What Family Circumstances, During COVID-19, Impact on Parental Mental Health in an Inner City Community in London?

What Family Circumstances, During COVID-19, Impact on Parental Mental Health in an Inner City Community in London?
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DOI:
10.3389/fpsyt.2021.725823
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发表时间:
2021
影响因子:
4.7
通讯作者:
O'Brien M
O'Brien M
中科院分区:
医学3区
文献类型:
--
作者:
Whitaker L;Cameron C;Hauari H;Hollingworth K;O'Brien M

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2020 年 3 月因突发公共卫生事件而实施的封锁标志着所有有幼儿家庭的日常生活开始发生重大变化。在这里,我们报道了伦敦陶尔哈姆莱茨区贫困率高、种族和语言多样化的家庭的经历。与世界各地的社区一样,这个内城社区的教育、支持服务机会减少或关闭,在某些情况下,收入、工作和粮食安全也发生变化或丧失。使用定量调查项目(N = 992),我们研究了 2020 年 3 月至 2020 年 11 月期间居住在陶尔哈姆莱茨的 0-5 岁幼儿的母亲和父亲的家庭环境差异与其心理健康状况的关系。我们使用抑郁症状(自我报告:患者健康问卷抑郁量表:PHQ-8)、焦虑水平症状(自我报告:一般性焦虑症:GAD-7)和直接孤独感来衡量父母的心理健康状况。我们发现,父母的心理健康问题与物质资产(财务安全、粮食安全和儿童能够接触外部空间)、家庭资产(父母独处时间和父母状态:独居与同居)和社区资产(获得家庭以外的朋友和家人的支持)有关。一旦考虑到所有其他预测因素,南亚裔父母和跨种族父亲更有可能经历心理健康问题。在未来的大流行中,人们的生活受到限制,应考虑这些影响因素,并说明减少财务不安全和粮食不安全作为改善父母心理健康的一种手段的重要性。
The introduction of lockdown due to a public health emergency in March 2020 marked the beginning of substantial changes to daily life for all families with young children. Here we report the experience of families from London Borough of Tower Hamlets with high rates of poverty and ethnic and linguistic diversity. This inner city community, like communities worldwide, has experienced a reduction or closure in access to education, support services, and in some cases, a change in or loss of income, job, and food security. Using quantitative survey items (N = 992), we examined what differences in family circumstances, for mothers and fathers of young children aged 0–5 living in Tower Hamlets, during March 2020 to November 2020, were associated with their mental health status. We measure parental mental health using symptoms of depression (self-report: Patient Health Questionnaire depression scale: PHQ-8), symptoms of anxiety levels (self-report: General Anxiety Disorder: GAD-7), and perceptions of direct loneliness. We find parental mental health difficulties are associated with low material assets (financial security, food security, and children having access to outside space), familial assets (parents time for themselves and parent status: lone vs. cohabiting), and community assets (receiving support from friends and family outside the household). South Asian parents and fathers across ethnicities were significantly more likely to experience mental health difficulties, once all other predictors were accounted for. These contributing factors should be considered for future pandemics, where restrictions on people's lives are put in place, and speak to the importance of reducing financial insecurity and food insecurity as a means of improving the mental health of parents.
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