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测量法国首次封城期间学龄儿童家长的 COVID-19 相关压力及其相关因素。

Measuring COVID-19 related stress and its associated factors among the parents of school-aged children during the first lockdown in France.

机构信息

Centre Hospitalier de Versailles, Service Universitaire de Psychiatrie de L'Enfant Et de L'Adolescent, 78000, Versailles-Le Chesnay, France.

Université Paris-Saclay, UVSQ, Inserm U1018, CESP, 'DevPsy', 94807, Villejuif, France.

出版信息

BMC Public Health. 2023 Sep 19;23(1):1823. doi: 10.1186/s12889-023-16731-3.

Abstract

BACKGROUND

The COVID-19 pandemic placed important challenges on parents, as they had to meet various demands during lockdown, including childcare, work and homeschooling. Therefore, the current study aimed to investigate perceived stress levels among the parents of school-aged children and explore their association with sociodemographic, environmental and psychological factors during lockdown.

METHODS

A cross-sectional study was conducted among the parents of school-aged children ages 8 to 18, who lived in the Grand Est region of France during the first wave of the pandemic. An online survey collected sociodemographic data, living and working conditions, and exposure to COVID-19 as well as parent's levels of perceived stress (PSS-10), self-perceived health status (SF-12), social support (MSPSS) and resilience (BRS). Multivariable logistic regression models were conducted to evaluate the association between moderate to severe perceived stress and various factors.

RESULTS

In total, 734 parents were included. The results indicated that 47% were experiencing moderate stress and 7.2% were experiencing severe stress. Factors most strongly associated with risk of moderate to severe levels of stress were lower levels of parental resilience (OR = 3.8, 95% CI: 2.2-6.6) and poor self-perceived mental health status (OR = 7.3, 95% CI: 5.0-10.8). The following risk factors were also identified: female sex; being in the age range of 35-44; difficulties isolating and contracting COVID-19, which involved hospitalization and separation or isolation from family. The support of friends (OR = 0.8, 95% CI: 0.7-1.0) and family (OR = 0.5, 95% CI: 0.3-0.8) were protective factors.

CONCLUSIONS

These findings suggest that supportive and preventive programs should focus on the improvement of resilience and mental health management to promote parents' wellbeing. Research has to focus both on individuals' inner potential for increasing resilience and the environmental resources to be activated. Building and boosting resilience among parents could serve as a protective factor against negative outcomes for them and their families.

摘要

背景

COVID-19 大流行给父母带来了重要挑战,因为他们在封锁期间必须满足各种需求,包括照顾孩子、工作和在家教育孩子。因此,本研究旨在调查学龄儿童父母的感知压力水平,并探讨其与封锁期间社会人口学、环境和心理因素的关联。

方法

本研究采用横断面研究,在法国大东部地区首次 COVID-19 大流行期间,对 8 至 18 岁学龄儿童的父母进行了在线调查。该调查收集了社会人口学数据、生活和工作条件以及接触 COVID-19 的情况,以及父母的感知压力水平(PSS-10)、自我感知健康状况(SF-12)、社会支持(MSPSS)和韧性(BRS)。采用多变量逻辑回归模型评估中度至重度感知压力与各种因素之间的关联。

结果

共有 734 名父母参与了本次研究。结果表明,47%的父母感到中度压力,7.2%的父母感到严重压力。与中重度压力风险最相关的因素是父母韧性水平较低(OR=3.8,95%CI:2.2-6.6)和自我感知心理健康状况较差(OR=7.3,95%CI:5.0-10.8)。还确定了以下风险因素:女性;年龄在 35-44 岁之间;难以隔离和感染 COVID-19,涉及住院和与家人分离或隔离。朋友(OR=0.8,95%CI:0.7-1.0)和家人(OR=0.5,95%CI:0.3-0.8)的支持是保护因素。

结论

这些发现表明,支持性和预防性计划应重点关注提高韧性和管理心理健康,以促进父母的幸福感。研究既要关注个人增加韧性的内在潜力,又要关注要激活的环境资源。增强父母的韧性可以作为保护他们及其家庭免受负面后果的保护因素。

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