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Maternal and Child Health Journal

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Open Access 03-11-2023 | COVID-19

Impacts of COVID-19 on Young Children and Families: A Qualitative Study Using Best Starts for Kids Health Survey Data in King County, WA

Authors: Mohit Nair, Kristin Moore, Sara Jaye Sanford, Anne McNair, Alastair Matheson, Eva Wong

Published in: Maternal and Child Health Journal | Issue 1/2024

Abstract

Objectives

To evaluate the impacts of the COVID-19 pandemic on parents and caregivers with young children in King County, Washington using data from a local population-based survey, the Best Starts for Kids Health Survey (BSKHS).

Methods

7033 parents and caregivers in King County, Washington with children 5th grade and younger participated in the BSKHS in 2021. Three evaluators adopted a framework method approach to thematic analysis for open-ended survey responses regarding the impacts of COVID-19 on families.

Results

Children aged 0–5 years missed important social development opportunities, while elementary-school children missed social interactions and felt isolated during remote schooling. Parents were exhausted by the competing demands of work and schooling/childcare, with mothers bearing the brunt of additional responsibilities. Many families faced financial uncertainty and were unable to meet basic needs. Yet, families were grateful for more quality time with family members.

Conclusions for Practice

Parents expressed that children aged 0–5 years missed out on social development opportunities with both adults and children their own age and elementary-school children and felt isolated while schools were closed to in-person schooling.

About Best Starts for Kids. (2022). King County Department of Community and Human Services. https://kingcounty.gov/depts/community-human-services/initiatives/best-starts-for-kids/background.aspx

Ali, U., Herbst, C. M., & Makridis, C. A. (2021). The impact of COVID-19 on the US child care market: Evidence from stay-at-home orders. Economics of Education Review, 82, 102094.CrossRefPubMedPubMedCentral

Araújo, L. A. D., Veloso, C. F., Souza, M. D. C., Azevedo, J. M. C. D., & Tarro, G. (2021). The potential impact of the COVID-19 pandemic on child growth and development: A systematic review. Journal De Pediatria, 97, 369–377.CrossRef

Best Starts for Kids Health Survey. (2021). https://kingcounty.gov/depts/community-human-services/initiatives/best-starts-for-kids/survey.aspx#:~:text=The%20Best%20Starts%20for%20Kids%20Health%20Survey%20is,the%20University%20of%20Washington%20to%20collect%20this%20information.

Birt, L., Scott, S., & Walter, F. (2016). Member checking: A tool to enhance trustworthiness or merely a nod to validation? Qualitative Health Research. https://doi.org/10.1177/1049732316654870CrossRefPubMed

Bullinger, L. R., Raissian, K. M., Feely, M., & Schneider, W. J. (2021). The neglected ones: Time at home during COVID-19 and child maltreatment. Children and Youth Services Review, 131, 106287.CrossRefPubMedPubMedCentral

Best Starts for Kids 2.0. (2022). King county department of community and human services. https://kingcounty.gov/elected/executive/constantine/initiatives/best-starts-for-kids.aspx.

Del Boca, D., Oggero, N., Profeta, P., & Rossi, M. (2020). Women’s and men’s work, housework and childcare, before and during COVID-19. Review of Economics of the Household, 18(4), 1001–1017.CrossRefPubMedPubMedCentral

Early Learning Facilities Development Proposal for King County and the Puget Sound Taxpayer Accountability Account. (2018). Third Sector Intelligence Inc. https://www.childcare.org/ckfinder/userfiles/files/Early%20Learning%20Facilities%20Development%20Proposal(1).pdf

Early Support for Infants and Toddlers (ESIT). (2022). Department of Community & Human Services. https://kingcounty.gov/depts/community-human-services/developmental-disabilities/services/babies-toddlers.aspx.

Economic, social, and overall health impacts dashboard. (2022). Public Health-Seattle & King County (PHSKC). https://kingcounty.gov/depts/health/covid-19/data/impacts.aspx

England, P., Levine, A., & Mishel, E. (2020). Progress toward gender equality in the United States has slowed or stalled. Proceedings of the National Academy of Sciences USA, 117(13), 6990–6997.ADSCrossRef

Furfaro, H., O’Sullivan, J., & Bazzaz, D. (2021). Washington Gov. Inslee to require K-12 schools to offer some in-person learning as part of COVID-19 recovery. Seattle Times. https://www.seattletimes.com/seattle-news/education/gov-inslee-order-will-require-washingtons-k-12-schools-to-offer-some-in-person-learning-as-part-of-covid-19-recovery/

Gale, N. K., Heath, G., Cameron, E., Rashid, S., & Redwood, S. (2013). Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Medical Research Methodology, 13(1), 1–8.CrossRef

Harris, B., McClain, M. B., O’Leary, S., & Shahidullah, J. D. (2021). Implications of COVID-19 on school services for children with disabilities: Opportunities for interagency collaboration. Journal of Developmental & Behavioral Pediatrics., 42(3), 236–239.CrossRef

Houtrow, A., Harris, D., Molinero, A., Levin-Decanini, T., & Robichaud, C. (2020). Children with disabilities in the United States and the COVID-19 pandemic. Journal of Pediatric Rehabilitation Medicine, 13(3), 415–424.CrossRefPubMed

Impact of the COVID-19 Pandemic on Early Identification of Developmental Delays and Disabilities and Opportunities for Improvement. (2022). U.S. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/actearly/pdf/impact-covid-developdisabil-508.pdf.

