"It's hard for everyone" systemic barriers to home confinement to prevent community spread of COVID-19.
"It's hard for everyone" systemic barriers to home confinement to prevent community spread of COVID-19.
复制标题
“每个人都很难”的系统性障碍，以防止社区传播Covid-19。
DOI：
10.1093/tbm/ibac074
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发表时间：
2023-02-28
影响因子：
3.6
通讯作者：
Fielding-Miller, Rebecca
中科院分区：
文献类型：
--
作者：
Omaleki, Vinton;Vo, Anh V.;Flores, Marlene;Majnoonian, Araz;Le, Tina;Nguyen, Megan;Duong, Dawn;Hassani, Ashkan;Wijaya, Fitri C.;Gonzalez-Zuniga, Patricia E.;Gaines, Tommi;Garfein, Richard S.;Fielding-Miller, Rebecca
对COVID-19病例或密切接触者的快速识别和隔离/检疫是支持安全、面对面学习的重要工具。然而，对幼儿进行安全隔离或检疫还需要至少有一名成年照顾者在家隔离，以及教师迅速编写学习材料，以尽量减少学习损失。本研究的目的是为了更好地了解学生家庭禁闭的障碍和支持。我们进行了一项混合方法的研究，使用焦点小组讨论和自我管理的在线调查，来自圣地亚哥县12所小学和儿童保育网站的家长和工作人员为低收入和社会弱势家庭提供服务。焦点小组参与者报告说，精神痛苦和孤独，学习损失，儿童保育，食物，收入损失和过度拥挤的住房是与家庭监禁有关的主要障碍。FGD参与者描述的经历在同期社区调查中很普遍：25%的参与者报告说，对于检测呈阳性或接触过COVID-19的家庭成员来说，隔离将非常困难，20%的人非常担心在隔离或隔离期间学习损失。我们的研究结果表明，安全完成整个推荐的隔离或检疫过程存在严重的结构性障碍，隔离或检疫的可能性也可能导致对获得诊断检测的犹豫增加。在感染或暴露于COVID-19的情况下，脆弱的学校家庭要成功隔离和隔离存在许多结构性障碍。
Rapid identification and isolation/quarantine of COVID-19 cases or close contacts, respectively, is a vital tool to support safe, in-person learning. However, safe isolation or quarantine for a young child also necessitates home confinement for at least one adult caregiver, as well as rapid learning material development by the teacher to minimize learning loss. The purpose of this study is to better understand barriers and supports to student home confinement. We conducted a mixed-methods study using focus group discussions and a self-administered online survey with parents and staff members from 12 elementary schools and childcare sites across San Diego County serving low-income and socially vulnerable families. Focus group participants reported that mental distress and loneliness, learning loss, childcare, food, income loss, and overcrowded housing were major barriers related to home confinement. The experiences described by FGD participants were prevalent in a concurrent community survey: 25% of participants reported that isolation would be extremely difficult for a household member who tested positive or was exposed to COVID-19, and 20% were extremely concerned about learning loss while in isolation or quarantine. Our findings suggest that there are serious structural impediments to safely completing the entire recommended course of isolation or quarantine, and that the potential for isolation or quarantine may also lead to increased hesitancy to access diagnostic testing. There are numerous structural barriers for vulnerable school families to successfully isolate and quarantine in the event of COVID-19 infection or exposure.
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影响因子：
4.5
作者：
Chang HY;Tang W;Hatef E;Kitchen C;Weiner JP;Kharrazi H
通讯作者：
Kharrazi H
影响因子：
3.2
作者：
Hennink, Monique M.;Kaiser, Bonnie N.;Weber, Mary Beth
通讯作者：
Weber, Mary Beth
影响因子：
1.1
作者：
Busa F;Bardanzellu F;Pintus MC;Fanos V;Marcialis MA
通讯作者：
Marcialis MA
影响因子：
4.8
作者：
Fafard St-Germain, Andree-Anne;Tarasuk, Valerie
通讯作者：
Tarasuk, Valerie
影响因子：
3.7
作者：
Nwosu CO
通讯作者：
Nwosu CO