COVID-19 大流行期间青少年的应对策略：跨文化探索。

IF 5.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health Pub Date : 2024-11-18 DOI:10.1016/j.jadohealth.2024.09.001

Kristin Mmari Dr.P.H., M.A. , Eric Mafuta Ph.D. , Chunyan Yu Ph.D. , Aang Pinandari M.P.H. , Ana Luiza Vilela Borges Ph.D. , Matilde Maddaleno M.D., M.P.H. , Michelle Martinez-Baack M.S.P.H.

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引用次数: 0

摘要

目的：确定生活在不同文化背景下的青少年与 COVID-19 大流行相关的压力模式，并探讨青少年如何应对这些压力，特别是压力类型、地点和性别方面的压力：本研究基于来自金沙萨（刚果民主共和国）、布兰太尔（马拉维）、上海（中国）、三宝垄和登巴萨（印度尼西亚）、新奥尔良（美国）、根特（比利时）、圣保罗（巴西）和圣地亚哥（智利）9 个城市贫困社区的焦点小组讨论数据。焦点小组讨论的翻译记录上传到 ATLAS.ti（9.1 版），并使用归纳式主题分析方法进行分析，以编码和确定与主要目标相关的主题：布兰太尔和金沙萨的青少年报告的压力主要与经济限制和困难有关，而其他地点的青少年更有可能报告与学校停课有关的压力。应对策略的模式也与这些差异大致吻合，因为与其他地方相比，布兰太尔和金沙萨的青少年更倾向于使用宗教应对策略。尽管如此，各地青少年最常提到的应对机制是获得社会支持，其中来自朋友和家人的支持最为主要：讨论：全面了解青少年的压力源和应对机制对于促进青少年的内部资源和积极成果非常重要。鉴于青少年的压力源和应对策略类型主要因社会经济因素而异，旨在促进青少年积极应对的干预措施需要考虑当地的环境和可用资源。

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Coping Strategies Among Adolescents During the COVID-19 Pandemic: A Cross-Cultural Exploration

Purpose

To identify the patterns of stressors associated with the COVID-19 pandemic among adolescents living in different cultural settings and to explore how adolescents cope with such stressors, particularly by type of stressor, site, and gender.

Methods

The study was based on focus group discussion data from 9 urban poor communities in Kinshasa (Democratic Republic of Congo), Blantyre (Malawi), Shanghai (China), Semarang and Denpasar (Indonesia), New Orleans (USA), Ghent (Belgium), São Paulo (Brazil), and Santiago (Chile). Translated transcripts from the focus group discussions were uploaded into ATLAS.ti (Version 9.1) and analyzed using an inductive thematic analytical approach to code and identify themes related to the primary objectives.

Results

Adolescents in Blantyre and Kinshasa reported stressors primarily related to economic constraints and hardships, whereas adolescents in other sites were more likely to report stressors related to school lockdowns. Patterns of coping strategies also loosely aligned with these differences, as adolescents in Blantyre and Kinshasa were also more likely to report using religious coping strategies compared to any other site. Still, the most common coping mechanism mentioned across sites was obtaining social support, with support from friends and family being the most dominant.

Discussion

A comprehensive understanding of adolescent stressors and coping mechanisms is valuable for promoting internal resources and positive outcomes for adolescents. Given that adolescents’ stressors and types of coping strategies varied primarily by socioeconomic factors, interventions that aim to bolster positive coping among adolescents need to consider the local context and available resources.

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来源期刊

Journal of Adolescent Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

10.40

自引率

3.90%

发文量

526

审稿时长

46 days

期刊介绍： The Journal of Adolescent Health is a scientific publication dedicated to enhancing the health and well-being of adolescents and young adults. Our Journal covers a broad range of research topics, spanning from the basic biological and behavioral sciences to public health and policy. We welcome a variety of contributions, including original research papers, concise reports, literature reviews, clinical case reports, opinion pieces, and letters to the editor. We encourage professionals from diverse disciplines such as Anthropology, Education, Ethics, Global Health, Health Services Research, Law, Medicine, Mental and Behavioral Health, Nursing, Nutrition, Psychology, Public Health and Policy, Social Work, Sociology, and Youth Development to share their expertise and contribute to our mission of promoting adolescent health. Moreover, we value the voices of young individuals, family and community members, and healthcare professionals, and encourage them to submit poetry, personal narratives, images, and other creative works that provide unique insights into the experiences of adolescents and young adults. By combining scientific peer-reviewed research with creative expressions, our Journal aims to create a comprehensive understanding of the challenges and opportunities in adolescent and young adult health.