Supporting families to protect child health: Parenting quality and household needs during the COVID-19 pandemic

PLoS One. 2021 May 24;16(5):e0251720. doi: 10.1371/journal.pone.0251720. eCollection 2021.

Abstract

Background: Supportive parenting is critical for promoting healthy child development in the face of stressors, such as those occurring during COVID-19. Here, we address a knowledge gap regarding specific household risk factors associated with parenting quality during the pandemic and incorporate first-person accounts of family challenges and needs.

Methods: Mixed methods were applied to data collected between April 14th - 28th, 2020 from the "Parenting During the Pandemic" survey. Participants included 656 primary caregivers (e.g., mothers, fathers, foster parents) of least one child age 1.5-8 years of which 555 (84.6%) responded to at least one parenting questionnaire. Parenting quality was assessed across stressful, negative, and positive parenting dimensions. Household risk was examined across pandemic- linked (e.g., caregiver depression, unmet childcare needs) and stable factors (i.e., annual income, mental illness history). Significant correlates were examined with regressions in Mplus. Thematic analysis identified caregiver challenges and unmet needs from open-ended questions.

Findings: Caregiver depression, higher child parity, unmet childcare needs, and relationship distress predicted lower-quality parenting. Caregiver depression was the most significant predictor across every parenting dimension, with analyses indicating medium effect sizes, ds = .39 - .73. Qualitative findings highlighted severe strains on parent capacities including managing psychological distress, limited social supports, and too much unstructured time.

Interpretations: Lower quality parenting during COVID-19 is associated with multiple household and pandemic risk factors, with caregiver depression consistently linked to parent- child relationship disruptions. Focused efforts are needed to address caregiver mental health to protect child health as part of the pandemic response.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • COVID-19 / epidemiology
  • COVID-19 / psychology*
  • Caregiver Burden / epidemiology*
  • Caregiver Burden / prevention & control
  • Child
  • Child Health*
  • Child, Preschool
  • Family Characteristics
  • Humans
  • Infant
  • Needs Assessment*
  • Parenting / psychology*
  • Parents / psychology
  • Surveys and Questionnaires

Grants and funding

Initials of funded authors: LR; RG; JP; MS; LPG; KR Grants: 1) Research Manitoba - 2020 Manitoba COVID-19 Rapid Response 2) CHRIM - MG2020-3 - Match for project titled “The PACT Program: Parenting Apart while Coming Together Research Grant Funders Name: 1) The Children’s Hospital Research Institute of Manitoba (CHRIM), Winnipeg, MB 2) Research Manitoba, Winnipeg, MB URL of Funders Website: https://researchmanitoba.ca/https://www.chrim.ca/ The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.