Health and Society, Social Sciences Group, Wageningen University & Research, the Netherlands.
Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, Wageningen, the Netherlands.
Health Promot Int. 2023 Feb 1;38(1). doi: 10.1093/heapro/daac198.
The COVID-19 crisis impacts populations globally. This impact seems to differ for groups with low- and high-socioeconomic status (SES). We conducted a qualitative study in the Netherlands using a salutogenic perspective to examine experiences with stressors and coping resources during the pandemic among both SES groups to gain insight on how to promote the health and well-being of these groups. We conducted 10 focus group discussions and 20 interviews to explore the experiences, including resources and stressors, of respondents from low- (N = 37) and high-SES (N = 38) groups (25-55 years, Dutch speaking). We analyzed the findings at individual, community, and national levels. The results show that coping depends on government-imposed measures and the way individuals handle these measures; restriction to the home context with positive and negative consequences for work and leisure; psychological negative consequences and resourcefulness; and social effects related to unity (e.g. social cohesion or support) and division (including polarization). Respondents with lower SES expressed more problems with COVID-19 measures and experienced more social impact in their neighborhood than those with higher SES. Where low-SES groups especially mentioned the effects of staying at home on family life, high-SES groups mentioned effects on work life. At last, psychological consequences seem to differ somewhat across SES groups. Recommendations include consistent government-imposed measures and government communication, support for home schooling children, and strengthening the social fabric of neighborhoods.
新冠疫情危机对全球人口产生影响。这种影响似乎在社会经济地位(SES)较低和较高的群体中有所不同。我们在荷兰使用健康促进的视角进行了一项定性研究,以研究这两个 SES 群体在大流行期间对压力源和应对资源的体验,以深入了解如何促进这些群体的健康和福祉。我们进行了 10 次焦点小组讨论和 20 次访谈,以探讨受访者(25-55 岁,讲荷兰语)的经验,包括资源和压力源。我们在个人、社区和国家层面分析了研究结果。结果表明,应对取决于政府实施的措施以及个人处理这些措施的方式;限制在家中,对工作和休闲产生积极和消极的影响;心理负面影响和机智;以及与团结(如社会凝聚力或支持)和分裂(包括极化)相关的社会影响。SES 较低的受访者表示,他们对 COVID-19 措施的问题更多,在邻里中受到的社会影响也更大。在 SES 较低的群体中,尤其是提到了在家中对家庭生活的影响,而 SES 较高的群体则提到了对工作生活的影响。最后,心理后果似乎在 SES 群体之间略有不同。建议包括政府一致实施措施和政府沟通、支持在家教育孩子以及加强邻里关系的社会结构。