As the U.S. continues to respond to the COVID-19 pandemic, back-to-school decisions have been made or are being discussed in family rooms and schools across the country. We recently surveyed 1,000 parents of school-age children to learn more about their kids’ mental health symptoms and attitudes about going back to school.
While all families reported similar rates of going back to school in-person or staying virtual, other fall semester considerations were very different when we looked at the results based on reported income level. Kids from high income households were more likely to have expressed concern about going back to school (73.4%) compared to school kids from low income households (42.5%). They were also more likely to be vaccinated (61% compared to 31%) or plan to vaccinate once their kids are old enough (67% compared to 37%).
Here’s what else we found.
We surveyed 1,000 parents of K-12 students about their kids’ mental health, behavior and attitudes about going back to school. We also asked the parents about their own mental health and past month use of drugs and alcohol. Note: Some questions asked respondents to select each option that applied, so in a few instances, the total percentage will be greater than one hundred.
When referring to household income level, we’ll define those groups as following:
We asked parents if they had experienced any adverse mental health symptoms over the past six months. A majority of all parents (65.4%) reported experiencing mental health symptoms, including 73% of high income parents. Low and middle income parents reported slightly lower rates (both 61%) but there were big differences in the specific symptoms reported.
High income parents were much more likely to say that their mental health typically improves once their kids are back in school (69%) compared to just 35% of low income and 43% of middle income parents.
We asked survey participants if they had used illicit drugs or alcohol or misused a prescription medication over the past month. Misuse was defined as taking a higher dose or more frequently than prescribed or taking a prescription medication that was not prescribed to you.
High income households were significantly more like to report substance use:
Rate of alcohol use: High and lower income respondents reported higher rates of past-month drug and alcohol use than middle income households:
All households reported roughly similar rates of marijuana use and prescription stimulant misuse. High income parents reported significantly more use or misuse across all other types of drugs. Generally, reported rates increased with income level.
Prescription opioid misuse:
One exception was methamphetamine use. Both high (30.1%) and lower income (20.8%) parents reported higher rates than middle income parents (18.1%).
We asked parents the reasons that prompted their substance use. Across the board, parents reported social or recreational drinking at similar rates (30-31%).
A majority of all groups selected coping with stress as the biggest reason for past-month substance use, but the parents on either end of the income spectrum were more likely to identify stress as the reason than middle income parents:
High income parents were more likely to select other reasons for their substance use, compared to parents in other income levels.
To cope with mental health symptoms:
To cope with parenting demands:
Another concerning finding: 30.5% of high income parents reported being physically dependent and 36.3% reported using substances to treat pain. Middle income parents (19.6%) were slightly more likely than lower income parents (17.8%) to report being physically dependent. More than a third of the lower income parents selected pain management (34.7%) but middle income parents weren’t far behind (28.3%).
Using substances for these reasons increases the risk of developing a substance use disorder. Physical dependence can make quitting uncomfortable or even dangerous, depending on the substance used.
Substance use as a way to self-medicate stress or other mental health concerns can actually exacerbate mental health symptoms and consistent or long-term use can also lead to dependence or addiction. These results show us that there is a critical need to encourage the use of healthy coping strategies and deliver better mental health support to parents, regardless of income.
In addition to questions about parents’ mental health, we asked about children’s mental health, symptoms and behaviors. All three income groups reported that COVID-19 has impacted their childrens’ mental health. More high income parents felt their kids were impacted significantly.
There were some slight variations in the specific symptoms reported:
All income levels reported similar rates of stress (38-42%).
One troubling finding from the survey: 62% of parents reported observing their child engaging in risky behaviors. Lower income parents were the least likely to have observed these kinds of behaviors: 49% of lower income parents said they had not observed any of the risky behaviors listed compared to 36% of middle and 29% of high income parents said the same.
Once again reported rates of the following behaviors rose with income level.
Withdrawing or self-isolating from family/friends:
These results show that increased income level doesn’t necessarily protect kids’ mental health and there’s still a great number of kids who could benefit from mental health interventions so that they’re utilizing healthy coping strategies in their lives instead of the risky behavior reported.
As the impact of COVID-19 pandemic lingers, families are making decisions about going back to school, fall activities and even looking ahead to the upcoming holiday season. These results demonstrate a strong need for parents to make mental health a focus of the back-to-school planning process, both for themselves and their children.
Managing mental health symptoms and getting support for stopping substance use are important ways to invest in your overall health and wellness, as well as the health and wellbeing of your family. Our new app, Nobu offers parents free, on-demand resources to learn about and improve mental health. Nobu is backed by proven strategies and techniques to address mental health symptoms and improve overall wellness to help with goals like:
For those in need of additional support, Nobu has premium features that connect you to a licensed mental health professional to schedule appointments and attend teletherapy sessions right from the app.
If you or your teen is struggling with substance abuse, we’re here to help. Contact us today to learn more about our addiction treatment facilities, programs and a care plan that can help you begin your recovery journey.
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The Recovery Village aims to improve the quality of life for people struggling with a substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare provider.