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COVID-19 大流行期间父母和儿童的健康状况:全国性调查。

Well-being of Parents and Children During the COVID-19 Pandemic: A National Survey.

机构信息

Vanderbilt Center for Child Health Policy and

Departments of Pediatrics.

出版信息

Pediatrics. 2020 Oct;146(4). doi: 10.1542/peds.2020-016824. Epub 2020 Jul 24.

Abstract

BACKGROUND

As the coronavirus disease pandemic spread across the United States and protective measures to mitigate its impact were enacted, parents and children experienced widespread disruptions in daily life. Our objective with this national survey was to determine how the pandemic and mitigation efforts affected the physical and emotional well-being of parents and children in the United States through early June 2020.

METHODS

In June 2020, we conducted a national survey of parents with children age <18 to measure changes in health status, insurance status, food security, use of public food assistance resources, child care, and use of health care services since the pandemic began.

RESULTS

Since March 2020, 27% of parents reported worsening mental health for themselves, and 14% reported worsening behavioral health for their children. The proportion of families with moderate or severe food insecurity increased from 6% before March 2020 to 8% after, employer-sponsored insurance coverage of children decreased from 63% to 60%, and 24% of parents reported a loss of regular child care. Worsening mental health for parents occurred alongside worsening behavioral health for children in nearly 1 in 10 families, among whom 48% reported loss of regular child care, 16% reported change in insurance status, and 11% reported worsening food security.

CONCLUSIONS

The coronavirus disease pandemic has had a substantial tandem impact on parents and children in the United States. As policy makers consider additional measures to mitigate the health and economic effects of the pandemic, they should consider the unique needs of families with children.

摘要

背景

随着冠状病毒病在美国的蔓延,以及为减轻其影响而采取的保护措施,父母和子女的日常生活受到了广泛的干扰。我们通过这项全国性调查的目的是确定大流行及其缓解措施如何通过 2020 年 6 月初影响美国父母和子女的身心健康。

方法

在 2020 年 6 月,我们对有 18 岁以下子女的父母进行了一项全国性调查,以衡量自大流行开始以来健康状况、保险状况、食品安全、公共食品援助资源使用、儿童保育以及医疗保健服务使用方面的变化。

结果

自 2020 年 3 月以来,27%的父母报告自己的心理健康状况恶化,14%的父母报告自己的子女行为健康状况恶化。中度或重度食品不安全家庭的比例从 2020 年 3 月前的 6%增加到 8%,儿童雇主赞助的保险覆盖率从 63%下降到 60%,24%的父母报告失去了常规的儿童保育。近十分之一的家庭中,父母的心理健康状况恶化与子女的行为健康状况恶化同时发生,其中 48%的家庭报告失去了常规儿童保育,16%的家庭报告保险状况发生变化,11%的家庭报告食品不安全状况恶化。

结论

冠状病毒病大流行对美国的父母和子女产生了重大的连带影响。随着政策制定者考虑采取额外措施来减轻大流行对健康和经济的影响,他们应考虑有子女家庭的独特需求。

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