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The Socioeconomic Effect of COVID-19 Pandemic on Iranian Children: The Mediating Role of Parents’ Mental Health

Document Type : Research Article (s)

Authors

1 Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

2 Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

3 Centre of Studies in Geography and Spatial Planning (CEGOT), Department of Geography and Tourism, University of Coimbra, Portugal

4 Social welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

5 Cardiovascular Research Center, Health Institute, Imam-Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran

6 Department of Biostatistics and Epidemiology, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran

Abstract

Background: COVID-19 has been troublesome for families due to its socio-economic changes worldwide. Therefore, the present study aimed to investigate the socio-economic burden of COVID-19 on children’s health in Iran.
Methods: In the present cross-sectional study, the target population was 500 parents of children aged 5 to 18 years from 5 provinces of Iran in 2021. The samples were randomly selected from different geographical regions of Iran. The questionnaires on the socioeconomic burden of COVID-19, general health, child health, and place of residence landscape were employed to collect the data. For data analysis, t-test, structural equation modeling (SEM) were used in SPSS version 26 and AMOS version 26, respectively.
Results: The results indicated that based on determination coefficients of socio-economic burden of COVID-19, the socioeconomic status of the parents and the settlement external perspective variable account for nearly 25% of the mental changes in parents. Furthermore, the combined effects of COVID-19’s socioeconomic burden and parents’ mental health accounted for 26% of the health changes observed in children. The socio-economic burden had a negative correlation with parents’ mental health (β=-0.383, P<0.001) and children’s health (β=-0.202, P=0.003). Nevertheless, a positive association was found between socioeconomic status and parents’ mental health (β=0.138, P=0.014) on the one hand and the external settlement perspective with parents’ mental health (β=0.243, P<0.001), on the other hand. Also, the parents’ mental health showed a positive correlation with children’s health (β=0.398, P<0.001).
Conclusions: The present findings revealed that the socio-economic status and mental health of parents are important determinants of children’s health; thus, health policymakers should prevent social economic inequalities during epidemics. Also, they should provide optimal support to vulnerable families to avoid negative effects on children’s health.

Highlights

How to Cite: Golzarpour M, Sajjadi H, Santana P, Ghaedamini Harouni GR, Costa C, Ziapour A, Azizi SA, Afrashteh S. The Socioeconomic Effect of COVID-19 Pandemic on Iranian Children: The Mediating Role of Parents’ Mental Health. Int. J. School. Health. 2024;11(4):251-259. doi: 10.30476/INTJSH.2024.100904.1363.

 

Majid Golzarpour: (Google Scholar), (PubMed)