Jung, H., & Ro, E. (2019). Validating common experiences through focus group interaction. Journal of Pragmatics, 143, 169–184.CrossRef

Kaholokula, J. K., Ing, C. T., Look, M. A., Delafield, R., & Sinclair, K. (2018). Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders. Annals of Human Biology, 45(3), 249–263. https://doi.org/10.1080/03014460.2018.1465593CrossRefPubMedPubMedCentral

Kamaka, M. L., Freitas, S. M., Marshall, S. M., Walsh, M. E., Jr., Kamakawiwo’ole, S., Miller, J. M., Balaz, K., & Vakalahi, H. (2021). He ‘A’ali’i Kū Makani Mai Au: Developing a cultural framework for advancing COVID-19 related, community-informed health policies. Hawai’i Journal of Health & Social Welfare, 80(10 Suppl 2), 50–56.

Karpman, M., Zuckerman, S., Gonzalez, D., & Kenney, G. M. (2020). The COVID-19 pandemic is straining families’ abilities to afford basic needs. Washington, DC: Urban Institute. https://www.urban.org/research/publication/covid-19-pandemic-straining-families-abilities-afford-basic-needs

King County School Health (School-Based Health Centers). (2022). Public Health-Seattle & King County (PHSKC). https://kingcounty.gov/depts/health/child-teen-health/school-health.aspx.

Lebrasseur, A., Fortin-Bédard, N., Lettre, J., Bussières, E. L., Best, K., Boucher, N., Hotton, M., Beaulieu-Bonneau, S., Mercier, C., Lamontagne, M. E., & Routhier, F. (2021). Impact of COVID-19 on people with physical disabilities: a rapid review. Disability and Health Journal, 14(1), 101014.CrossRefPubMed

Mauras, S., Cohen-Addad, V., Duboc, G., Dupré la Tour, M., Frasca, P., Mathieu, C., & Viennot, L. (2021). Mitigating COVID-19 outbreaks in workplaces and schools by hybrid telecommuting. PLoS Computational Biology, 17(8), e1009264.CrossRefPubMedPubMedCentral

Meherali, S., Punjani, N., Louie-Poon, S., Abdul Rahim, K., Das, J. K., Salam, R. A., & Lassi, Z. S. (2021). Mental health of children and adolescents amidst COVID-19 and past pandemics: A rapid systematic review. International Journal of Environmental Research and Public Health, 18(7), 3432.CrossRefPubMedPubMedCentral

Public Health-Seattle & King County. (2020). Update for March 16, 2020: New State And Local Orders Issued To Protect Residents’ Health From COVID-19. Public Health Insider. https://publichealthinsider.com/2020/03/16/update-for-march-16-2020-new-state-and-local-orders-issued-to-protect-residents-health-from-covid-19/

Race and ethnicity data dashboard. (2021). Public Health-Seattle & King County (PHSKC). https://kingcounty.gov/depts/health/covid-19/data/race-ethnicity.aspx.

Schachter, A., Song, L., Neal, S., Pajimula, F., Johnson, K., Laurent, A., Kimball, E., Wong, E. (2020). Increases in Food Needs in King County, WA, Spring-Summer 2020. Public Health-Seattle & King County; Assessment Policy Development and Evaluation Unit

Sojli, E., Tham, W. W., Bryant, R., & McAleer, M. (2021). COVID-19 restrictions and age-specific mental health—US probability-based panel evidence. Translational Psychiatry, 11(1), 1–7.CrossRef

State of the children: Early learning & care. (2021). King County, Washington. https://washingtonstem.org/wp-content/uploads/2021/04/SoTC-King-County-4-8-21.pdf

Tai, D. B., Shah, A., Doubeni, C. A., Sia, I. G., & Wieland, M. L. (2021). The disproportionate impact of COVID-19 on racial and ethnic minorities in the United States. Clinical Infectious Diseases, 72(4), 703–706.CrossRefPubMed

The Mounting Costs of Child Care. (2019). Impacts of child care affordability and access to Washington’s employers and economy. Washington State Department of Commerce. http://www.commerce.wa.gov/wp-content/uploads/2019/09/MountingCostsReport_FINAL.pdf

Washington State Office of Financial Management, Forecasting Division, single year intercensal estimates 2001–2020, Community Health Assessment Tool (CHAT). (2021). https://doh.wa.gov/public-health-healthcare-providers/public-health-system-resources-and-services/community-health-assessment-and-improvement/chat

Wong E, Moore K, Woodward D, Laurent AA. (2017). Novel Sampling Methodologies for a Local Population-Based Survey about Health and Wellbeing of Young Children in King County, Washington: The Best Starts for Kids Health Survey. https://cste.confex.com/cste/2017/webprogram/Paper8503.html.

Title: Impacts of COVID-19 on Young Children and Families: A Qualitative Study Using Best Starts for Kids Health Survey Data in King County, WA
Authors: Mohit Nair
Kristin Moore
Sara Jaye Sanford
Anne McNair
Alastair Matheson
Eva Wong
Publication date: 03-11-2023
Publisher: Springer US
Keyword: COVID-19
Published in: Maternal and Child Health Journal / Issue 1/2024
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-023-03810-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Impacts of COVID-19 on Young Children and Families: A Qualitative Study Using Best Starts for Kids Health Survey Data in King County, WA

Abstract

Objectives

Methods

Results

Conclusions for Practice

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions for Practice

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Maternal and Paternal Adverse Childhood Experiences (ACEs) and Offspring Health and Wellbeing: A Scoping Review

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