@article{674272dd90f34f859fda71dda5c21329,
title = "Did Children in Single-Parent Households Have a Higher Probability of Emotional Instability during the COVID-19 Pandemic? A Nationwide Cross-Sectional Study in Japan",
abstract = "The influence of public health measures against COVID-19 in Japan on child mental health by household type is unknown. This study aimed to investigate whether COVID-19 and the declaration of a state of emergency in Japan affected children{\textquoteright}s mental health between single-parent and two-parent households disproportionately. A large cross-sectional online survey was conducted from August to September 2020. The study included 3365 parents with children aged 0–14 years old who reported their children{\textquoteright}s mental status during the declared state of emergency. Emotional instability was reported dichotomously by parents. As the primary result, the probability of emotional instability was higher in single-parent households compared with that in two-parent households after adjustments for potential covariates; the adjusted prevalence ratio (95% CI) was 1.26 (1.07–1.49). Our findings suggest a disproportionate impact on children{\textquoteright}s mental health due to the pandemic.",
keywords = "COVID-19, Japan, children, mental health, single-parent",
author = "Takuto Naito and Yasutake Tomata and Tatsui Otsuka and Kanami Tsuno and Takahiro Tabuchi",
note = "Funding Information: This study was supported by the Japan Society for the Promotion of Science (JSPS) KAKENHI Grants (grant numbers 17H03589, 19K10671, 19K10446, 18H03107, 18H03062, 19H03860 and 21H04856); the JSPS Grant-in-Aid for Young Scientists (grant number 19K19439); the Research Support Program to Apply the Wisdom of the University to tackle COVID-19 Related Emergency Problems, University of Tsukuba, Health Labour Sciences Research Grant (grant numbers 19FA1005, 19FG2001 and 19FA1012); the Japan Agency for Medical Research and Development (AMED; grant number 2033648); and the Individual Research Allowance at Kanagawa University of Human Services. The findings and conclusions of this article are the sole responsibility of the authors and do not represent the official views of the research funders. Publisher Copyright: {\textcopyright} 2022 by the authors. Licensee MDPI, Basel, Switzerland.",
year = "2022",
month = apr,
day = "1",
doi = "10.3390/ijerph19074239",
language = "English",
volume = "19",
journal = "International Journal of Environmental Research and Public Health",
issn = "1661-7827",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",
number = "7",
}