Keywords

References
  1. Atkeson A. How deadly is COVID-19? Understanding the difficulties with estimation of its fatality rate. Staff Report. 2020;598:26965. doi: 10.21034/sr.598. ##
  2. Maital S, Barzani E. The global economic impact of COVID-19: A summary of research. Samuel Neaman Institute. 2020;2020:1-12. ##
  3. Bashir MF, Ma B, Shahzad L. A brief review of socio-economic and environmental impact of Covid-19. Air Quality, Atmosphere & Health. 2020;13(12):1403-1409. doi: 10.1007/s11869-020-00894-8. ##
  4. Tisdell CA. Economic, social and political issues raised by the COVID-19 pandemic. Econ Anal Policy. 2020;68:17-28. doi: 10.1016/j.eap.2020.08.002. PubMed PMID: 32843816; PubMed Central PMCID: PMC7440080. ##
  5. Acemoglu D, Chernozhukov V, Werning I, Whinston MD. Optimal Targeted Lockdowns in a Multigroup SIR Model. American Economic Review: Insights. 2020;3(4):487-502. doi: 10.1257/aeri.20200590. ##
  6. Tisdell CA. Gender Inequality: Socioeconomic Analysis and Developing Country Case Studies; 2019. doi: 10.1142/11293. ##
  7. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-920. doi: 10.1016/S0140-6736(20)30460-8. PubMed PMID: 32112714; PubMed Central PMCID: PMC7158942. ##
  8. Wang G, Zhang Y, Zhao J, Zhang J, Jiang F. Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lancet. 2020;395(10228):945-947. doi: 10.1016/S0140-6736(20)30547-X. PubMed PMID: 32145186; PubMed Central PMCID: PMC7124694. ##
  9. Golberstein E, Wen H, Miller BF. Coronavirus disease 2019 (COVID-19) and mental health for children and adolescents. JAMA Pediatr. 2020;174(9):819-820. doi: 10.1001/jamapediatrics.2020.1456. PubMed PMID: 32286618. ##
  10. Rubin GJ, Wessely S. The psychological effects of quarantining a city. BMJ. 2020;368:m313. doi: 10.1136/bmj.m313. PubMed PMID: 31992552. ##
  11. Viner RM, Russell SJ, Croker H, Packer J, Ward J, Stansfield C, et al. School closure and management practices during coronavirus outbreaks including COVID-19: a rapid systematic review. Lancet Child Adolesc Health. 2020;4(5):397-404. doi: 10.1016/S2352-4642(20)30095-X. PubMed PMID: 32272089; PubMed Central PMCID: PMC7270629. ##
  12. Sprang G, Silman M. Posttraumatic stress disorder in parents and youth after health-related disasters. Disaster Med Public Health Prep. 2013;7(1):105-10. doi: 10.1017/dmp.2013.22. PubMed PMID: 24618142. ##
  13. Tang S, Xiang M, Cheung T, Xiang Y-T. Mental health and its correlates among children and adolescents during COVID-19 school closure: The importance of parent-child discussion. J Affect Disord. 2021;279:353-360. doi: 10.1016/j.jad.2020.10.016. PubMed PMID: 33099049; PubMed Central PMCID: PMC7550131. ##
  14. WHO. Helping children cope with stress during the 2019-nCoV outbreak. Geneva, Switzerland: World Health Organization; 2020. ##
  15. Henderson M, Schmus C, McDonald C, Irving S. The COVID-19 pandemic and the impact on child mental health: a socio-ecological perspective. Pediatric Nursing. 2020;46(6):267-90. ##
  16. McBride O, Butter S, Murphy J, Hartman TK, McKay R, Hyland P, et al. Tracking the psychological and socio-economic impact of the COVID-19 pandemic in the UK: A methodological report from wave 5 of the COVID-19 Psychological Research Consortium (C19PRC) study. 2022;31(4):e1928. doi: 10.1002/mpr.1928. PubMed PMID: 35759532; PubMed Central PMCID: PMC9349513. ##
  17. Santana P. COVID-19 impact on your family and community The University of Coimbra: Centre of Studies in Geography and Spatial Planning; 2020. ##
  18. Goldberg DP. User's guide to the General Health Questionnaire. Windsor; 1988. ##
  19. Yaghubi H, Karimi M, Omidi A, Barouti E, Abedi M. Validity and Factor Structure f the General Health Questionnaire (GHQ-12) In University Students. Journal of Behavioral Sciences. 2012;6(2):153-160. Persian. ##
  20. Hankins M. The reliability of the twelve-item general health questionnaire (GHQ-12) under realistic assumptions. BMC Public Health. 2008;8(1):355. doi: 10.1186/1471-2458-8-355. PubMed PMID: 18854015; PubMed Central PMCID: PMC2572064. ##
  21. Montazeri A, Harirchi AM, Shariati M, Garmaroudi G, Ebadi M, Fateh A. The 12-item General Health Questionnaire (GHQ-12): translation and validation study of the Iranian version. Health Qual Life Outcomes. 2003;1:66. doi: 10.1186/1477-7525-1-66. PubMed PMID: 14614778; PubMed Central PMCID: PMC280704. ##
  22. Landgraf JM, Abetz L. Measuring health outcomes in pediatric populations: Issues in psychometrics and applications. In: Spilker B, editor. Quality of life and pharmacoeconomics in clinical trials, Philadelphia (PA): Lip- pincott-Raven; 1996. p. 793-802. ##
  23. Landgraf J, Maunsell E, Speechley KN, Bullinger M, Campbell S, Abetz L, et al. Canadian-French, German and UK versions of the Child Health Questionnaire: methodology and preliminary item scaling results. Qual Life Res. 1998;7(5):433-45. doi: 10.1023/a:1008810004694. PubMed PMID: 9691723. ##
  24. Golzarpour M, Ghaedamini Harouni Gh, Vameghi M, Sajjadi H, Tavangar F. Validity and reliability of Persian version of children's health-related quality of life. North Khorasan University of Medical Sciences. 2017;8(3):447-459. doi: 10.18869/acadpub.jnkums.8.3.447. Persian. ##
