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COVID-19 大流行对资源匮乏农村地区照护者心理健康和儿童照护环境的影响。

Effects of the COVID-19 pandemic on caregiver mental health and the child caregiving environment in a low-resource, rural context.

机构信息

Division of Epidemiology, School of Public Health, University of California, Berkeley, California, USA.

Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.

出版信息

Child Dev. 2021 Sep;92(5):e764-e780. doi: 10.1111/cdev.13651. Epub 2021 Sep 7.

DOI:10.1111/cdev.13651
PMID:34490612
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8653040/
Abstract

Early child development has been influenced directly and indirectly by the COVID-19 pandemic, and these effects are exacerbated in contexts of poverty. This study estimates effects of the pandemic and subsequent population lockdowns on mental health, caregiving practices, and freedom of movement among female caregivers of children 6-27 months (50% female), in rural Bangladesh. A cohort (N = 517) was assessed before and during the pandemic (May-June, 2019 and July-September, 2020). Caregivers who experienced more food insecurity and financial loss during the pandemic reported larger increases in depressive symptoms (0.26 SD, 95% CI 0.08-0.44; 0.21 SD, 0.04-0.40) compared to less affected caregivers. Stimulating caregiving and freedom of movement results were inconsistent. Increases in depressive symptoms during the pandemic may have consequences for child development.

摘要

儿童早期发展受到 COVID-19 大流行的直接和间接影响，而在贫困环境中，这些影响更为严重。本研究估计了大流行及其后续的人口封锁对孟加拉国农村地区 6-27 个月儿童（女性占 50%）的女性照顾者的心理健康、照护行为和行动自由的影响。在大流行之前和期间（2019 年 5 月至 6 月和 2020 年 7 月至 9 月）对一个队列（N=517）进行了评估。与受影响较小的照顾者相比，在大流行期间经历更多粮食不安全和经济损失的照顾者报告抑郁症状增加更多（0.26 SD，95%CI 0.08-0.44；0.21 SD，0.04-0.40）。刺激照护和行动自由的结果不一致。大流行期间抑郁症状的增加可能对儿童发展产生影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccf0/8653040/210145fe119c/CDEV-92-e764-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccf0/8653040/28b5f8bc3f54/CDEV-92-e764-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccf0/8653040/091ee167591b/CDEV-92-e764-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccf0/8653040/a9926433eb33/CDEV-92-e764-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccf0/8653040/210145fe119c/CDEV-92-e764-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccf0/8653040/28b5f8bc3f54/CDEV-92-e764-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccf0/8653040/091ee167591b/CDEV-92-e764-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccf0/8653040/a9926433eb33/CDEV-92-e764-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccf0/8653040/210145fe119c/CDEV-92-e764-g002.jpg

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