학술논문
Vulnerability and resilience in children during the COVID-19 pandemic.
Document Type
Article
Author
Tso, Winnie W. Y.; Wong, Rosa S.; Tung, Keith T. S.; Rao, Nirmala; Fu, King Wa; Yam, Jason C. S.; Chua, Gilbert T.; Chen, Eric Y. H.; Lee, Tatia M. C.; Chan, Sherry K. W.; Wong, Wilfred H. S.; Xiong, Xiaoli; Chui, Celine S.; Li, Xue; Wong, Kirstie; Leung, Cynthia; Tsang, Sandra K. M.; Chan, Godfrey C. F.; Tam, Paul K. H.; Chan, Ko Ling
Source
Subject
*MENTAL illness prevention
*MENTAL illness risk factors
*WELL-being
*LIFESTYLES
*SPECIAL education
*PSYCHOLOGICAL vulnerability
*CROSS-sectional method
*FUNCTIONAL status
*MULTIPLE regression analysis
*CHRONIC diseases
*PARENTS of children with disabilities
*TIME
*CHILDREN of parents with disabilities
*ELECTRONIC equipment
*SURVEYS
*SLEEP
*RISK assessment
*SCHOOLS
*PSYCHOSOCIAL factors
*EXERCISE
*STAY-at-home orders
*FAMILY relations
*PARENT-child relationships
*INFORMATION needs
*POVERTY
*PSYCHOLOGICAL resilience
*COVID-19 pandemic
*PARENTS
*PSYCHOLOGICAL stress
*ACUTE diseases
*MENTAL illness
*CHILDREN
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Language
ISSN
1018-8827
Abstract
Background: The coronavirus disease 2019 (COVID-19) pandemic is having a profound impact on the health and development of children worldwide. There is limited evidence on the impact of COVID-19 and its related school closures and disease-containment measures on the psychosocial wellbeing of children; little research has been done on the characteristics of vulnerable groups and factors that promote resilience. Methods: We conducted a large-scale cross-sectional population study of Hong Kong families with children aged 2–12 years. Parents completed an online survey on family demographics, child psychosocial wellbeing, functioning and lifestyle habits, parent–child interactions, and parental stress during school closures due to COVID-19. We used simple and multiple linear regression analyses to explore factors associated with child psychosocial problems and parental stress during the pandemic. Results: The study included 29,202 individual families; of which 12,163 had children aged 2–5 years and 17,029 had children aged 6–12 years. The risk of child psychosocial problems was higher in children with special educational needs, and/or acute or chronic disease, mothers with mental illness, single-parent families, and low-income families. Delayed bedtime and/or inadequate sleep or exercise duration, extended use of electronic devices were associated with significantly higher parental stress and more psychosocial problems among pre-schoolers. Conclusions: This study identifies vulnerable groups of children and highlights the importance of strengthening family coherence, adequate sleep and exercise, and responsible use of electronic devices in promoting psychosocial wellbeing during the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]