Child and Pet Care-Planning During COVID-19: Considerations for the Evolving Family Unit.

OBJECTIVE: Using a mixed-methods design, we aimed to understand household dynamics and choices in hypothetical planning for child and pet care if an individual is faced with hospitalization for COVID-19. BACKGROUND: As the COVID-19 public health crisis persists, children and pets are vulnerable to caregiver hospitalization. METHODS: Bivariate associations from a large-scale survey explore hypothetical options for dependent care-planning. An open-ended question regarding pet-child interactions is coded applying a grounded theory framework. RESULTS: Caregivers expect to rely on family and friends to care for children, especially young children, and pets if hospitalized. The presence of pets in the home has been predominately positive for children during the pandemic, suggesting benefits of alternative care options that keep children and pets together. CONCLUSIONS: Relying on one's social network to care for dependents if caregivers become ill from COVID-19 could place loved ones at risk for contracting the virus, which could present obstacles to arranging care plans, especially inclusive of pets and children. IMPLICATIONS: The changing information regarding COVID-19 warrants that families establish concrete care plans for dependent children and pets. The spread of COVID-19 to the most vulnerable, such as grandparents and other family who may be expected to care for dependents, could create additional public health concerns.

Quality of Sibling Relationships in Maltreated Youth Residing in Out-of-Home-Care.

When children are removed from their parents's custody because of substantiated maltreatment and placed in out-of-home placements, they may be placed separately from siblings, potentially leading to even higher levels of stress in children. This possibility emerges insofar as siblings serve as a source of support during the uncertain times that accompany maltreatment and subsequent removal. We explored these issues in the present study, focusing on whether sibling relationship quality was related to post-removal behavioral functioning in maltreated children and adolescents. A total of 102 six- to seventeen-year-olds residing in a residential facility completed questionnaires about their sibling relationship quality and behavioral functioning. With age, sibling relationships became more hostile; although in girls, sibling affection also increased with age, at least when their sibling was a girl. Sibling hostility was related to increases in aggression and behavioral problems. Surprisingly, greater sibling affection was associated with increased problems, particularly when children had little contact with their sibling. Results provide insight into perceptions of sibling relationships in maltreated children and have implications for placement decisions.

How pets factor into healthcare decisions for COVID-19: A One Health perspective.

There is evidence that prioritizing pets' welfare can impact the health and well-being of their owners, especially when pet owners have a strong bond with their pet. This carries public health implications, particularly in a global public health emergency such as COVID-19. The study objective was to understand pet owners' consideration of their pets' welfare when making personal healthcare decisions specific to COVID-19. A large sample (n = 1356) of adult pet owners in the U.S. completed an online survey in April and May of 2020, coinciding with the onset of social distancing measures to prevent the spread of COVID-19. Respondents were asked if they would delay or avoid testing or treatment for COVID-19 due to concern for their pets' welfare, and a follow-up question asked them to elaborate. Multinomial logistic regression models showed that attachment to pets and socioeconomic resources were important factors in pet owners' hypothetical decisions regarding testing and treatment for COVID-19. Qualitative analysis of responses to the follow-up question revealed explanations across three themes: (1) the need to find pet accommodation prior to seeking healthcare; (2) pet-related concerns; and, (3) human-related concerns. Pet owners often cited concern for their pets' welfare as a factor contributing to their decision making; participants' lack of a concrete plan for pet care was most commonly cited as the reason for their delay in seeking healthcare. Results from this study indicate that pet owners experience unique obstacles to accessing healthcare related to COVID-19, which has implications for future public health emergencies. Increased disease spread and prevalence of poor health outcomes could result if pet owners delay or avoid testing or treatment. Communities can benefit from a One Health/One Welfare approach to collaboration between human and animal health and service providers to reduce COVID-19 spread and secure the well-being of people and their pets.