Department of Occupational Therapy, University of Illinois Chicago, 1919 West Taylor, Chicago, IL 60612, USA.
Latino Research Institute, University of Texas at Austin, 210 W. 24th St., Austin, TX 78712, USA.
Int J Environ Res Public Health. 2021 Jul 28;18(15):7971. doi: 10.3390/ijerph18157971.
The COVID-19 pandemic has impacted the entire world in unprecedented ways. However, populations that have had a history of marginalization have experienced a more profound impact. One such group is Latinx families of children with intellectual and developmental disabilities (IDD) in the Unites States. In this study, we used a mixed methods approach to explore the impact of the pandemic on the mental health and well-being of Latinx caregivers of children with IDD. Specifically, we (1) identified which social determinants of health are correlated with maternal caregivers perceived general health, mental health, and well-being; (2) explored the impact of the pandemic on families' overall eating and physical activity routines; and (3) identified emergent themes from caregivers' experiences during the pandemic. Thirty-seven Latinx caregivers participated in three interviews in which several validated instruments were administered. The results indicated that perceived social support, annual family income, food security, and receipt of financial benefits were correlated with fewer depressive symptoms. Annual family income was also significantly correlated with perceived general health. Most caregivers reported that the pandemic had placed a strain on their economic situation; increased their isolation; and disrupted their child's therapeutic supports, online education, eating routines, and engagement in physical activity. Meanwhile, some caregivers reported positive changes as a result of the pandemic. Implications for future research and practice are discussed.
新冠疫情以史无前例的方式影响了全世界。然而,那些一直处于边缘化的人群受到的影响更为深远。美国的拉丁裔有智力和发育障碍儿童的家庭就是这样一个群体。在这项研究中,我们使用混合方法来探讨疫情对拉丁裔照顾者的心理健康和幸福感的影响。具体来说,我们(1)确定了哪些健康决定因素与母亲照顾者感知的一般健康、心理健康和幸福感相关;(2)探讨了疫情对家庭整体饮食和体育活动习惯的影响;(3)从照顾者在疫情期间的经历中确定了新出现的主题。37 名拉丁裔照顾者参加了三次访谈,其中进行了几项经过验证的工具。结果表明,感知到的社会支持、家庭年收入、粮食安全和获得经济利益与较少的抑郁症状相关。家庭年收入也与感知到的一般健康显著相关。大多数照顾者报告说,疫情给他们的经济状况带来了压力;增加了他们的孤立感;并打乱了他们孩子的治疗支持、在线教育、饮食规律和身体活动。同时,一些照顾者报告说,疫情带来了一些积极的变化。讨论了对未来研究和实践的启示。