乌克兰战争时期为学龄儿童提供心理社会支持:基于社区的访问和家长报告的感知到的帮助性
Olena Yelizarova1, Tetiana Stankevych2, Alla Parats2
1State Institution Marzieiev Institute for Public Health of the National Academy of Medical Sciences of Ukraine, 50 Hetman Pavlo Polubotok Street, Kyiv, 02094, Ukraine. yelizarova@health.gov.ua.
Conflict and health
|February 8, 2026
概括
许多乌克兰儿童需要心理健康支持,但获得服务的机会有限,特别是在农村地区. 改善基于社区的护理和家庭支持对于在战时获得平等机会至关重要.
科学领域:
- 儿童和青少年心理学 儿童和青少年心理学
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 乌克兰的儿童和青少年心理健康和心理社会支持 (MHPSS) 战争时期的举措众多.
- 基于社区的心理社会支持是国家优先事项,但在冲突期间,其在人口层面的可用性,可访问性和有效性尚未得到充分记录.
研究的目的:
- 在战争期间为乌克兰学童提供心理社会支持.
- 评估家长报告的支持的感知有用性,重点关注影响寻求帮助和受益的社会和社区因素.
主要方法:
- 在全国范围内对7,551名学童的家长/监护人 (2022-2025) 进行调查.
- 基于不断变化的战时条件的代指标引入.
- 二元逻辑回归分析了与寻求帮助和感知到帮助相关的因素.
主要成果:
- 12.0%的儿童需要心理支持;9.9%的儿童获得服务. 其中,68.1%的人认为它有帮助.
- 儿童的焦虑/抑郁症状预测了寻求帮助 (OR=3.31),但降低了感知到的帮助 (OR=0.55). 父母的焦虑增加了寻求帮助的人数 (OR=1.24).
- 城市和流离失所人口使用服务的比例较高;农村和非移民人口使用服务的比例较低. 更高的社会支持与更大的感知帮助度相关.
结论:
- 乌克兰的学童,特别是农村地区的学童,在心理社会支持的感知需求和获得之间存在显著的差异.
- 加强以社区为基础的MHPSS,加强外展和支持弱势家庭对于减少长期冲突期间的不平等至关重要.
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