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The social determinants of health as predictors of adherence to public health preventive measures among parents and young children during the COVID-19 pandemic: a longitudinal cohort study

OBJECTIVES: To investigate whether social determinants of health (SDOH) are predictive of adherence to public health preventive measures and to describe changes in adherence over time among parents and children. METHODS: A longitudinal study was conducted in children aged 0–10 years and their parent...

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Autores principales: Yoshida-Montezuma, Yulika, Keown-Stoneman, Charles D. G., Wanigaratne, Susitha, Li, Xuedi, Vanderhout, Shelley M., Borkhoff, Cornelia M., Birken, Catherine S., Maguire, Jonathon L., Anderson, Laura N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8161716/
https://www.ncbi.nlm.nih.gov/pubmed/34047964
http://dx.doi.org/10.17269/s41997-021-00540-5
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author Yoshida-Montezuma, Yulika
Keown-Stoneman, Charles D. G.
Wanigaratne, Susitha
Li, Xuedi
Vanderhout, Shelley M.
Borkhoff, Cornelia M.
Birken, Catherine S.
Maguire, Jonathon L.
Anderson, Laura N.
author_facet Yoshida-Montezuma, Yulika
Keown-Stoneman, Charles D. G.
Wanigaratne, Susitha
Li, Xuedi
Vanderhout, Shelley M.
Borkhoff, Cornelia M.
Birken, Catherine S.
Maguire, Jonathon L.
Anderson, Laura N.
author_sort Yoshida-Montezuma, Yulika
collection PubMed
description OBJECTIVES: To investigate whether social determinants of health (SDOH) are predictive of adherence to public health preventive measures and to describe changes in adherence over time among parents and children. METHODS: A longitudinal study was conducted in children aged 0–10 years and their parents through the TARGet Kids! COVID-19 Study in the Greater Toronto Area, Canada (April–July 2020). This study included 335 parents (2108 observations) and 416 children (2632 observations). Parents completed weekly questionnaires on health, family functioning, socio-demographics, and public health practices. The outcome was adherence to public health preventive measures measured separately for parents and children. Marginal log-binomial models were fitted using repeated measures of the outcome and predictors. RESULTS: Unemployment (RR 0.67, 95% CI: 0.47, 0.97), apartment living (RR 0.72, 95% CI: 0.53, 0.99), and essential worker in the household (RR 0.74, 95% CI: 0.55, 1.00) were associated with decreased likelihood of adherence among parents; however, no associations were observed for other SDOH, including family income and ethnicity. Furthermore, there was no strong evidence that SDOH were associated with child adherence. The mean number of days/week that parents and children adhered at the start of the study was 6.45 (SD = 0.93) and 6.59 (SD = 0.86), respectively, and this decreased to 5.80 (SD = 1.12) and 5.84 (SD = 1.23) by study end. Children consistently had greater adherence than parents. CONCLUSION: SDOH were predictive of adherence to public health preventive measures among parents but less so in children among our sample of relatively affluent urban families. Adherence was high among parents and children but decreased over time. Equitable approaches to support the implementation of public health guidelines may improve adherence. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.17269/s41997-021-00540-5.
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spelling pubmed-81617162021-05-28 The social determinants of health as predictors of adherence to public health preventive measures among parents and young children during the COVID-19 pandemic: a longitudinal cohort study Yoshida-Montezuma, Yulika Keown-Stoneman, Charles D. G. Wanigaratne, Susitha Li, Xuedi Vanderhout, Shelley M. Borkhoff, Cornelia M. Birken, Catherine S. Maguire, Jonathon L. Anderson, Laura N. Can J Public Health Special Section on COVID-19: Quantitative Research OBJECTIVES: To investigate whether social determinants of health (SDOH) are predictive of adherence to public health preventive measures and to describe changes in adherence over time among parents and children. METHODS: A longitudinal study was conducted in children aged 0–10 years and their parents through the TARGet Kids! COVID-19 Study in the Greater Toronto Area, Canada (April–July 2020). This study included 335 parents (2108 observations) and 416 children (2632 observations). Parents completed weekly questionnaires on health, family functioning, socio-demographics, and public health practices. The outcome was adherence to public health preventive measures measured separately for parents and children. Marginal log-binomial models were fitted using repeated measures of the outcome and predictors. RESULTS: Unemployment (RR 0.67, 95% CI: 0.47, 0.97), apartment living (RR 0.72, 95% CI: 0.53, 0.99), and essential worker in the household (RR 0.74, 95% CI: 0.55, 1.00) were associated with decreased likelihood of adherence among parents; however, no associations were observed for other SDOH, including family income and ethnicity. Furthermore, there was no strong evidence that SDOH were associated with child adherence. The mean number of days/week that parents and children adhered at the start of the study was 6.45 (SD = 0.93) and 6.59 (SD = 0.86), respectively, and this decreased to 5.80 (SD = 1.12) and 5.84 (SD = 1.23) by study end. Children consistently had greater adherence than parents. CONCLUSION: SDOH were predictive of adherence to public health preventive measures among parents but less so in children among our sample of relatively affluent urban families. Adherence was high among parents and children but decreased over time. Equitable approaches to support the implementation of public health guidelines may improve adherence. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.17269/s41997-021-00540-5. Springer International Publishing 2021-05-28 /pmc/articles/PMC8161716/ /pubmed/34047964 http://dx.doi.org/10.17269/s41997-021-00540-5 Text en © The Canadian Public Health Association 2021
spellingShingle Special Section on COVID-19: Quantitative Research
Yoshida-Montezuma, Yulika
Keown-Stoneman, Charles D. G.
Wanigaratne, Susitha
Li, Xuedi
Vanderhout, Shelley M.
Borkhoff, Cornelia M.
Birken, Catherine S.
Maguire, Jonathon L.
Anderson, Laura N.
The social determinants of health as predictors of adherence to public health preventive measures among parents and young children during the COVID-19 pandemic: a longitudinal cohort study
title The social determinants of health as predictors of adherence to public health preventive measures among parents and young children during the COVID-19 pandemic: a longitudinal cohort study
title_full The social determinants of health as predictors of adherence to public health preventive measures among parents and young children during the COVID-19 pandemic: a longitudinal cohort study
title_fullStr The social determinants of health as predictors of adherence to public health preventive measures among parents and young children during the COVID-19 pandemic: a longitudinal cohort study
title_full_unstemmed The social determinants of health as predictors of adherence to public health preventive measures among parents and young children during the COVID-19 pandemic: a longitudinal cohort study
title_short The social determinants of health as predictors of adherence to public health preventive measures among parents and young children during the COVID-19 pandemic: a longitudinal cohort study
title_sort social determinants of health as predictors of adherence to public health preventive measures among parents and young children during the covid-19 pandemic: a longitudinal cohort study
topic Special Section on COVID-19: Quantitative Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8161716/
https://www.ncbi.nlm.nih.gov/pubmed/34047964
http://dx.doi.org/10.17269/s41997-021-00540-5
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