Experiences of lockdown during the Covid-19 pandemic: descriptive findings from a survey of families in the Born in Bradford study.

Experiences of lockdown during the Covid-19 pandemic: descriptive findings from a survey of families in the Born in Bradford study.
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DOI:
10.12688/wellcomeopenres.16317.1
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发表时间:
2020-01-01
影响因子:
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通讯作者:
Pickett, Kate E
Pickett, Kate E
中科院分区:
其他
文献类型:
--
作者:
Dickerson, Josie;Kelly, Brian;Pickett, Kate E

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背景:为控制新冠病毒而实施的封锁措施可能加剧健康不平等,来自贫困和种族多样化背景的家庭最有可能受到不利影响。本文介绍了新冠疫情封锁期间英国布拉德福德市(一个多种族且贫困的城市)家庭的相关经历调查结果。 方法:在英国新冠疫情封锁期间(2020年4月10日至6月30日),对两项前瞻性出生队列研究中的家长进行问卷调查。交叉列表分析了不同种族和就业状况的差异。对开放性问题的文本采用主题分析法进行分析。 结果:在受邀的7652个家庭中,有2144个家庭(28%)参与。受访者的种族情况为:957人(47%)为巴基斯坦裔,715人(35%)为英国白人,356人(18%)为其他族裔。971人(46%)生活在英国物质匮乏程度最高的十分之一区域。2043人(95%)为母亲,101人为伴侣。以下总结的结果基于母亲们的回答。许多家庭居住在质量差(N = 574,28%)且拥挤(N = 364,19%)的住房中;这种情况在巴基斯坦裔和其他族裔家庭中更为常见。经济(N = 738,37%)、食物(N = 396,20%)、就业(N = 728,37%)和住房(N = 204,10%)方面的不安全感很普遍,尤其是那些被强制休假、个体经营无工作或失业的人。372名(19%)母亲报告有临床显著的抑郁症状,318名(16%)母亲报告有焦虑症状,这些症状在英国白人母亲以及经济无保障的母亲中更为常见。开放性文本回复证实了这些发现,并凸显了对感染新冠病毒生病或死亡的高度焦虑。 结论:在这个种族多样化且贫困的人群中,新冠疫情封锁期间的经历凸显出大量家庭居住条件差、遭受经济无保障和心理健康不佳的问题。政策制定者和相关官员需要更好地支持这些家庭。
Background: Lockdown measures implemented to contain the Covid-19 virus may be increasing health inequalities, with families from deprived and ethnically diverse backgrounds most likely to be adversely affected. This paper presents findings of the experiences of the Covid-19 lockdown on families living in the multi-ethnic and deprived city of Bradford, England. Methods: Questionnaire surveys were sent during the Covid-19 UK lockdown (10th April to 30 th June 2020) to parents in two prospective birth cohort studies. Cross tabulations explored variation by ethnicity and employment status. Text from open questions were analysed using thematic analysis. Results: Of 7,652 families invited, 2,144 (28%) participated. Ethnicity of respondents was: 957 (47%) Pakistani heritage, 715 (35%) White British and 356 (18%) other. 971 (46%) live in the most deprived decile of material deprivation in England. 2,043 (95%) were mothers and 101 were partners. The results summarised below are based on the mothers' responses. Many families live in poor quality (N=574, 28%), and overcrowded (N=364, 19%) housing; this was more common in families of Pakistani heritage and other ethnicities. Financial (N=738 (37%), food (N=396, 20%), employment (N=728, 37%) and housing (N=204, 10%) insecurities were common, particularly in those who were furloughed, self-employed not working or unemployed. Clinically significant depression and anxiety symptoms were reported by 372 (19%) and 318 (16%) of the mothers and were more common in White British mothers and those with economic insecurity. Open text responses corroborated these findings and highlighted high levels of anxiety about becoming ill or dying from Covid-19. Conclusions: The experiences of the Covid-19 lockdown in this ethnically diverse and deprived population highlight a large number of families living in poor housing conditions, suffering from economic insecurity and poor mental health. There is a need for policy makers and commissioners to better support these families.