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在加拿大安大略省,COVID-19 大流行期间严厉育儿实践和夫妻冲突的预测因素:来自安大略省父母调查的横断面分析。

Predictors of harsh parenting practices and inter-partner conflict during the COVID-19 pandemic in Ontario, Canada: a cross-sectional analysis from the Ontario Parent Survey.

机构信息

Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.

Department of Neurology, The Hospital for Sick Children, Toronto, Ontario, Canada.

出版信息

BMJ Open. 2023 Aug 28;13(8):e066840. doi: 10.1136/bmjopen-2022-066840.

Abstract

OBJECTIVES

Guided by the bioecological model, the purpose of this study was to examine the associations of (1) individual level factors (sociodemographic, health behaviour and mental health), (2) family (micro) level COVID-19 experiences (difficulty with household management, managing child mood and behaviour, and pandemic-related positive experiences) and (3) community (macro) level factors (residential instability, ethnic concentration, material deprivation and dependency, an indicator of age and labour force) with harsh parenting practices and inter-partner conflict during the early lockdown of the COVID-19 pandemic in Ontario, Canada.

DESIGN

A cross-sectional analysis of data from the Ontario Parent Survey.

SETTING

A convenience sample of 7451 caregivers living in Ontario, Canada, at the time of baseline data collection (May-June 2020).

PARTICIPANTS

Caregivers aged 18 years and older with children 17 years or younger.

OUTCOME MEASURES

Parenting practices over the past 2 months was assessed using a published modification of the Parenting Scale. The frequency of inter-partner conflict over the past month was assessed using the Marital Conflict scale.

RESULTS

Individual (sociodemographic factors, alcohol use, and higher depressive and anxiety symptoms) and family (difficulties with managing the household and child mood and behaviour) level factors were positively associated with inter-partner conflict and harsh parenting practices. Having fewer positive experiences (eg, performing activities with children), and economic adversity at the family level were positively associated with inter-partner conflict but inversely associated with harsh parenting. At the community level, residential instability was negatively associated with harsh parenting practices.

CONCLUSIONS

Individual and family level factors were associated with harsh parenting and inter-partner conflict. The associations of fewer positive experiences and economic hardship with harsh parenting practices may be more complex than initially thought. Efforts that raise awareness and address caregiver mental health concerns are needed as part of the pandemic response to promote positive inter-partner and parent-child interactions.

摘要

目的

本研究以生物生态模型为指导,旨在探讨个体层面因素(社会人口统计学、健康行为和心理健康)、家庭(微观)层面 COVID-19 经历(家庭管理困难、管理儿童情绪和行为以及与大流行相关的积极经历)和社区(宏观)层面因素(居住不稳定、族裔集中、物质匮乏和依赖、年龄和劳动力指标)与加拿大安大略省 COVID-19 大流行早期严格育儿实践和夫妻冲突的关联。

设计

利用安大略省父母调查的数据进行横断面分析。

地点

在基线数据收集(2020 年 5 月至 6 月)期间,在加拿大安大略省的一个方便样本中抽取了 7451 名护理人员。

参与者

年龄在 18 岁及以上、有 17 岁及以下子女的护理人员。

结果

过去 2 个月的育儿实践情况采用发表的育儿量表修订版进行评估。过去一个月夫妻冲突的频率采用婚姻冲突量表进行评估。

结果

个体(社会人口统计学因素、饮酒以及较高的抑郁和焦虑症状)和家庭(家庭管理困难和儿童情绪和行为)层面的因素与夫妻冲突和严格育儿实践呈正相关。家庭层面较少的积极体验(例如与孩子一起活动)和经济逆境与夫妻冲突呈正相关,与严格育儿实践呈负相关。在社区层面,居住不稳定与严格育儿实践呈负相关。

结论

个体和家庭层面的因素与严格育儿和夫妻冲突有关。与严格育儿实践相比,较少的积极体验和经济困难的关联可能比最初想象的更为复杂。在大流行应对中,需要开展提高认识和解决照顾者心理健康问题的工作,以促进夫妻之间和父母与子女之间的积极互动。

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