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首页> 外文期刊>Nursing research >Diaper Need as a Measure of Material Hardship During COVID-19
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Diaper Need as a Measure of Material Hardship During COVID-19

机译：尿布需求作为衡量 COVID-19 期间物质困难的指标

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摘要

Diaper need is a lack of reliable access to a sufficient quantity of diaper supplies. It is an essential pediatric social determinant of health measure that is useful for exploring the effects of the COVID-19 pandemic on families of young children. This study aimed to identify the predictors of diaper need and the associations between diaper need and psychosocial outcomes among underresourced families with neurodiverse children. This cross-sectional study included 129 caregivers of children aged 0–36 months who completed an online survey in early 2021, during the height of the COVID-19 pandemic. Participants completed a diaper need assessment, the Hunger Vital Signs Food Insecurity Screener, the Perceived Stress Scale, and the Infant Behavioral Questionnaire subscale. Relationships were explored using independent-samples t-tests, chi-square tests, and multiple regression analyses. Seventy-six percent of caregivers reported some diaper need, and 87.6% reported food insecurity. Greater than one third (39.5%) reported high diaper need. Common mitigation strategies included using a towel or other cloth like a diaper, not using a diaper, and keeping the child in the same diaper for longer than usual. In multivariate modeling, food insecurity, household size, and parent age were significantly associated with high diaper need. Families experiencing food insecurity were 4.24 times more likely to experience high diaper need than food-secure families. High diaper need compared to low or no diaper need was associated with increased parent perceived stress. We found high levels of diaper need and food insecurity for families during the COVID-19 pandemic. The association of high diaper need and stress indicates an inadequate supply of diapers adversely affects parent stress. Nurses may consider including diaper need in social determinants of health screening and prioritize connecting families to appropriate resources.
机译：尿布需求是缺乏可靠地获得足够数量的尿布用品。它是健康测量的重要儿科社会决定因素，有助于探索 COVID-19 大流行对幼儿家庭的影响。本研究旨在确定有神经多样性儿童的资源贫乏家庭中尿布需求的预测因素以及尿布需求与社会心理结果之间的关联。这项横断面研究包括 129 名 0-36 个月儿童的看护人，他们在 2021 年初 COVID-19 大流行高峰期完成了一项在线调查。参与者完成了尿布需求评估、饥饿生命体征粮食不安全筛查、感知压力量表和婴儿行为问卷分量表。使用独立样本 t 检验、卡方检验和多元回归分析探索关系。76%的护理人员报告需要尿布，87.6%的护理人员报告粮食不安全。超过三分之一（39.5%）的人表示尿布需求量很大。常见的缓解策略包括使用毛巾或其他布料（如尿布），不使用尿布，以及让孩子比平时更长时间地使用同一尿布。在多变量模型中，粮食不安全、家庭规模和父母年龄与尿布需求量高显著相关。经历粮食不安全的家庭经历高尿布需求的可能性是粮食安全家庭的 4.24 倍。与低尿布需求或没有尿布需求相比，高尿布需求与父母感知压力增加有关。我们发现，在 COVID-19 大流行期间，家庭对尿布的需求和粮食不安全程度很高。尿布需求量高和压力的关联表明尿布供应不足会对父母的压力产生不利影响。护士可以考虑将尿布需求纳入健康检查的社会决定因素，并优先考虑将家庭与适当的资源联系起来。

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