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COVID-19 大流行对孕产妇心理健康、儿童早期发展和父母养育实践的影响:全球范围的概述性综述。

Impact of the COVID-19 pandemic on maternal mental health, early childhood development, and parental practices: a global scoping review.

机构信息

Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, USA.

Department of Community Health, Federal University of Ceará, Fortaleza, Brazil.

出版信息

BMC Public Health. 2023 Feb 24;23(1):388. doi: 10.1186/s12889-023-15003-4.

DOI:10.1186/s12889-023-15003-4
PMID:36823592
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9950022/
Abstract

BACKGROUND

In March 2020, the COVID-19 outbreak was declared a pandemic by the World Health Organization (WHO), generating stark economic and social repercussions that directly or indirectly affected families' wellbeing and health status.

AIMS

This review aims at mapping the existing evidence on the impact of the COVID-19 pandemic on maternal mental health, early childhood development, and parental practices, worldwide, to identify evidence gaps and better inform future delivery of care and health policy measures.

METHODS

Following the protocol defined by PRISMA-ScR, this scoping review has searched for relevant studies published between January 2020 and June 2021, selecting evidence sources based on pre-established criteria. From a total of 2,308 articles, data were extracted from 537 publications from 35 countries on all three health domains.

RESULTS

The combined stressors brought forth by the pandemic have exerted a heavy burden on the mental health of mothers and the development of young children, partly mediated by its impact on parental practices.

CONCLUSIONS

Despite remaining gaps, we have identified sufficient evidence pointing to an urgent need for more concerted global research efforts and rapid policy responses to timely address severe and pervasive negative impacts to the mental health of mothers and children at a key developmental stage.

摘要

背景

2020 年 3 月,世界卫生组织(WHO)宣布 COVID-19 疫情为大流行,这带来了明显的经济和社会影响,直接或间接地影响了家庭的福祉和健康状况。

目的

本综述旨在绘制全球范围内 COVID-19 大流行对孕产妇心理健康、儿童早期发展和父母养育实践影响的现有证据图,以确定证据差距,并为未来提供更好的护理和卫生政策措施提供信息。

方法

根据 PRISMA-ScR 制定的方案,本范围综述在 2020 年 1 月至 2021 年 6 月期间搜索了相关研究,根据预先确定的标准选择了证据来源。从总共 2308 篇文章中,从 35 个国家的 537 篇出版物中提取了关于所有三个健康领域的数据。

结果

大流行带来的综合压力给母亲的心理健康和幼儿的发展带来了沉重的负担,部分原因是其对父母养育实践的影响。

结论

尽管仍存在差距,但我们已经确定了足够的证据,表明迫切需要更多的全球研究努力和快速的政策反应,以及时解决母亲和儿童在关键发育阶段心理健康的严重和普遍的负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8651/9951457/bc3597bd5e50/12889_2023_15003_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8651/9951457/cc0de05df85d/12889_2023_15003_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8651/9951457/bc3597bd5e50/12889_2023_15003_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8651/9951457/cc0de05df85d/12889_2023_15003_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8651/9951457/bc3597bd5e50/12889_2023_15003_Fig2_HTML.jpg

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