目标:来自种族和族裔群体的个人和家庭经历社会和经济劣势,使他们容易受到COVID-19大流行的不成比例的影响。这项研究试图捕捉的影响庇护所(SIP)在关键的生活领域,包括家庭生活,教育,工作,心理健康,以及目前从事农业工作的墨西哥裔母亲样本中的应对策略,或其配偶从事农业工作,和父母从事农业工作的年轻人。
方法:在2020年夏天,当加利福尼亚受到SIP命令时,我们使用Zoom(R)进行了三个虚拟焦点组。我们从萨利纳斯母亲和儿童健康评估中心(CHAMACOS)招募了焦点小组参与者,一个正在进行的,20年,在加利福尼亚主要农业区的墨西哥裔家庭的纵向队列研究。三个焦点小组与母亲一起进行(n=9),平均年龄=48岁,年轻成年女性(n=8)和年轻成年男性(n=5),平均年龄=18岁,分别。
结果:母亲报告说,由于害怕新冠肺炎感染,压力很大,工作不稳定和财务问题,儿童学校教育,对不确定的未来的焦虑,以及照顾家属的要求。在大流行之前经历多种逆境的参与者中,对心理健康的不利影响尤其明显。包括失业,单身母亲,还有无证家庭成员.对于年轻人来说,工作不稳定和工作时间的变化也是压力的来源,因为它们很难对未来做出决定,例如是否上大学或上多少课。家庭使用的应对策略包括表达感激,专注于自己控制的东西,familismo,和社区参与,以管理SIP期间的心理健康挑战。
结论:如果未来发生大流行或灾难,需要特别关注那些经历失业的人,没有证件和/或有无证件的家庭成员,和/或单亲父母面临经济逆境。在突发公共卫生事件中,在当地采取行动,state,国家层面需要支持农场工人和其他弱势群体,因为获得负担得起的住房方面的不平等,托儿服务,生活工资,healthcare,和其他好处。
OBJECTIVE: Individuals and families from racial and ethnic groups experience social and economic disadvantage making them vulnerable to the disproportionate impact of the COVID-19 pandemic. This study sought to capture the impacts of Shelter in Place (SIP) across key life domains including family life, education, work, mental health, and coping strategies among a sample of Mexican-origin mothers who were currently engaged in agricultural work, or whose spouses were engaged in agricultural work, and young adults who had a parent working in agriculture.
METHODS: During the summer of 2020, while California was under SIP orders, we conducted three virtual focus groups using Zoom(r). We recruited focus group participants from the Center for the Health Assessment of Mothers and Children of Salinas (CHAMACOS), an ongoing, 20-year, longitudinal cohort study of Mexican-origin families in a predominantly agricultural area of California. Three focus groups were conducted with mothers (n = 9), mean age = 48 years, young adult women (n = 8) and young adult men (n = 5), mean age = 18 years, respectively.
RESULTS: Mothers reported high levels of stress stemming from fear of Covid-19 infection, work instability and financial concerns, children\'s schooling, anxiety about an uncertain future, and the demands of caretaking for dependents. Adverse mental health impacts were particularly pronounced among participants experiencing multiple adversities pre-dating the pandemic, including unemployment, single motherhood, and having undocumented family members. For young adults, work instability and varying work hours were also a source of stress because they made it difficult to make decisions about the future, such as whether to attend college or how many classes to take. Families used coping strategies including expressing gratitude, focusing on what\'s under one\'s control, familismo, and community engagement to manage mental health challenges during SIP.
CONCLUSIONS: In the event of future pandemics or disasters, particular attention is needed to those who experience unemployment, are undocumented and/or have undocumented family members, and/or are single parents facing economic adversity. During public health emergencies, action at the local, state, and national level is needed to support farmworkers and other vulnerable groups\' secondary major stressors stemming from inequities in access to affordable housing, childcare, living wages, healthcare, and other benefits.