Caregiver and Child Health Under Lockdown: Impacts of the COVID-19 Pandemic on Caregiver Outcomes, Caregiving Behaviors, and Health Services Utilization in Rural China

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Abstract/Contents

Abstract
The COVID-19 pandemic has exacerbated societal and health inequities globally. In rural China, in particular, disparities in caregiver and child health already existed and may have shifted, in part due to the uniquely strict lockdown mandates. Caregiver outcomes, caregiving behaviors, and perinatal health services utilization seemingly changed immediately for the many under-resourced communities in rural China. By studying the outcomes and behaviors of families with children born before lockdowns and those with children born during lockdowns, I identify the profound impacts of the COVID-19 pandemic on communities in rural China. I find that paternal but not maternal migration significantly slowed during the pandemic and related lockdowns, which may have contributed to the significantly improved mental health outcomes in caregivers – most often mothers and grandmothers in rural China – through heightened social support. Caregiving behaviors of household and nutrition expenditures and infant feeding practices generally remained the same, other than a significant increase in spending on infant micronutrient supplements. Perinatal health services utilization suffered significantly in some areas, particularly in postnatal care, yet significantly improved in other areas, such as in aspects of prenatal care. This research has implications in public health initiatives and global health policies to improve quality of life for the most vulnerable populations. Contributing knowledge through academic research to the literature on caregiver and child health is essential to promoting equity and transforming lives.

Description

Type of resource text
Date modified December 5, 2022
Publication date July 22, 2022

Creators/Contributors

Author Wang, Isabel
Thesis advisor Rozelle, Scott
Thesis advisor Darmstadt, Gary

Subjects

Subject Rural China
Subject Public health
Subject COVID-19 (Disease)
Subject Health services accessibility
Subject Mental health
Subject China
Subject Infants > Health and hygiene
Subject Infants > Development
Subject Infants > Nutrition
Subject Caregiver and Child Health
Subject Maternal health services
Subject Caregivers > Health and hygiene
Subject Caregivers > Mental health
Genre Text
Genre Thesis

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This work is licensed under a Creative Commons Attribution Non Commercial 4.0 International license (CC BY-NC).

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Preferred citation
Wang, Isabel Z. (2022). Caregiver and Child Health Under Lockdown: Impacts of the COVID-19 Pandemic on Caregiver Outcomes, Caregiving Behaviors, and Health Services Utilization in Rural China. Stanford Digital Repository. Available at https://purl.stanford.edu/gh875sq6232

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Undergraduate Honors Theses, Symbolic Systems Program, Stanford University

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