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Mental Health of Caregivers of Children with Medical Complexity During COVID-19
Emmanuel Aryee1,2, James M Perrin3,4,5, Sandra Clancy3
1Children's Wisconsin-Milwaukee Hospital, Milwaukee, WI.
Insights
Caregivers of children with medical complexity experienced worse mental health and higher financial burdens during the COVID-19 pandemic. Increased financial burden was linked to poorer mental health outcomes for these essential caregivers.
Area of Science:
- Public Health
- Psychology
- Health Economics
Background:
- Caregivers of children with medical complexity (CMC) often face significant challenges.
- The COVID-19 pandemic exacerbated existing stressors for families, particularly impacting mental health and finances.
Purpose of the Study:
- To investigate the relationship between mental health and financial burden among caregivers of CMC during the COVID-19 pandemic.
Main Methods:
- A cross-sectional survey was conducted with 70 caregivers of CMC from April 2020 to April 2021.
- Bivariate and multivariate linear regressions were used to analyze associations between caregiver mental health, demographics, child characteristics, and financial burden.
Main Results:
- Caregivers reported significantly lower mental health scores and higher financial burden scores compared to reference populations.
- Increased financial burden was significantly associated with lower caregiver mental health scores (p = 0.002).
Conclusions:
- Caregivers of CMC experienced heightened mental health symptoms and financial burdens during the pandemic.
- Financial assistance programs should consider financial burden and income to support these families.
- Stakeholders should prioritize financial support to improve caregiver mental health.
Objective:
The purpose of this study is to investigate the relationship between mental health and financial burden among caregivers of children with medical complexity (CMC) during the COVID-19 pandemic.
Methods:
We conducted a cross-sectional survey on the mental health and financial burden of caregivers of CMC from April 2020 to April 2021. The study sample included 70 caregivers. We analyzed the association between caregiver mental health and caregiver demographics and child characteristics through bivariate linear regressions. We then used multivariate linear regression to assess the association between caregiver mental health and caregiver financial burden adjusting for significant covariates from our bivariate analysis.
Results:
Caregivers reported lower mental health scores (56.2) and higher financial burden scores (15.5) than reference population means: (72.6; SD 20.2) and (10.4; SD 2.2), respectively. Financial burden [-3.4; p = 0.0003; CI: -5.1 to -1.6] and child age [-0.1; p = 0.02; CI: 0.2-1.8] were significantly associated with caregiver mental health in our bivariate analysis. In our multivariate analysis, caregivers with an increased financial burden had lower mental health scores [-3.0; p = 0.002; CI: -4.8 to -1.2].
Conclusion:
Caregivers of children with medically complex conditions experienced more mental health symptoms and greater financial burdens than normative samples during the COVID-19 pandemic. Parents with a greater financial burden also tend to have more mental health issues. Eligibility for financial assistance should include financial burden and income when providing help to families in this population. Local and national stakeholders should consider the provision of financial help in their quest to improve the mental health of caregivers.
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