How has the presidential election affected young Americans?

The 2016 presidential election season and subsequent political events have had physical and emotional impacts on youth. We collected qualitative insights from 14 to 24 year olds across the US related to these events over time. Open-ended probes were sent via text message at three time points before and after the 2016 presidential election. The majority of youth reported emotional stress during all three time points, and female participants were significantly more likely to experience emotional responses. White participants were more likely to report negative symptoms than their peers both pre-election and at 4-months post-election. While preliminary, the results indicate that feelings of stress, anxiety, and fear have persisted in the months following the election, particularly for young women. Additional research is needed to examine the long-term effects of political events on the emotional and physical health of youth.


How has the presidential election affected young Americans?
This past presidential election season and subsequent political events have affected many adults in the US both emotionally and physically [1], yet the impact on young people is not well understood. Research supports that current events, including election results, can impact health outcomes [2,3]. For example, following the attacks on September 11th, health outcomes for Arab Americans worsened including lowered life expectancies and increased rates of premature births. Following the 2008 election, supporters of the losing candidate had higher cortisol responses than their peers. In both examples, political events worsened levels of stress and anxiety. In the months leading up to and following the 2016 presidential election, countless editorials and articles in popular media detailed the negative impact of the election season on US adults across political affiliations and states. To our knowledge, this phenomenon has not been adequately investigated in adolescents or young adults.
Stress in youth is not benign and is linked to poor emotional and physical health effects. Specifically, stress is linked to cardiovascular disease, anxiety, depression, aggression, substance abuse, and behavioral problems in adolescence, as well as poor outcomes in adulthood [4][5][6]. The outcomes associated with stress are worsened when events are uncontrollable, like politics may feel to youth, leaving them feeling hopeless and unable to cope with adversity. As youth increasingly rely on social media for news and communication, the constant presence of information related to the election and subsequent political events may further impact the influence on youth.
We gather data from youth throughout the US every week via text messaging on a wide variety of healthrelated topics (see research protocol for description of ongoing study) [7]. Weekly topics reflect timely youthrelated policy issues or health concerns. Eligible participants (14-24 years of age, access to a phone with SMS capabilities) are recruited at community events and through social media, consented, and sent a link to an online demographic questionnaire. To understand youth experiences during and following the election, we used a longitudinal mixed methods design with three time points: 1-week pre-election, 2-weeks post-election, and 4-months post-election. Qualitative probes were developed to be open-ended and elicit narrative responses

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Child and Adolescent Psychiatry and Mental Health Responses were then categorized as negative, neutral, or positive for quantitative descriptive analysis and compared using t-tests. 80 participants responded to at least one of the probes (pre-, post-election, or 4-months post-election) and had a mean age of 18.3 (SD = 2.53; Table 1). Of those who completed the optional demographic survey (n = 69), nearly half were women (49%). The majority identified as White (49%; Black 15%, Asian 14%, Latino 4%) and most had completed at least some high school (49%) or some college (25%). Evidenced by responses to open-ended probes, our sample included youth who supported candidates across the political spectrum.
Our results showed that a large proportion of youth were affected by the election, either emotionally (86% pre-election; 71% post-election; 63% 4-months post-election) and/or physically (20% pre-election; 19% post-election). Female participants were more likely to experience emotional responses at all three time points (82% preelection; 80% post-election; 51% 4-months post-election; p < .05). Male participants reported emotional symptoms, but with less prevalence (61% pre-election; 50% post-election; 32% 4-months post-election). White participants were more likely to report negative symptoms than non-white participants both pre-election and 4-months post-election (p < .05). For those that reported stress pre-election, negative symptoms remained 4-months after the election (see Table 2 for representative qualitative data).
The most commonly reported emotional responses throughout this time period were stress and anxiety ("It's contributed to my stress levels, which has made me feel more overwhelmed with my responsibilities"), worry ("I'm worried that [xenophobia] will continue to escalate after the election"), fear ("I am scared honestly, I don't know what is going to happen"), and disappointment ("It's upsetting that [the election] is such a mess"). Physical symptoms included feeling "tired, " "drained, " and "nauseous. " One individual wrote that she was "not sleeping some nights" because of the election, while another described how hard it was to concentrate and do well in school after the election. Stress affected vocal supporters of both candidates and vocal supporters of neither candidate. The small proportion who did not experience any emotional or physical symptoms across time points wrote that the election "hasn't affected" their daily lives or that they "don't worry about politics. " The election season and subsequent political events have already had emotional and physical repercussions on youth, making it an ongoing major public health concern that must be addressed. While preliminary and exploratory, the results of this longitudinal mixed methods study indicate that feelings of stress, anxiety, and fear have persisted in the months following the election, particularly for young women. We will continue to explore the impact of political events on youth in the US through ongoing quantitative and qualitative data collection. This research adds to the limited evidence that election results can impact emotional and physical health [1][2][3], though  It's been extremely frustrating to constantly hear the normalized hateful rhetoric directed towards women, racial/ethnic minorities, and specific religious groups. It's contributed to my stress levels, which has made me feel more overwhelmed with my responsibilities with school and work-my poor coping mechanisms involve stress eating and exercising less I'm worried he will harm refugees and immigrants already in the country and those who will try to enter. I'm worried that he will repeal the health insurance laws that provided insurance to many people. I'm worried that he will limit access to women's health care. I'm worried that he will make poor foreign affairs decisions that will compromise the security of people in the US and around the world I feel upset and overwhelmed. I've disconnected from the news a lot recently which has helped