Bordeaux Population Health Research Center, INSERM U 1219, Université de Bordeaux, 146 rue Léo Saignat, 33077, Bordeaux Cedex, France.
Department of Child and Adolescent Psychiatry, Centre Hospitalier Charles Perrens, Bordeaux, France.
Sci Rep. 2021 Nov 17;11(1):22373. doi: 10.1038/s41598-021-01676-7.
COVID-19 limitation strategies have led to widespread school closures around the world. The present study reports children's mental health and associated factors during the COVID-19 school closure in France in the spring of 2020. We conducted a cross-sectional analysis using data from the SAPRIS project set up during the COVID-19 pandemic in France. Using multinomial logistic regression models, we estimated associations between children's mental health, children's health behaviors, schooling, and socioeconomic characteristics of the children's families. The sample consisted of 5702 children aged 8-9 years, including 50.2% girls. In multivariate logistic regression models, children's sleeping difficulties were associated with children's abnormal symptoms of both hyperactivity-inattention (adjusted Odds Ratio (aOR) 2.05; 95% Confidence Interval 1.70-2.47) and emotional symptoms (aOR 5.34; 95% CI 4.16-6.86). Factors specifically associated with abnormal hyperactivity/inattention were: male sex (aOR 2.29; 95% CI 1.90-2.76), access to specialized care prior to the pandemic and its suspension during school closure (aOR 1.51; 95% CI 1.21-1.88), abnormal emotional symptoms (aOR 4.06; 95% CI 3.11-5.29), being unschooled or schooled with assistance before lockdown (aOR 2.13; 95% CI 1.43-3.17), and tutoring with difficulties or absence of a tutor (aOR 3.25; 95% CI 2.64-3.99; aOR 2.47; 95% CI 1.48-4.11, respectively). Factors associated with children's emotional symptoms were the following: being born pre-term (aOR 1.34; 95% CI 1.03-1.73), COVID-19 cases among household members (aOR 1.72; 95% CI 1.08-2.73), abnormal symptoms of hyperactivity/inattention (aOR 4.18; 95% CI 3.27-5.34) and modest income (aOR 1.45; 95% CI 1.07-1.96; aOR 1.36; 95% CI 1.01-1.84). Multiple characteristics were associated with elevated levels of symptoms of hyperactivity-inattention and emotional symptoms in children during the period of school closure due to COVID-19. Further studies are needed to help policymakers to balance the pros and cons of closing schools, taking into consideration the educational and psychological consequences for children.
由于 COVID-19,全球范围内许多学校关闭。本研究报告了 2020 年春季法国 COVID-19 学校关闭期间儿童的心理健康状况及其相关因素。我们使用在法国 COVID-19 大流行期间设立的 SAPRIS 项目的数据进行了横断面分析。使用多项逻辑回归模型,我们估计了儿童心理健康、儿童健康行为、学校教育以及儿童家庭社会经济特征之间的关联。样本包括 5702 名 8-9 岁的儿童,其中 50.2%为女孩。在多变量逻辑回归模型中,儿童睡眠困难与儿童多动注意力不集中(调整后的优势比 (aOR) 2.05;95%置信区间 1.70-2.47)和情绪症状(aOR 5.34;95%CI 4.16-6.86)的异常症状相关。与异常多动/注意力不集中特别相关的因素有:男性(aOR 2.29;95%CI 1.90-2.76)、大流行前和学校关闭期间获得专门护理及其暂停(aOR 1.51;95%CI 1.21-1.88)、异常情绪症状(aOR 4.06;95%CI 3.11-5.29)、封锁前未上学或接受援助上学(aOR 2.13;95%CI 1.43-3.17)和辅导有困难或没有导师(aOR 3.25;95%CI 2.64-3.99;aOR 2.47;95%CI 1.48-4.11)。与儿童情绪症状相关的因素有:早产(aOR 1.34;95%CI 1.03-1.73)、家庭成员中有 COVID-19 病例(aOR 1.72;95%CI 1.08-2.73)、多动注意力不集中异常症状(aOR 4.18;95%CI 3.27-5.34)和中等收入(aOR 1.45;95%CI 1.07-1.96;aOR 1.36;95%CI 1.01-1.84)。在因 COVID-19 而关闭学校期间,多种特征与儿童多动注意力不集中和情绪症状水平升高有关。需要进一步的研究来帮助决策者权衡关闭学校的利弊,同时考虑到对儿童的教育和心理影响。