TY - JOUR
T1 - Inequalities in the distribution of COVID-19-related financial difficulties for Australian families with young children
AU - O'Connor, Meredith
AU - Greenwood, Christopher J.
AU - Letcher, Primrose
AU - Giallo, Rebecca
AU - Priest, Naomi
AU - Goldfeld, Sharon
AU - Hope, Steven
AU - Edwards, Ben
AU - Olsson, Craig A.
N1 - Publisher Copyright:
© 2022 The Authors. Child: Care, Health and Development published by John Wiley & Sons Ltd.
PY - 2022/11
Y1 - 2022/11
N2 - Background: We examine (1) the frequency of financial difficulties in Australian families with young children (0–8 years) in the early and later phases of the pandemic; (2) the extent to which parents' pre-pandemic socio-economic disadvantage (SED) predicted financial difficulties; and (3) whether grandparent intergenerational SED further amplified this risk. Method: Data: Australian Temperament Project (ATP; established 1983, N = 2443) and ATP Generation 3 study (ATPG3; established 2012; N = 702), of which 74% (N = 553) completed a COVID-specific module in the early (May–September 2020) and/or later (October–December 2021) phases of the pandemic. Outcomes: Parent-reported loss of employment/reduced income, difficulty paying for essentials, and financial strain. Exposures: Pre-pandemic parent and grandparent education and occupation. Analysis: Logistic regressions, estimated via generalized estimating equations, were used to examine associations between the pre-pandemic SED of parents and grandparents and their interaction with financial difficulties, adjusting for potential confounders. Results: At both pandemic time points, a third of parents reported adverse financial impacts (early: 34%, 95% confidence interval [CI] = 30–38; later: 32%, 95% CI = 28–36). Each standard deviation increase in the parents' pre-pandemic SED was associated with a 36% increase in the odds of reporting multiple financial difficulties (odds ratio [OR] = 1.36, 95% CI = 1.04–1.78). There was little evidence of an interaction between the SED of parents and grandparents. Conclusions: Financial impacts related to the COVID-19 pandemic were common and, irrespective of grandparent SED, disproportionately borne by parents with higher pre-pandemic SED. Given the well-established relationship between disadvantage and child health and development, sustained and well-targeted government supports will be critical to minimizing adverse impacts in years to come.
AB - Background: We examine (1) the frequency of financial difficulties in Australian families with young children (0–8 years) in the early and later phases of the pandemic; (2) the extent to which parents' pre-pandemic socio-economic disadvantage (SED) predicted financial difficulties; and (3) whether grandparent intergenerational SED further amplified this risk. Method: Data: Australian Temperament Project (ATP; established 1983, N = 2443) and ATP Generation 3 study (ATPG3; established 2012; N = 702), of which 74% (N = 553) completed a COVID-specific module in the early (May–September 2020) and/or later (October–December 2021) phases of the pandemic. Outcomes: Parent-reported loss of employment/reduced income, difficulty paying for essentials, and financial strain. Exposures: Pre-pandemic parent and grandparent education and occupation. Analysis: Logistic regressions, estimated via generalized estimating equations, were used to examine associations between the pre-pandemic SED of parents and grandparents and their interaction with financial difficulties, adjusting for potential confounders. Results: At both pandemic time points, a third of parents reported adverse financial impacts (early: 34%, 95% confidence interval [CI] = 30–38; later: 32%, 95% CI = 28–36). Each standard deviation increase in the parents' pre-pandemic SED was associated with a 36% increase in the odds of reporting multiple financial difficulties (odds ratio [OR] = 1.36, 95% CI = 1.04–1.78). There was little evidence of an interaction between the SED of parents and grandparents. Conclusions: Financial impacts related to the COVID-19 pandemic were common and, irrespective of grandparent SED, disproportionately borne by parents with higher pre-pandemic SED. Given the well-established relationship between disadvantage and child health and development, sustained and well-targeted government supports will be critical to minimizing adverse impacts in years to come.
KW - disadvantage
KW - health inequity
KW - intergenerational
KW - longitudinal
KW - socio-economic position
UR - http://www.scopus.com/inward/record.url?scp=85128173632&partnerID=8YFLogxK
U2 - 10.1111/cch.13010
DO - 10.1111/cch.13010
M3 - Article
SN - 0305-1862
VL - 48
SP - 1040
EP - 1051
JO - Child: Care, Health and Development
JF - Child: Care, Health and Development
IS - 6
ER -