Vulnerability and resilience in children during the COVID-19 pandemic.

Vulnerability and resilience in children during the COVID-19 pandemic.
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DOI:
10.1007/s00787-020-01680-8
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发表时间:
2022-01
影响因子:
6.4
通讯作者:
Lp P
Lp P
中科院分区:
医学2区
文献类型:
--
作者:
Tso WWY;Wong RS;Tung KTS;Rao N;Fu KW;Yam JCS;Chua GT;Chen EYH;Lee TMC;Chan SKW;Wong WHS;Xiong X;Chui CS;Li X;Wong K;Leung C;Tsang SKM;Chan GCF;Tam PKH;Chan KL;Kwan MYW;Ho MHK;Chow CB;Wong ICK;Lp P

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2019冠状病毒病(COVID-19)大流行正在对全球儿童的健康和发展产生深远影响。关于COVID-19及其相关的学校关闭和疾病控制措施对儿童心理社会健康的影响的证据有限;关于弱势群体的特征和促进复原力的因素的研究很少。我们对有2-12岁儿童的香港家庭进行了大规模的横断面人口研究。家长们完成了一项关于家庭人口统计、儿童心理健康、功能和生活习惯、亲子互动以及因COVID-19学校停课期间父母压力的在线调查。我们使用简单和多元线性回归分析来探索大流行期间与儿童心理社会问题和父母压力相关的因素。该研究包括29202个家庭;其中12,163人有2-5岁的子女,17,029人有6-12岁的子女。有特殊教育需要和/或患有急性或慢性疾病的儿童、患有精神疾病的母亲、单亲家庭和低收入家庭的儿童出现心理社会问题的风险较高。在学龄前儿童中,延迟就寝时间和/或睡眠不足或运动时间不足、长时间使用电子设备与父母的压力显著增加和更多的心理社会问题有关。本研究确定了弱势儿童群体,并强调了在2019冠状病毒病大流行期间加强家庭凝聚力、充足的睡眠和锻炼以及负责任地使用电子设备对促进社会心理健康的重要性。本文的在线版本(10.1007/s00787-020-01680-8)包含补充资料,仅供授权用户使用。
The coronavirus disease 2019 (COVID-19) pandemic is having a profound impact on the health and development of children worldwide. There is limited evidence on the impact of COVID-19 and its related school closures and disease-containment measures on the psychosocial wellbeing of children; little research has been done on the characteristics of vulnerable groups and factors that promote resilience. We conducted a large-scale cross-sectional population study of Hong Kong families with children aged 2–12 years. Parents completed an online survey on family demographics, child psychosocial wellbeing, functioning and lifestyle habits, parent–child interactions, and parental stress during school closures due to COVID-19. We used simple and multiple linear regression analyses to explore factors associated with child psychosocial problems and parental stress during the pandemic. The study included 29,202 individual families; of which 12,163 had children aged 2–5 years and 17,029 had children aged 6–12 years. The risk of child psychosocial problems was higher in children with special educational needs, and/or acute or chronic disease, mothers with mental illness, single-parent families, and low-income families. Delayed bedtime and/or inadequate sleep or exercise duration, extended use of electronic devices were associated with significantly higher parental stress and more psychosocial problems among pre-schoolers. This study identifies vulnerable groups of children and highlights the importance of strengthening family coherence, adequate sleep and exercise, and responsible use of electronic devices in promoting psychosocial wellbeing during the COVID-19 pandemic. The online version of this article (10.1007/s00787-020-01680-8) contains supplementary material, which is available to authorized users.
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