Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 490 Illinois St, San Francisco, CA, 94158, USA.
Division of Community Health Sciences, School of Public Health, University of California, Berkeley, 2121 Berkeley Way, Room 5302, Berkeley, CA, 94720, USA.
BMC Public Health. 2023 Jun 7;23(1):1099. doi: 10.1186/s12889-023-16037-4.
The COVID-19 pandemic prompted rapid federal, state, and local government policymaking to buffer families from the health and economic harms of the pandemic. However, there has been little attention to families' perceptions of whether the pandemic safety net policy response was adequate, and what is needed to alleviate lasting effects on family well-being. This study examines the experiences and challenges of families with low incomes caring for young children during the pandemic.
Semi-structured qualitative interviews conducted from August 2020 to January 2021 with 34 parents of young children in California were analyzed using thematic analysis.
We identified three key themes related to parents' experiences during the pandemic: (1) positive experiences with government support programs, (2) challenging experiences with government support programs, and (3) distress resulting from insufficient support for childcare disruptions. Participants reported that program expansions helped alleviate food insecurity, and those attending community colleges reported accessing a range of supports through supportive counselors. However, many reported gaps in support for childcare and distance learning, pre-existing housing instability, and parenting stressors. With insufficient supports, additional childcare and education workloads resulted in stress and exhaustion, guilt about competing demands, and stagnation of longer-term goals for economic and educational advancement.
Families of young children, already facing housing and economic insecurity prior to the pandemic, experienced parental burnout. To support family well-being, participants endorsed policies to remove housing barriers, and expand childcare options to mitigate job loss and competing demands on parents. Policy responses that either alleviate stressors or bolster supports have the potential to prevent distress catalyzed by future disasters or the more common destabilizing experiences of economic insecurity.
COVID-19 大流行促使联邦、州和地方政府迅速制定政策,保护家庭免受大流行对健康和经济的影响。然而,对于家庭对大流行安全网政策反应是否充分的看法,以及需要采取什么措施来减轻对家庭福祉的持久影响,关注甚少。本研究考察了在大流行期间照顾幼儿的低收入家庭的经历和挑战。
2020 年 8 月至 2021 年 1 月,对加利福尼亚州 34 名幼儿家长进行了半结构化定性访谈,采用主题分析方法对访谈进行了分析。
我们确定了与父母在大流行期间的经历相关的三个关键主题:(1)政府支持计划的积极体验,(2)政府支持计划的挑战体验,(3)因儿童保育中断而得不到足够支持而产生的困扰。参与者报告说,计划的扩大有助于缓解粮食不安全问题,而那些就读于社区学院的人则通过支持顾问获得了一系列支持。然而,许多人报告说,儿童保育和远程学习支持不足,住房不稳定问题长期存在,以及育儿压力。由于支持不足,额外的儿童保育和教育工作量导致压力和疲惫,对竞争需求感到内疚,以及长期经济和教育发展目标的停滞。
在大流行之前已经面临住房和经济不安全的幼儿家庭经历了父母倦怠。为了支持家庭福祉,参与者支持消除住房障碍的政策,并扩大儿童保育选择,以减轻失业和父母竞争需求的压力。减轻压力源或增强支持的政策反应有可能防止因未来灾难或更常见的经济不稳定经历而引发的困境。