Abstract

The COVID-19 pandemic has impacted the entire world in unprecedented ways. However, populations that have had a history of marginalization have experienced a more profound impact. One such group is Latinx families of children with intellectual and developmental disabilities (IDD) in the Unites States. In this study, we used a mixed methods approach to explore the impact of the pandemic on the mental health and well-being of Latinx caregivers of children with IDD. Specifically, we (1) identified which social determinants of health are correlated with maternal caregivers perceived general health, mental health, and well-being; (2) explored the impact of the pandemic on families’ overall eating and physical activity routines; and (3) identified emergent themes from caregivers’ experiences during the pandemic. Thirty-seven Latinx caregivers participated in three interviews in which several validated instruments were administered. The results indicated that perceived social support, annual family income, food security, and receipt of financial benefits were correlated with fewer depressive symptoms. Annual family income was also significantly correlated with perceived general health. Most caregivers reported that the pandemic had placed a strain on their economic situation; increased their isolation; and disrupted their child’s therapeutic supports, online education, eating routines, and engagement in physical activity. Meanwhile, some caregivers reported positive changes as a result of the pandemic. Implications for future research and practice are discussed.

Highlights

  • The COVID-19 pandemic dramatically impacted the physical, mental, economic, and social well-being of millions of people across the world

  • Data for the current study were gathered as part of a larger cross-sectional research project that explored health behaviors and lifestyle factors that contribute to the high prevalence of overweight/obesity among Latinx children with intellectual and developmental disabilities (IDD) and their maternal caregivers

  • The qualitative results are presented across the following areas impacted by the COVID-19 pandemic: economic impact, mental health and well-being, child’s development and behavior, physical activity, and eating habits and routines

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Summary

Introduction

The COVID-19 pandemic dramatically impacted the physical, mental, economic, and social well-being of millions of people across the world. In the United States, Latinx communities, in particular, have experienced devastating health and economic consequences because of the pandemic. Many of whom are considered to be essential workers, are more likely to be exposed to COVID-19 and less likely to seek medical care when infected with the virus. This is, in part, because Latinxs are more likely to be uninsured as compared with other racial and ethnic groups [4]. The impact of COVID-19 goes beyond physical

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