Social Determinants of Health-Related Needs During COVID-19 Among Low-Income Households With Children.
Social Determinants of Health-Related Needs During COVID-19 Among Low-Income Households With Children.
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DOI：
10.5888/pcd17.200322
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发表时间：
2020-10-01
影响因子：
5.5
通讯作者：
Markham C
中科院分区：
文献类型：
--
作者：
Sharma SV;Chuang RJ;Rushing M;Naylor B;Ranjit N;Pomeroy M;Markham C
在2019冠状病毒病（COVID-19）大流行期间，对有孩子的低收入家庭的社会需求知之甚少。我们的目标是对有孩子的低收入家庭的社会需求、COVID-19相关问题和饮食相关行为的快速反应调查进行横断面定量和定性描述性分析。我们于2020年4月向4个地区的16，435个家庭发放了电子调查，1，048个家庭作出了回应。该调查询问了参加以学校为基础的协调营养计划的家庭在大流行期间的社会需求，COVID-19相关问题，粮食不安全以及饮食相关行为。一个开放式的问题问他们最关心的问题。我们计算了按地点和人种/种族分层的描述性统计量。我们采用了专题分析和归纳法来研究开放式评论。超过80%的受访者熟悉COVID-19并担心感染。总体而言，76.3%的人表示担心金融稳定，42.5%的人担心就业，69.4%的人担心粮食供应，31.0%的人担心住房稳定，35.9%的人担心医疗保健的获得。总体而言，93.5%的受访者表示粮食不安全，自2019年秋季以来增加了22个百分点。此外，41.4%的受访者表示因COVID-19而减少了水果和蔬菜的摄入量。购买杂货的频率减少，食品储藏室的使用增加。定性评估确定了4个主要主题：1）对感染COVID-19的恐惧，2）就业状况中断，3）经济困难，4）粮食不安全加剧。我们的研究强调了COVID-19大流行对有儿童的家庭在各种社会需求方面的复合影响。
Little is known about the social needs of low-income households with children during the coronavirus-2019 (COVID-19) pandemic. Our objective was to conduct a cross-sectional quantitative and qualitative descriptive analysis of a rapid-response survey among low-income households with children on social needs, COVID-19–related concerns, and diet-related behaviors. We distributed an electronic survey in April 2020 to 16,435 families in 4 geographic areas, and 1,048 responded. The survey asked families enrolled in a coordinated school-based nutrition program about their social needs, COVID-19–related concerns, food insecurity, and diet-related behaviors during the pandemic. An open-ended question asked about their greatest concern. We calculated descriptive statistics stratified by location and race/ethnicity. We used thematic analysis and an inductive approach to examine the open-ended comments. More than 80% of survey respondents were familiar with COVID-19 and were concerned about infection. Overall, 76.3% reported concerns about financial stability, 42.5% about employment, 69.4% about food availability, 31.0% about housing stability, and 35.9% about health care access. Overall, 93.5% of respondents reported being food insecure, a 22-percentage-point increase since fall 2019. Also, 41.4% reported a decrease in fruit and vegetable intake because of COVID-19. Frequency of grocery shopping decreased and food pantry usage increased. Qualitative assessment identified 4 main themes: 1) fear of contracting COVID-19, 2) disruption of employment status, 3) financial hardship, and 4) exacerbated food insecurity. Our study highlights the compounding effect of the COVID-19 pandemic on households with children across the spectrum of social needs.
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DOI：
10.15585/mmwr.mm6915e3
发表时间：
2020-04-17
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Garg S;Kim L;Whitaker M;O'Halloran A;Cummings C;Holstein R;Prill M;Chai SJ;Kirley PD;Alden NB;Kawasaki B;Yousey-Hindes K;Niccolai L;Anderson EJ;Openo KP;Weigel A;Monroe ML;Ryan P;Henderson J;Kim S;Como-Sabetti K;Lynfield R;Sosin D;Torres S;Muse A;Bennett NM;Billing L;Sutton M;West N;Schaffner W;Talbot HK;Aquino C;George A;Budd A;Brammer L;Langley G;Hall AJ;Fry A
通讯作者：
Fry A
影响因子：
120.7
作者：
Webb Hooper, Monica;Napoles, Anna Maria;Perez-Stable, Eliseo J.
通讯作者：
Perez-Stable, Eliseo J.
影响因子：
9.7
作者：
Bartsch, Sarah M.;Ferguson, Marie C.;Lee, Bruce Y.
通讯作者：
Lee, Bruce Y.
影响因子：
5.1
作者：
Sharma, Shreela V.;Markham, Christine;Raber, Margaret
通讯作者：
Raber, Margaret
影响因子：
5.5
作者：
Davis, James;Penha, Janell;Taira, Deborah A.
通讯作者：
Taira, Deborah A.