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dc.contributor.authorBryson, H
dc.contributor.authorMensah, F
dc.contributor.authorPrice, A
dc.contributor.authorGold, L
dc.contributor.authorMudiyanselage, SB
dc.contributor.authorKenny, B
dc.contributor.authorDakin, P
dc.contributor.authorBruce, T
dc.contributor.authorNoble, K
dc.contributor.authorKemp, L
dc.contributor.authorGoldfeld, S
dc.date.accessioned2021-10-12T02:05:26Z
dc.date.available2021-10-12T02:05:26Z
dc.date.issued2021-09-13
dc.identifierpii: PONE-D-21-19599
dc.identifier.citationBryson, H., Mensah, F., Price, A., Gold, L., Mudiyanselage, S. B., Kenny, B., Dakin, P., Bruce, T., Noble, K., Kemp, L. & Goldfeld, S. (2021). Clinical, financial and social impacts of COVID-19 and their associations with mental health for mothers and children experiencing adversity in Australia. PLOS ONE, 16 (9), https://doi.org/10.1371/journal.pone.0257357.
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/11343/287927
dc.description.abstractBACKGROUND: Australia has maintained low rates of SARS-COV-2 (COVID-19) infection, due to geographic location and strict public health restrictions. However, the financial and social impacts of these restrictions can negatively affect parents' and children's mental health. In an existing cohort of mothers recruited for their experience of adversity, this study examined: 1) families' experiences of the COVID-19 pandemic and public health restrictions in terms of clinical exposure, financial hardship family stress, and family resilience (termed 'COVID-19 impacts'); and 2) associations between COVID-19 impacts and maternal and child mental health. METHODS: Participants were mothers recruited during pregnancy (2013-14) across two Australian states (Victoria and Tasmania) for the 'right@home' trial. A COVID-19 survey was conducted from May-December 2020, when children were 5.9-7.2 years old. Mothers reported COVID-19 impacts, their own mental health (Depression, Anxiety, Stress Scales short-form) and their child's mental health (CoRonavIruS Health and Impact Survey subscale). Associations between COVID-19 impacts and mental health were examined using regression models controlling for pre-COVID-19 characteristics. RESULTS: 319/406 (79%) mothers completed the COVID-19 survey. Only one reported having had COVID-19. Rates of self-quarantine (20%), job or income loss (27%) and family stress (e.g., difficulty managing children's at-home learning (40%)) were high. Many mothers also reported family resilience (e.g., family found good ways of coping (49%)). COVID-19 impacts associated with poorer mental health (standardised coefficients) included self-quarantine (mother: β = 0.46, child: β = 0.46), financial hardship (mother: β = 0.27, child: β = 0.37) and family stress (mother: β = 0.49, child: β = 0.74). Family resilience was associated with better mental health (mother: β = -0.40, child: β = -0.46). CONCLUSIONS: The financial and social impacts of Australia's public health restrictions have substantially affected families experiencing adversity, and their mental health. These impacts are likely to exacerbate inequities arising from adversity. To recover from COVID-19, policy investment should include income support and universal access to family health services.
dc.languageEnglish
dc.publisherPUBLIC LIBRARY SCIENCE
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.titleClinical, financial and social impacts of COVID-19 and their associations with mental health for mothers and children experiencing adversity in Australia
dc.typeJournal Article
dc.identifier.doi10.1371/journal.pone.0257357
melbourne.affiliation.departmentPaediatrics (RCH)
melbourne.affiliation.facultyMedicine, Dentistry & Health Sciences
melbourne.source.titlePLoS One
melbourne.source.volume16
melbourne.source.issue9
melbourne.source.pagese0257357-
dc.rights.licenseCC BY
melbourne.elementsid1595340
melbourne.openaccess.pmchttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC8437268
melbourne.contributor.authorGoldfeld, Sharon
dc.identifier.eissn1932-6203
melbourne.accessrightsOpen Access


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