Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland; University of Basel, Basel, Switzerland.
Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland; University of Basel, Basel, Switzerland.
Child Abuse Negl. 2022 Jul;129:105667. doi: 10.1016/j.chiabu.2022.105667. Epub 2022 May 8.
COVID-19 related distress has been shown to have negative associations with family well-being.
To determine the immediate impact of acute COVID-19 infection on maternal well-being and parenting practices among Brazilian families.
We studied 2'579 mothers (29'913 observations) of young children from vulnerable neighborhoods in Boa Vista, Brazil over 12 months.
We monitored family health and caregiving behavior including the incidence of COVID-19 infections in the surveyed households through bi-weekly phone interviews over 50 weeks, from June 2020 to May 2021. Primary outcomes were home-based child stimulation, positive parenting behavior, and parenting stress. We used fixed effects panel regressions to estimate the impact of household COVID-19 infections on parenting outcomes.
Over the study period, 441 participants (17.1%; 831 (3.0%) observations) reported at least 1 positive COVID-19 infection in their household. Household COVID-19 infections significantly reduced home-based stimulation by 0.10 SDs (95%CI: -0.18, -0.01), positive parenting behaviors by 0.14 SDs (-0.21, -0.01), and increased parenting stress by 0.07 SDs (0.02, 0.12). The impact on home-based stimulation was most pronounced when the mother herself had a COVID-19 infection (-0.16; -0.29, -0.04). Parenting stress responded most strongly to mother or child COVID-19 infections. Effects were relatively short-lived, only children's infections' on parental stress was still detectable 2 weeks after initial infection.
Our findings suggest that COVID-19 infections cause substantial disruptions in children's home environments - additional short-term support for families with acute infections could attenuate the negative impact on children's home environment during the pandemic.
与 COVID-19 相关的痛苦已被证明与家庭幸福感呈负相关。
确定急性 COVID-19 感染对巴西家庭中母婴健康和育儿实践的直接影响。
我们研究了巴西博阿维斯塔弱势社区的 2'579 名幼儿母亲（29'913 次观察），时间跨度为 12 个月。
我们通过每两周一次的电话访谈，在 50 周内监测家庭健康和照护行为，包括调查家庭中 COVID-19 感染的发生率。主要结局是家庭内儿童刺激、积极的育儿行为和育儿压力。我们使用固定效应面板回归来估计家庭 COVID-19 感染对育儿结果的影响。
在研究期间，441 名参与者（17.1%；831 次观察）报告其家庭中至少有 1 次阳性 COVID-19 感染。家庭 COVID-19 感染显著降低了家庭内刺激 0.10 个标准差（95%CI：-0.18，-0.01），积极的育儿行为 0.14 个标准差（-0.21，-0.01），以及增加了育儿压力 0.07 个标准差（0.02，0.12）。当母亲本人感染 COVID-19 时，对家庭内刺激的影响最为明显（-0.16；-0.29，-0.04）。育儿压力对母亲或儿童 COVID-19 感染的反应最为强烈。这些影响是相对短暂的，只有儿童感染对父母压力的影响在首次感染后 2 周仍可检测到。
我们的研究结果表明，COVID-19 感染会导致儿童家庭环境的严重破坏——在大流行期间，为急性感染的家庭提供额外的短期支持，可能会减轻对儿童家庭环境的负面影响。
