Ursache Alexandra, Barajas-Gonzalez R Gabriela, Adhikari Samrachana, Kamboukos Dimitra, Brotman Laurie M, Dawson-McClure Spring
Department of Population Health, NYU Grossman School of Medicine, USA.
SSM Popul Health. 2022 Feb 26;17:101053. doi: 10.1016/j.ssmph.2022.101053. eCollection 2022 Mar.
Families of color living in historically disinvested neighborhoods face a multitude of health disparities which have been exacerbated by COVID-19 and the resulting strategies to mitigate its transmission. School closure, which occurred with little warning and few, if any, resources for preparation, disrupted multiple aspects of families' lives; these disruptions are anticipated to adversely impact mental health and well-being. The current study aims to advance understanding of the experiences of families of young children of color during the pandemic by utilizing a natural experiment design to test impact on child and parent mental health and sleep in the context of COVID-19 related school closure among families in historically disinvested neighborhoods. Data from this study come from an ongoing study of 281 families of color enrolled in 41 pre-kindergarten (pre-K) programs in neighborhoods across New York City (NYC). In NYC, school closure occurred on March 16, 2020, during a data collection period involving phone surveys with parents; the quasi-experimental design allows for comparison of the 198 families who had completed the survey prior to March 16, and the 83 families who completed the survey after March 16, using identical protocols and procedures. Results demonstrate poorer mental health among parents surveyed after school closure as compared to before school closure. No differences were found for parent sleep, child mental health, or child sleep. Implications of this work highlight the need for structural and systemic supports for families faced with compounding stressors as a result of the COVID-19 pandemic and related school closure.
生活在历史上投资不足社区的有色人种家庭面临着众多健康差距,而新冠疫情及其为减缓传播所采取的策略更是加剧了这些差距。学校突然关闭,且几乎没有预警,也几乎没有(如果有的话)准备资源,打乱了家庭生活的多个方面;预计这些干扰会对心理健康和幸福产生不利影响。本研究旨在通过采用自然实验设计,在历史上投资不足社区的家庭因新冠疫情相关学校关闭的背景下,测试对儿童和家长心理健康及睡眠的影响,从而增进对疫情期间有色人种幼儿家庭经历的理解。本研究的数据来自一项正在进行的对纽约市(NYC)各社区41个学前班项目中登记的281个有色人种家庭的研究。在纽约市,学校于2020年3月16日关闭,当时正值对家长进行电话调查的数据收集期;这种准实验设计允许使用相同的方案和程序,对3月16日之前完成调查的198个家庭和3月16日之后完成调查的83个家庭进行比较。结果表明,与学校关闭前接受调查的家长相比,学校关闭后接受调查的家长心理健康状况较差。在家长睡眠、儿童心理健康或儿童睡眠方面未发现差异。这项工作的意义在于,强调需要为因新冠疫情大流行和相关学校关闭而面临多重压力源的家庭提供结构性和系统性支持。