Identifying vulnerable children's stress levels and coping measures during COVID-19 pandemic in Japan: a mixed method study.
Identifying vulnerable children's stress levels and coping measures during COVID-19 pandemic in Japan: a mixed method study.
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DOI：
10.1136/bmjpo-2021-001310
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发表时间：
2022-03
影响因子：
2.6
通讯作者：
Raman S
中科院分区：
文献类型：
--
作者：
Takeuchi H;Napier-Raman S;Asemota O;Raman S
COVID-19大流行对弱势儿童和青年的影响尤为严重。在日本，尽管有证据表明，儿科年龄组的感染风险低于老年人，但作为早期公共卫生措施，全国范围内的学校都关闭了。鉴于学校关闭给日本儿童带来了更大的心理和身体压力，我们旨在探讨日本弱势儿童在COVID-19疫情中的经历，重点关注社会弱势群体。我们使用了一个改编版的“儿童感知压力量表”，额外的自由文本空间，在线提供给参加三个非营利组织的儿童，这些组织为这一群体的弱势群体和经历社会劣势的家庭提供支持。对定量数据进行了简单的描述性分析，对定性数据进行了主题和内容分析。36名儿童参与了在线调查，平均年龄为11.3岁，大多数（61%）为男性。平均总体压力评分（评分分布宽度：0 - 39）为14.8，年龄或性别的评分分布无差异。自由文本的反应，揭示了一系列的压力和保护因素。上学、对新冠肺炎的恐惧、家庭紧张和流行病措施是压力的来源;家庭--特别是母亲的支持--食物、友谊和娱乐是安慰的来源。虽然大多数答复表明有积极的应对机制，但有些答复显示出适应不良的行为。这个队列中的儿童总体上平均压力得分较高。回应显示，他们对COVID-19以及大流行的公共卫生措施反应强烈，错过上学和与朋友联系加剧了他们的压力。家庭是力量的源泉，也是压力的源泉。针对COVID-19的量身定制的公共卫生应对措施需要考虑到弱势儿童群体表达的关切，并以公平和儿童权利为基础。
The COVID-19 pandemic has disproportionately affected vulnerable children and youth. In Japan, despite evidence that the paediatric age group holds a lower risk of infection than the older population, there was a nationwide closure of schools as an early public health measure. Acknowledging that school closures brought heightened psychological and physical stress among Japanese children, we aimed to explore vulnerable children’s experiences of the COVID-19 pandemic in Japan, focusing on socially disadvantaged subset of the population. We used an adapted version of the ‘Perceived Stress Scale for Children’, with additional free-text space, delivered online to children attending three non-profit organisations which provide support for this group of vulnerable persons and families experiencing social disadvantage. Simple descriptive analysis was undertaken on the quantitative data; we used thematic and content analysis for the qualitative data. Thirty-six children participated in the online survey, mean age was 11.3 years, majority (61%) were male. The mean overall stress score (score distribution width: 0–39) was 14.8, with no difference in score distribution by age or gender. Free-text responses obtained revealed a range of stressors and protective factors. Schooling, COVID-19 fears, family tension and pandemic measures were sources of stress; family—in particular, the support of the mother—food, friendship and recreation were sources of comfort. While most responses indicated positive coping mechanisms, some displayed maladaptive behaviours. The children in this cohort had high mean stress scores overall. Responses indicated that they were acutely reactive to COVID-19 as well as pandemic public health measures, and that missing schooling and contact with friends exacerbated their stress. Family was a source of strength as well as stress. A tailored public health response to COVID-19 needs to take into account the concerns voiced by vulnerable child populations be based on equity and child rights.
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影响因子：
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作者：
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DOI：
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发表时间：
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影响因子：
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影响因子：
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