
            increased in 2020. Entrup  et al. (2023) reported   deaths. Moreover, as COVID deaths were more prevalent
                                                               among the elderly, the YLL from DoD in 2020 were greater
            that in 2020, COVID-19 caused 350,831 deaths and   than those lost to COVID-19, as shown in Figure 30.
            4,405,699  years of life lost (YLL). By contrast, DoD
            contributed to 6,045,819 YLL. There were more YLLs   7.4. Mental health
            in DoD because COVID-19 mainly killed the old, and   It is important to remember that there is a bias risk in
            DoD happened across all ages. Men had more deaths and   survey questions, particularly about maladies that do not
            YLL than women due to COVID-19 and DoD. Among      have definitive medical tests. It is hard to imagine someone
            White  Americans and  those  with more than  one race   replying negatively in October 2020 to a question like: “Are
            identification, both had a greater burden of DoD YLL than   you more anxious and/or depressed than you were a year
            COVID-19 YLL. However, for all other racial categories   ago?” That said, many studies reported increased rates of
            (Native American/Alaskan Native, Asian, Black/African   anxiety and depression during the pandemic. Santomauro
            American, Native Hawaiian/Pacific Islander), COVID-19   et al. (2021) reported a meta-analysis of 48 studies
            caused more YLL than DoD. Surprisingly, as in Australia   published between January 01, 2020, and January 29, 2021,
            and New Zealand, the number of suicides in the US did   as summarized in Figure 31. The increases in rates during
            not increase. They, however, did so in Japan, South Korea,   the pandemic for various mental health problems are
            India, Mexico, and Thailand.                       shown by pink relative to purple.


            Volume 11 Issue 5 (2025)                        21                   https://doi.org/10.36922/IJPS025110040
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