Abstract

Background: Lockdown measures implemented to contain the Covid-19 virus may be increasing health inequalities, with families from deprived and ethnically diverse backgrounds most likely to be adversely affected. This paper presents findings of the experiences of the Covid-19 lockdown on families living in the multi-ethnic and deprived city of Bradford, England. Methods: Questionnaire surveys were sent during the Covid-19 UK lockdown (10th April to 30 th June 2020) to parents in two prospective birth cohort studies. Cross tabulations explored variation by ethnicity and employment status. Text from open questions were analysed using thematic analysis. Results: Of 7,652 families invited, 2,144 (28%) participated. Ethnicity of respondents was: 957 (47%) Pakistani heritage, 715 (35%) White British and 356 (18%) other. 971 (46%) live in the most deprived decile of material deprivation in England. 2,043 (95%) were mothers and 101 were partners. The results summarised below are based on the mothers' responses. Many families live in poor quality (N=574, 28%), and overcrowded (N=364, 19%) housing; this was more common in families of Pakistani heritage and other ethnicities. Financial (N=738 (37%), food (N=396, 20%), employment (N=728, 37%) and housing (N=204, 10%) insecurities were common, particularly in those who were furloughed, self-employed not working or unemployed. Clinically significant depression and anxiety symptoms were reported by 372 (19%) and 318 (16%) of the mothers and were more common in White British mothers and those with economic insecurity. Open text responses corroborated these findings and highlighted high levels of anxiety about becoming ill or dying from Covid-19. Conclusions: The experiences of the Covid-19 lockdown in this ethnically diverse and deprived population highlight a large number of families living in poor housing conditions, suffering from economic insecurity and poor mental health. There is a need for policy makers and commissioners to better support these families.

Highlights

  • In response to the Covid-19 pandemic, the UK government, like many others internationally, implemented a stringent lockdown to stop the spread of the virus[1]

  • Study population Our sample consists of adult participants from our existing cohort studies who had engaged in recent pre-Covid[19] data collection: 1. Born in Bradford Growing Up (BiBGU) (N= 5,154, 2017-2020)

  • This paper reports an overview of findings from the quantitative survey of BiB parents undertaken during the Covid-19 UK lockdown, with the following objectives:

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Summary

Introduction

In response to the Covid-19 pandemic, the UK government, like many others internationally, implemented a stringent lockdown to stop the spread of the virus[1] This included the closure of all schools, non-essential shops and businesses, reduced health and social care provision and restrictions on daily activities. This paper presents descriptive findings of the immediate health, social and economic status during the Covid-19 lockdown of families living in the ethnically diverse and deprived city of Bradford, England. Lockdown measures implemented to contain the Covid[19] virus may be increasing health inequalities, with families from deprived and ethnically diverse backgrounds most likely to be adversely affected. This paper presents findings of the experiences of the Covid-19 lockdown on families living in the multi-ethnic and deprived city of Bradford, England. Ethnicity of respondents was: 957 (47%) Pakistani heritage, 715 (35%) White British and 356 (18%) other. 971 (46%) live in the most deprived decile of material deprivation in England. 2,043 (95%) were mothers and 101 version 2

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