Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia.
Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia.
Acad Pediatr. 2024 Mar;24(2):254-257. doi: 10.1016/j.acap.2023.06.020. Epub 2023 Jun 22.
Changes in family life associated with COVID-19 precautions may have reduced children's access to positive childhood experiences (PCEs). The purpose of this study is to examine the prevalence of PCEs before and during the COVID-19 pandemic among school-age children.
This cross-sectional study used data from the 2018-19 National Survey of Children's Health (NSCH, n = 42,464) and the 2020-21 NSCH (n = 54,256) to examine the pre-pandemic period (June 2018-January 2020) and compared results to information obtained during the early pandemic period (June 2020-January 2022) using bivariate analyses and Z-tests.
PCEs declined in four of the seven PCEs measured, from 2018 to 2019-2020-2021: after-school activities, community volunteerism, guiding mentor, and resilient family, with all differences significant by P < .0001. After-school activities decreased from 79.8% to 72.2%, community volunteering decreased from 43.9% to 35.1%, guiding mentor decreased from 88.8% to 86.3%, and resilient family decreased from 92.7% to 84.6%. PCEs increased for safe neighborhood (64.7-67.2%), supportive neighborhood (55.8-57.5%), and connected caregiver (65.3-94.7%).
As children have experienced higher levels of parental stress and disruption during their lives during the COVID-19 pandemic, policymakers and program makers must find ways to increase exposure to PCEs following the pandemic. The quantification of these PCEs is a great start, with further research needed to describe ways that schools and community organizations have found to expose children to PCEs in safe ways.
与 COVID-19 预防措施相关的家庭生活变化可能减少了儿童获得积极童年体验 (PCE) 的机会。本研究的目的是检查学龄儿童在 COVID-19 大流行前后 PCE 的发生率。
本横断面研究使用了 2018-19 年全国儿童健康调查 (NSCH，n=42464) 和 2020-21 年 NSCH(n=54256)的数据，检查了大流行前时期 (2018 年 6 月至 2020 年 1 月)，并使用双变量分析和 Z 检验将结果与大流行早期 (2020 年 6 月至 2022 年 1 月) 获得的信息进行比较。
在所测量的七个 PCE 中有四个在 2018 年至 2019-2020-2021 年期间下降：课外活动、社区志愿服务、指导导师和弹性家庭，所有差异均有统计学意义 (P<.0001)。课外活动从 79.8%降至 72.2%，社区志愿服务从 43.9%降至 35.1%，指导导师从 88.8%降至 86.3%，弹性家庭从 92.7%降至 84.6%。PCE 增加的有安全的邻里环境 (64.7%-67.2%)、支持性邻里环境 (55.8%-57.5%) 和有联系的照顾者 (65.3%-94.7%)。
由于儿童在 COVID-19 大流行期间经历了更高水平的父母压力和生活中断，政策制定者和项目制定者必须在大流行后找到增加 PCE 接触的方法。对这些 PCE 的量化是一个很好的开始，需要进一步研究描述学校和社区组织以安全方式使儿童接触 PCE 的方法。