  25. Golzarpour M, Vameghi M, Sajjadi H, Harouni GG. Explanation of Children’s Health through Parents’ Mental Health and Job Satisfaction by Structural Equation Modeling. Global Journal of Health Science. 2017;9(2):166. doi: 10.5539/gjhs.v9n2p166. ##
  26. Meyers LS, Gamst G, Guarino AJ. Applied multivariate research: Design and interpretation. Sage publications; 2016. ##
  27. Cheng Z, Mendolia S, Paloyo AR, Savage DA, Tani M. Working parents, financial insecurity, and childcare: mental health in the time of COVID-19 in the UK. Rev Econ Househ. 2021;19(1):123-144. doi: 10.1007/s11150-020-09538-3. PubMed PMID: 33456425; PubMed Central PMCID: PMC7802611. ##
  28. Kiely KM, Leach LS, Olesen SC, Butterworth P. How financial hardship is associated with the onset of mental health problems over time. Soc Psychiatry Psychiatr Epidemiol. 2015;50(6):909-18. doi: 10.1007/s00127-015-1027-0. PubMed PMID: 25683473. ##
  29. Bayrakdar S, Guveli A. Inequalities in home learning and schools' provision of distance teaching during school closure of COVID-19 lockdown in the UK. Sociology. 2023;57(4):767-788. doi: 10.1177/00380385221122444. PubMed PMID: 38603301; PubMed Central PMCID: PMC9618914. ##
  30. Hazlehurst MF, Muqueeth S, Wolf KL, Simmons C, Kroshus E, Tandon PS. Park access and mental health among parents and children during the COVID-19 pandemic. BMC Public Health. 2022;22(1):800. doi: 10.1186/s12889-022-13148-2. PubMed PMID: 35449096; PubMed Central PMCID: PMC9022731. ##
  31. Jones EA, Mitra AK, Bhuiyan AR. Impact of COVID-19 on mental health in adolescents: A systematic review. Int J Environ Res Public Health. 2021;18(5):2470. doi: 10.3390/ijerph18052470. PubMed PMID: 33802278; PubMed Central PMCID: PMC7967607. ##
  32. Purtle J. COVID-19 and mental health equity in the United States. Soc Psychiatry Psychiatr Epidemiol. 2020;55(8):969-971. doi: 10.1007/s00127-020-01896-8. PubMed PMID: 32556376; PubMed Central PMCID: PMC7298157. ##
  33. Geng DC, Innes J, Wu W, Wang G. Impacts of COVID-19 pandemic on urban park visitation: a global analysis. J For Res. 2021;32(2):553-567. doi: 10.1007/s11676-020-01249-w. PubMed PMID: 33204057; PubMed Central PMCID: PMC7660132. ##
  34. Grima N, Corcoran W, Hill-James C, Langton B, Sommer H, Fisher B. The importance of urban natural areas and urban ecosystem services during the COVID-19 pandemic. Plos One. 2020;15(12):e0243344. doi: 10.1371/journal.pone.0243344. PubMed PMID: 33332364; PubMed Central PMCID: PMC7746267. ##
  35. Pouso S, Borja Á, Fleming LE, Gómez-Baggethun E, White MP, Uyarra MC. Contact with blue-green spaces during the COVID-19 pandemic lockdown beneficial for mental health. Sci Total Environ. 2021;756:143984. doi: 10.1016/j.scitotenv.2020.143984. PubMed PMID: 33277006; PubMed Central PMCID: PMC7688424. ##
  36. Rousseau S, Deschacht N. Public awareness of nature and the environment during the COVID-19 crisis. Environ Resour Econ. 2020;76(4):1149-1159. doi: 10.1007/s10640-020-00445-w. PubMed PMID: 32836836; PubMed Central PMCID: PMC7354367. ##
  37. Lõhmus M, Stenfors CU, Lind T, Lauber A, Georgelis A. Mental health, greenness, and nature related behaviors in the adult population of Stockholm County during COVID-19-related restrictions. Int J Environ Res Public Health. 2021;18(6):3303. doi: 10.3390/ijerph18063303. PubMed PMID: 33806787; PubMed Central PMCID: PMC8004976. ##
  38. Dzhambov AM, Lercher P, Browning MH, Stoyanov D, Petrova N, Novakov S, et al. Does greenery experienced indoors and outdoors provide an escape and support mental health during the COVID-19 quarantine? Environ Res. 2021;196:110420. doi: 10.1016/j.envres.2020.110420. PubMed PMID: 33157110; PubMed Central PMCID: PMC8454400. ##
  39. Cheng Y, Zhang J, Wei W, Zhao B. Effects of urban parks on residents’ expressed happiness before and during the COVID-19 pandemic. Landscape Urban Planning. 2021;212:104118. doi: 10.1016/j.landurbplan.2021.104118. PubMed PMID: 36569996; PubMed Central PMCID: PMC9757897. ##
  40. Azevedo FM, Morais NdSd, Silva DLF, Candido AC, Morais DdC, Priore SE, et al. Food insecurity and its socioeconomic and health determinants in pregnant women and mothers of children under 2 years of age, during the COVID-19 pandemic: A systematic review and meta-analysis. Frontiers in Public Health. 2023;11:1087955. ##
  41. Rougeaux E, Dib S, Vázquez-Vázquez A, Fewtrell MS, Wells JCK. Socio-economic impacts of the COVID-19 pandemic on new mothers and associations with psychosocial wellbeing: Findings from the UK COVID-19 New Mum online observational study (May 2020-June 2021). PLOS Glob Public Health. 2022;2(7):e0000576. doi: 10.1371/journal.pgph.0000576. PubMed PMID: 36962443; PubMed Central PMCID: PMC10021723. ##
  42. Karimzadeh M, Rostami M, Teymouri R, Moazzen Z, Tahmasebi S. The association between parental mental health and behavioral disorders in pre-school children. Electron Physician. 2017;9(6):4497-4502. doi: 10.19082/4497. PubMed PMID: 28848622; PubMed Central PMCID: PMC5557127. ##
  43. Chen S-Q, Chen S-D, Li X-K, Ren J. Mental health of parents of special needs children in China during the COVID-19 pandemic. Int J Environ Res Public Health. 2020;17(24):9519. doi: 10.3390/ijerph17249519. PubMed PMID: 33353165; PubMed Central PMCID: PMC7765938. ##
International Journal of School Health
Volume 11, Issue 4 - Serial Number 44
October 2024
Pages 251-259
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