ArticleSocial psychiatry and psychiatric epidemiology2021
Risk and resilience of vulnerable families in Hong Kong under the impact of COVID-19: an ecological resilience perspective.
Article in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 26 citations in OpenAlex.
- The impact of family health resources on the economic risk of diseases in rural China: based on a path analysis.BMC public health · 2026Article
- Psychological resilience as emotional armour in family dysfunction and food addiction among Ghanaian tertiary students.Eating and weight disorders : EWD · 2025Article
- Differential effects of received social support and mental health symptomology on affect in adults: an Ecological Momentary Assessment study.BMC psychiatry · 2025Article
- Spiritual Health and Psychological Distress Among Hong Kong Community Lay Leaders.Behavioral sciences (Basel, Switzerland) · 2024Article
- Socio-economic outcomes of COVID-19 on the marginalised: Who have taken the hardest hit?International journal of disaster risk reduction : IJDRR · 2023Article
- The Moderating Role of Family Resilience on the Relationship between COVID-19-Related Psychological Distress and Mental Health among Caregivers of Individuals with Eating Disorders in Post-Pandemic China.International journal of environmental research and public health · 2023Article
- COVID-19 lockdown impact on familial relationships and mental health in a large representative sample of Italian adults.Social psychiatry and psychiatric epidemiology · 2022Article
- Family functioning under COVID-19: An ecological perspective of family resilience of Hong Kong Chinese families.Child & family social work · 2022Article
- COVID-19 Daily Realities for Families: A South African Sample.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeHong Kong has experienced four waves of COVID-19 since the first case was confirmed in January 2020. Several studies have highlighted the psychological impacts of the outbreak in Hong Kong but have largely ignored the protective factors that contribute to resilience among vulnerable families. This study adopted an ecological resilience framework to explore the impact of this epidemic on members of families with youth with a delinquent tendency/mental health concerns and the ecological protective factors for these vulnerable families.
methodsRandom sampling based on a sampling frame provided by one of the largest local social service organizations in Hong Kong led to the recruitment of 407 respondents who were interviewed using a battery of standardized questionnaires.
resultsThe results showed that 30.6% and 11.5% of respondents reported a moderate and a severe level of psychological distress, respectively, almost double the percentages reported in a previous study conducted in Hong Kong before the COVID-19 outbreak. Around 36.6% of respondents indicated they had encountered financial problems and almost 40% indicated aggravated financial circumstances since the outbreak. Hierarchical regression analysis revealed that financial stress was the strongest predictor of psychological distress. Structural equation modeling indicated that family support, indoor leisure activities and community resources significantly mediated the negative influence of COVID-19-related stressors on psychological distress of family members.
conclusionFamily leisure activities, family support, community spirit and mutual help within the context of social-distancing restrictions may need to be promoted to benefit vulnerable families in Hong Kong under the COVID-19 epidemic.
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