Clinical, financial and social impacts of COVID-19 and their associations with mental health for mothers and children experiencing adversity in Australia.
Clinical, financial and social impacts of COVID-19 and their associations with mental health for mothers and children experiencing adversity in Australia.
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Covid-19的临床，财务和社会影响及其与心理健康的关联对澳大利亚逆境的母亲和儿童的关联。
DOI：
10.1371/journal.pone.0257357
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Goldfeld S
中科院分区：
文献类型：
--
作者：
Bryson H;Mensah F;Price A;Gold L;Mudiyanselage SB;Kenny B;Dakin P;Bruce T;Noble K;Kemp L;Goldfeld S
由于地理位置和严格的公共卫生限制，澳大利亚保持了较低的SARS-COV-2（COVID-19）感染率。然而，这些限制的经济和社会影响可能对父母和子女的心理健康产生负面影响。在现有的一组因逆境经历而招募的母亲中，这项研究考察了：1）家庭对COVID-19大流行和公共卫生限制的经历，包括临床暴露、经济困难家庭压力和家庭复原力（称为“COVID-19影响”）;以及2）COVID-19影响与孕产妇和儿童心理健康之间的关联。参与者是在澳大利亚两个州（维多利亚和塔斯马尼亚）怀孕期间（2013-14年）招募的母亲，用于“正确的在家”试验。2020年5月至12月进行了COVID-19调查，当时儿童年龄为5. 9 - 7. 2岁。母亲们报告了COVID-19的影响，她们自己的心理健康（抑郁、焦虑、压力量表简表）和她们孩子的心理健康（CoRonavIruS健康和影响调查子量表）。使用控制COVID-19前特征的回归模型，研究了COVID-19影响与心理健康之间的关联。319/406（79%）的母亲完成了COVID-19调查。只有一人报告感染了COVID-19。自我隔离率（20%），工作或收入损失率（27%）和家庭压力率（例如，管理孩子在家学习的困难（40%）。许多母亲还报告了家庭复原力（例如，家庭找到了良好的应对方法（49%）。与心理健康状况较差相关的COVID-19影响（标准化系数）包括自我隔离（母亲：β = 0.46，儿童：β = 0.46）、经济困难（母亲：β = 0.27，儿童：β = 0.37）和家庭压力（母亲：β = 0.49，儿童：β = 0.74）。家庭弹性与更好的心理健康相关（母亲：β =-0.40，儿童：β = -0.46）。澳大利亚公共卫生限制措施的财政和社会影响极大地影响了遭遇逆境的家庭及其心理健康。这些影响有可能加剧逆境造成的不平等。为了从COVID-19中复苏，政策投资应包括收入支持和普及家庭健康服务。
Australia has maintained low rates of SARS-COV-2 (COVID-19) infection, due to geographic location and strict public health restrictions. However, the financial and social impacts of these restrictions can negatively affect parents’ and children’s mental health. In an existing cohort of mothers recruited for their experience of adversity, this study examined: 1) families’ experiences of the COVID-19 pandemic and public health restrictions in terms of clinical exposure, financial hardship family stress, and family resilience (termed ‘COVID-19 impacts’); and 2) associations between COVID-19 impacts and maternal and child mental health. Participants were mothers recruited during pregnancy (2013–14) across two Australian states (Victoria and Tasmania) for the ‘right@home’ trial. A COVID-19 survey was conducted from May-December 2020, when children were 5.9–7.2 years old. Mothers reported COVID-19 impacts, their own mental health (Depression, Anxiety, Stress Scales short-form) and their child’s mental health (CoRonavIruS Health and Impact Survey subscale). Associations between COVID-19 impacts and mental health were examined using regression models controlling for pre-COVID-19 characteristics. 319/406 (79%) mothers completed the COVID-19 survey. Only one reported having had COVID-19. Rates of self-quarantine (20%), job or income loss (27%) and family stress (e.g., difficulty managing children’s at-home learning (40%)) were high. Many mothers also reported family resilience (e.g., family found good ways of coping (49%)). COVID-19 impacts associated with poorer mental health (standardised coefficients) included self-quarantine (mother: β = 0.46, child: β = 0.46), financial hardship (mother: β = 0.27, child: β = 0.37) and family stress (mother: β = 0.49, child: β = 0.74). Family resilience was associated with better mental health (mother: β = -0.40, child: β = -0.46). The financial and social impacts of Australia’s public health restrictions have substantially affected families experiencing adversity, and their mental health. These impacts are likely to exacerbate inequities arising from adversity. To recover from COVID-19, policy investment should include income support and universal access to family health services.
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影响因子：
4.7
作者：
Dawel A;Shou Y;Smithson M;Cherbuin N;Banfield M;Calear AL;Farrer LM;Gray D;Gulliver A;Housen T;McCallum SM;Morse AR;Murray K;Newman E;Rodney Harris RM;Batterham PJ
通讯作者：
Batterham PJ
影响因子：
8
作者：
Gassman-Pines, Anna;Ananat, Elizabeth Oltmans;Fitz-Henley, John, II
通讯作者：
Fitz-Henley, John, II
影响因子：
1.7
作者：
Goldfeld, Sharon;D'Abaco, Elise;Price, Anna M. H.
通讯作者：
Price, Anna M. H.
影响因子：
2
作者：
Kiernan, Kathleen E.;Mensah, Fiona K.
通讯作者：
Mensah, Fiona K.
从怀孕到产后5年的孕产妇抑郁症，焦虑和压力症状的模式，经历了逆境。
DOI：
10.1007/s00737-021-01145-0
发表时间：
2021-12
期刊：
Archives of women's mental health
影响因子：
--
作者：
Bryson H;Perlen S;Price A;Mensah F;Gold L;Dakin P;Goldfeld S
通讯作者：
Goldfeld S