Njoroge Wanjikũ F M, Tieu Tiffany, Eckardt Devlin, Himes Megan, Alexandre Christina, Hall Waynitra, Wisniewski Kate, Popoola Ayomide, Holloway Kayla, Rodriguez Yuheiry, Kornfield Sara, Momplaisir Florence, Wang Xi, Gur Raquel, Waller Rebecca
Perelman School of Medicine, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, United States.
Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Front Psychiatry. 2024 Jan 8;14:1281666. doi: 10.3389/fpsyt.2023.1281666. eCollection 2023.
INTRODUCTION: Racism, a known social determinant of health, affects the mental health and well-being of pregnant and postpartum women and their children. Convincing evidence highlights the urgent need to better identify the mechanisms and the ways in which young children's development and mental health are adversely impacted by their mothers' experiences of racism. With the additional stressor of the COVID-19 pandemic, the criticality of improving knowledge of these domains has never been starker. The proposed project will address these questions and move the field forward to create targeted, culturally informed preventative interventions, thus achieving mental health equity for all children and families. METHODS: This prospective research is a cohort study that will longitudinally observe the outcomes of a cohort of mothers and their children recruited during the initial phase of the COVID-19 pandemic. Data will be parent/caregiver questionnaires assessing mental health, racism, support, and resilience at multiple time points with the first beginning at 24 months, clinical interviews with mothers, electronic medical records of mothers, and videotaped dyadic interactions at child age 24 and 48 months. A subset of Black participants will be asked to participate in qualitative interviews at child age 36 months. RESULTS: Analyze will be performed within and across Black and Non-Latino/a/e/x white (NLW) groups, and comparing mothers and fathers/secondary caregivers. Descriptive and multivariate analyzes will be run to better characterize how young children's development and mental health may be adversely impacted by their caregiver's experiences of racism. DISCUSSION: This prospective longitudinal mixed-methods study evaluates the simultaneous effects of the COVID-19 pandemic and racism on mothers and their developing children to characterize cross-racial differences, providing insight into risk and resilience factors in early development and the peripartum period.
引言:种族主义是一个已知的健康社会决定因素,会影响怀孕和产后妇女及其子女的心理健康和幸福。确凿的证据凸显了迫切需要更好地确定幼儿发展和心理健康受到其母亲种族主义经历负面影响的机制和方式。随着新冠疫情这一额外压力源的出现,提高对这些领域认识的紧迫性从未如此明显。拟议的项目将解决这些问题,并推动该领域向前发展,以创建有针对性的、具有文化针对性的预防性干预措施,从而实现所有儿童和家庭的心理健康公平。 方法:这项前瞻性研究是一项队列研究,将纵向观察在新冠疫情初期招募的一组母亲及其子女的结局。数据将包括家长/照顾者在多个时间点评估心理健康、种族主义、支持和复原力的问卷(首次在24个月时开始)、对母亲的临床访谈、母亲的电子病历,以及在孩子24个月和48个月时的录像二元互动。一部分黑人参与者将被要求在孩子36个月时参加定性访谈。 结果:将在黑人与非拉丁裔/欧裔/西班牙裔/其他白人(NLW)群体内部和之间进行分析,并比较母亲和父亲/二级照顾者。将进行描述性和多变量分析,以更好地描述幼儿发展和心理健康可能如何受到其照顾者种族主义经历的负面影响。 讨论:这项前瞻性纵向混合方法研究评估了新冠疫情和种族主义对母亲及其发育中的孩子的同时影响,以表征跨种族差异,深入了解早期发育和围产期的风险和复原力因素。
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