Caregiver Perceptions of Children's Psychological Well-being During the COVID-19 Pandemic
| Autor: | Caroline P. Martin, Christopher M. Warren, Liga Eihentale, Kenneth Fox, Tali Raviv, Jamie Tully, Jason J. Washburn, Hayley Goldenthal, Ruchi Gupta, Lisa Lombard, Madeleine Kanaley, Jaclyn Russo |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Parents medicine.medical_specialty Physical Distancing Child Welfare Education Distance Epidemiology medicine Humans Parent-Child Relations Child Suicidal ideation Qualitative Research Original Investigation Family Health Schools business.industry SARS-CoV-2 Research Public health Stressor Child Health COVID-19 Loneliness General Medicine Odds ratio Mental health Quality Improvement Online Only Mental Health Caregivers Psychological well-being Female Public Health Illinois medicine.symptom business psychological phenomena and processes Stress Psychological Demography |
| Zdroj: | JAMA Network Open |
| ISSN: | 2574-3805 |
| Popis: | Key Points Question Is the COVID-19 pandemic and stressor exposure associated with caregivers’ perceptions of children’s psychological well-being? Findings In this survey study among 32 217 caregivers of public-school students, endorsement of child mental health concerns was significantly higher and endorsement of positive adjustment characteristics was significantly lower after the end of in-person instruction compared with before. After accounting for covariates, child mental health concerns increased in probability and positive adjustment characteristics decreased in probability as COVID-19 exposure and family stressors increased. Meaning These findings suggest that COVID-19 was associated with negative caregiver perceptions of children’s psychological well-being, requiring a comprehensive public health strategy. This survey study examines the associations of school closure and exposure to COVID-19–related stressors with caregivers’ perceptions of their children’s mental well-being. Importance Understanding youth well-being during the COVID-19 pandemic can help appropriately allocate resources and inform policies to support youth. Objective To examine caregiver-reported changes in the psychological well-being of their children 3 to 4 months after the start of COVID-19 stay-at-home orders, and to examine the association of caregiver-reported COVID-19 exposure and family stressors with caregiver perceptions of child psychological well-being. Design, Setting, and Participants This survey study used an anonymous survey distributed via email from June 24 to July 15, 2020, to 350 000 families of students attending public schools in Chicago, Illinois. The a priori hypotheses were that caregivers would report worsening in child psychological well-being during the closure period compared with preclosure and that exposure to COVID-19–related stressors would be associated with a higher probability of worsening child psychological well-being. Data were analyzed from September 10, 2020, to March 15, 2021. Main Outcomes and Measures Outcomes were 7 mental health concerns and 5 positive adjustment characteristics reported by caregivers using a retrospective pre-post design. COVID-19 exposure and family stressors were also reported by caregivers. Results Among 350 000 families invited to participate, 32 217 caregivers (10 827 [39.3%] White, 8320 [30.2%] Latinx, 6168 [22.4%] Black; 2223 [8.1%] with multiple or other races/ethnicities) completed the survey on behalf of 49 397 children in prekindergarten through 12th grade. Child-specific outcomes were reported for 40 723 to 40 852 children depending on the specific question. The frequency of caregiver endorsement of youth mental health concerns ranged from 0.1 percentage point (suicidal ideation or self-harm, reported by 191 caregivers [0.5%] preclosure vs 246 caregivers [0.6%] during closure; P |
| Databáze: | OpenAIRE |
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