Can a Clinic-Based Community Health Worker Intervention Buffer the Negative Impact of the COVID-19 Pandemic on Health and Well-Being of Low-Income Families during Early Childhood.
Can a Clinic-Based Community Health Worker Intervention Buffer the Negative Impact of the COVID-19 Pandemic on Health and Well-Being of Low-Income Families during Early Childhood.
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DOI：
10.3390/ijerph20146407
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发表时间：
2023-07-20
影响因子：
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通讯作者：
Coker, Tumaini R
中科院分区：
文献类型：
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作者：
Salaguinto, Taylor;Guzman, Yasmin;Lowry, Sarah J;Liljenquist, Kendra;LaFontaine, Rachel;Ortiz, Janette E;Szilagyi, Peter G;Fiscella, Kevin;Weaver, Marcia R;Coker, Tumaini R
我们检查了从大流行前到大流行期间，有0-2岁孩子的低收入父母自我报告的心理健康，身体健康和情感支持的变化，并比较了在幼儿预防保健访问中支持父母的诊所为基础的社区卫生工作者干预与没有获得干预的父母之间的父母健康变化。我们利用了来自COVID-19前和COVID-19时间段的纵向父母调查数据，这些数据来自参与10个诊所的随机对照试验（RCT）的现有父母队列的干预组和对照组。在招募（大流行前）和12个月随访（大流行）时，参与者使用PROMIS测量（n = 401）报告了心理健康，身体健康和情感支持。在大流行前，对照组和干预组的父母在心理健康、身体健康和情感支持方面的平均T分数相似。在随访中，心理健康，身体健康和情感支持的平均T评分在对照组和干预组中都有所下降，但干预组父母的心理健康T评分下降幅度较小（p = 0.005）。我们的研究结果表明，在大流行期间，有年幼子女的低收入父母的身心健康和情感支持显著下降，社区卫生工作者的干预可能缓冲了心理健康的下降。
We examined changes in self-reported mental health, physical health, and emotional support among low-income parents with children ages 0–2 years old from pre-pandemic to pandemic periods and compared changes in parental health among parents who did versus did not have access to a clinic-based community health worker intervention supporting parents at early childhood preventive care visits. We utilized longitudinal parent survey data from pre-COVID-19 and COVID-19 time periods from both the intervention and control arms of an existing cohort of parents enrolled in a 10-clinic cluster randomized controlled trial (RCT). At enrollment (pre-pandemic) and 12-month follow-up (pandemic), participants reported on mental health, physical health, and emotional support using PROMIS measures (n = 401). During the pre-pandemic portion, control and intervention group parents had similar mean T-scores for mental health, physical health, and emotional support. At follow-up, mean T-scores for mental health, physical health, and emotional support decreased across both control and intervention groups, but intervention group parents had smaller declines in mental health T-scores (p = 0.005). Our findings indicate that low-income parents with young children suffered significant declines in mental and physical health and emotional support during the pandemic and that the decline in mental health may have been buffered by the community health worker intervention.