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Inequalities in the distribution of COVID‐19‐related financial difficulties for Australian families with young children

机译:有小孩的澳大利亚家庭在分配与 COVID-19 相关的经济困难方面的不平等

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Abstract Background We examine (1) the frequency of financial difficulties in Australian families with young children (0–8?years) in the early and later phases of the pandemic; (2) the extent to which parents' pre‐pandemic socio‐economic disadvantage (SED) predicted financial difficulties; and (3) whether grandparent intergenerational SED further amplified this risk. Method Data: Australian Temperament Project (ATP; established 1983, N?=?2443) and ATP Generation 3 study (ATPG3; established 2012; N?=?702), of which 74 (N?=?553) completed a COVID‐specific module in the early (May–September 2020) and/or later (October–December 2021) phases of the pandemic. Outcomes: Parent‐reported loss of employment/reduced income, difficulty paying for essentials, and financial strain. Exposures: Pre‐pandemic parent and grandparent education and occupation. Analysis: Logistic regressions, estimated via generalized estimating equations, were used to examine associations between the pre‐pandemic SED of parents and grandparents and their interaction with financial difficulties, adjusting for potential confounders. Results At both pandemic time points, a third of parents reported adverse financial impacts (early: 34, 95 confidence interval CI?=?30–38; later: 32, 95 CI?=?28–36). Each standard deviation increase in the parents' pre‐pandemic SED was associated with a 36 increase in the odds of reporting multiple financial difficulties (odds ratio OR?=?1.36, 95 CI?=?1.04–1.78). There was little evidence of an interaction between the SED of parents and grandparents. Conclusions Financial impacts related to the COVID‐19 pandemic were common and, irrespective of grandparent SED, disproportionately borne by parents with higher pre‐pandemic SED. Given the well‐established relationship between disadvantage and child health and development, sustained and well‐targeted government supports will be critical to minimizing adverse impacts in years to come.
机译:摘要背景 我们研究了 (1) 在大流行的早期和后期,有幼儿(0-8 岁)的澳大利亚家庭出现经济困难的频率;(2)父母在大流行前的社会经济劣势(SED)在多大程度上预测了经济困难;(3)祖父母代际SED是否进一步放大了这种风险。方法数据:澳大利亚气质项目(ATP;成立于1983年,N?=?2443)和ATP第3代研究(ATPG3;成立于2012年;N?=?702),其中 74% (N?=?553) 在大流行的早期(2020 年 5 月至 9 月)和/或后期(2021 年 10 月至 12 月)阶段完成了针对 COVID 的模块。结果:父母报告的失业/收入减少、难以支付必需品和经济压力。暴露:大流行前的父母和祖父母的教育和职业。分析:通过广义估计方程估计的逻辑回归用于检查父母和祖父母的大流行前 SED 与其与经济困难的相互作用之间的关联,并调整潜在的混杂因素。结果 在两个大流行时间点,三分之一的父母报告了不利的财务影响(早期:34%,95%置信区间[CI]?=?30-38;后期:32%,95%CI?=?28-36)。父母大流行前 SED 的每增加一个标准差,报告多种经济困难的几率增加 36%(比值比 [OR]?=?1.36,95% CI?=?1.04–1.78)。几乎没有证据表明父母和祖父母的SED之间存在互动。结论 与 COVID-19 大流行相关的财务影响很常见,无论祖父母是否患有 SED,大流行前 SED 较高的父母都不成比例地承担。鉴于不利处境与儿童健康和发展之间根深蒂固的关系,持续和有针对性的政府支持对于在未来几年尽量减少不利影响至关重要。

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