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men and younger adults. Conclusions and relevance Americans have high COVID-19 stress exposure and some demographic subgroups appear particularly vulnerable to stress effects. Subgroups less likely to adhere to CDC guidelines may benefit from targeted information campaigns. these findings may guide mental health interventions and inform policy-making regarding implications of specific public health measures.Since 2011, aviation has revolutionized their approach to safety. The aviation industry has adopted a multi-faceted approach to imp