Heersping Grace E, Waring Molly E
Department of Allied Health Sciences, University of Connecticut, Storrs, CT, United States.
Fam Pract. 2023 Jan 23. doi: 10.1093/fampra/cmad001.
Preventive health care provides opportunity for preventive screenings and health promotion. Mothers of young children may disproportionately experience barriers to preventive care during the COVID-19 pandemic.
We examined delaying and skipping preventive health care during the first year of the COVID-19 pandemic among mothers and described reasons for delaying or skipping care. Mothers of children aged 0-12 years from the United States completed an online survey in February/March 2021 and reported receipt of preventive care during the COVID-19 pandemic, reasons for delaying or skipping care, demographics, and experiences with COVID-19.
Participants (N = 306) were on average 35.9 (SD: 6.2) years old, racially/ethnically diverse, and 74.8% had at least a Bachelor's degree. From March 2020 to March 2021, 16.0% delayed and 20.6% skipped their physical examination, and 20.9% had not planned on receiving a physical examination. The most common reasons for delaying and skipping care were COVID-19 infection concerns, perception that delaying care would not negatively impact health, provider rescheduling, time, and childcare.
Primary care teams may need to re-engage mothers who skipped preventive care during the pandemic, including addressing concerns about COVID-19 infection.
预防性医疗保健提供了进行预防性筛查和促进健康的机会。在新冠疫情期间，幼儿母亲可能在更大程度上面临获得预防性医疗保健的障碍。
我们调查了新冠疫情第一年母亲们延迟和未进行预防性医疗保健的情况，并描述了延迟或未进行医疗保健的原因。来自美国的0至12岁儿童的母亲在2021年2月/3月完成了一项在线调查，报告了在新冠疫情期间接受预防性医疗保健的情况、延迟或未进行医疗保健的原因、人口统计学特征以及新冠疫情相关经历。
参与者（N = 306）平均年龄为35.9岁（标准差：6.2），种族/族裔多样，74.8%至少拥有学士学位。从2020年3月到2021年3月，16.0%的人延迟了体检，20.6%的人未进行体检，20.9%的人原本就没有计划接受体检。延迟和未进行医疗保健的最常见原因是担心感染新冠病毒、认为延迟医疗保健不会对健康产生负面影响、医疗机构重新安排时间、时间问题以及儿童保育问题。
基层医疗团队可能需要重新联系在疫情期间未进行预防性医疗保健的母亲，包括解决她们对感染新冠病毒的担忧。
