Association of Social Determinants of Health and Vaccinations With Child Mental Health During the COVID-19 Pandemic in the US

JAMA Psychiatry, Journal Year: 2022, Volume and Issue: 79(6), P. 610 - 610

Published: April 27, 2022

Importance

The COVID-19 pandemic disproportionately affected mental health in socioeconomically disadvantaged children the US. However, little is known about relationship of preexisting and time-varying social determinants (SDoH) at individual structural levels, vaccination eligibility/rates, racial ethnic differences to trajectories child during pandemic.

Objective

To estimate association multilevel SDoH eligibility/rates.

Design, Setting, Participants

This prospective longitudinal cohort study, conducted from May 16, 2020, March 2, 2021, integrated structural-level, pandemic-related data with Adolescent Brain Cognitive Development (ABCD) (release 4.0). ABCD study recruited 11 878 (baseline) 6 rapid response surveys across 21 US sites (in 17 states) 2021.

Exposures

Preexisting (eg, household income) (area deprivation) food insecurity, unemployment) distancing, eligibility/rates) SDoH.

Main Outcomes Measures

Perceived Stress Scale, National Institutes Health–Toolbox emotion measures, COVID-19–related worry.

Results

sample included 8493 (mean [SD] age, 9.93 [0.63] years; 5011 girls [47.89%]; 245 Asian [2.34%], 1213 Black [11.59%], 2029 Hispanic [19.39%], 5851 White [55.93%], 1124 other/multiracial ethnicity [10.74%]). Trajectories stress, sadness, worry decreased after adult rollout. Compared younger children, boys, or those living married parents, who reported greater perceived stress older aged 12 15 years (β = 0.26; 95% CI, 0.12-0.41;P < .001); 0.75; 0.61-0.89;P 0.24; 0.01-0.47;P .04); separated parents 0.50; 0.03-0.96;P experiencing disrupted medical care access 0.19; 0.01-0.36;P economically deprived neighborhoods 0.28; 0.05-0.51;P .02); areas more full-time working-class adults were unable distance 1.35; 0.13-2.67;P states fewer fully vaccinated 0.59; 0.16-1.02;P .007). pandemic–related was higher among 0.22; 0.08-0.37;P .003), 0.33; 0.22-0.43;P .001), 0.17; 0.09-0.25;P 0.15; 0.09-0.21) treatment 0.11; 0.06-0.16). Inability afford associated increased sadness 1.50; 0.06-2.93;P .04). States later eligibility dates for all 0.16; 0.01-0.31;P .03) positive affect −1.78; −3.39 −0.18;P children.

Conclusions Relevance

Results this suggest a adverse minority groups, which may be improved by addressing modifiable (food unemployment, services, parental supervision) deprivation, job protection, vaccination)

Language: Английский

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Data-Driven Assessment of Adolescents’ Mental Health During the COVID-19 Pandemic

Journal of the American Academy of Child & Adolescent Psychiatry, Journal Year: 2023, Volume and Issue: 62(8), P. 920 - 937

Published: Feb. 8, 2023

Adolescents' mental health was severely compromised during the COVID-19 pandemic. Longitudinal real-world studies on changes in of adolescents later phase pandemic are limited. We aimed to quantify effect adolescents' outcomes based electronic records.This a retrospective cohort study using computerized database 2.5 million members, state-mandated organization Israel. Rates diagnoses and psychiatric drug dispensations were measured among 12 17 years age with without pre-existing history, for 2017 2021. Relative risks computed between years, interrupted time series (ITS) analyses evaluated monthly incidence rates outcomes.The average population size 218,146 During period, 36% increase observed depression (95% CI = 25-47), 31% anxiety 23-39), 20% stress 13-27), 50% eating disorders 35-67), 25% antidepressant use 25-33), 28% antipsychotic 18-40). A decreased rate 26% 0.80-0.88) ADHD diagnoses. The examined most prominent youth female youth, general secular Jewish population, medium-high socioeconomic status, those 14 15 age. ITS analysis confirmed significantly higher growth compared previous years.This highlights deterioration suggests that should be considered policy decision making.We worked ensure sex gender balance recruitment human participants. race, ethnic, and/or other types diversity actively promote our author group. list this paper includes contributors from location community where research conducted who participated data collection, design, analysis, interpretation work.

Language: Английский

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COVID-19 in Latin America: A Snapshot in Time and the Road Ahead

Infectious Diseases and Therapy, Journal Year: 2023, Volume and Issue: 12(2), P. 389 - 410

Published: Jan. 12, 2023

Since its initial detection in Brazil February 2020, SARS-CoV-2 and the associated COVID-19 pandemic have continued to devastate Latin America. Specific comorbidities, as well sociodemographic lifestyle factors that may be more prevalent underserved areas, been identified risk for infection or adverse outcomes. Dynamics of infections deaths America varied by country temporally, has variant prevalence; however, recently, Delta subsequent Omicron variants become ubiquitous. Successful responses involved robust mitigation measures, testing, smart deployment healthcare resourcing. While some American countries up 90% population is fully vaccinated (i.e., 2 doses) against COVID-19, other failed reach World Health Organization's 70% target. Continued focus on comprehensive surveillance, strategies maximize vaccine availability uptake, collateral damage aspects public health social services are critical managing pandemic. This review summarizes experience America, including epidemiology vaccination. Key learnings future considerations ongoing response also discussed.

Language: Английский

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Negative effects of COVID-19 pandemic on adolescent health: Insights, perspectives, and recommendations

Journal of Global Health, Journal Year: 2022, Volume and Issue: 12

Published: May 21, 2022

The adverse mental health effects of the COVID-19 pandemic and its control measures (lockdowns, quarantine, etc.) among adult population have been widely acknowledged [1]. There are, however, only a few studies on topic focused children adolescents under age 18 [2]. Children constitute third global […]

Language: Английский

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Scoping Review of Yoga in Schools: Mental Health and Cognitive Outcomes in Both Neurotypical and Neurodiverse Youth Populations

Children, Journal Year: 2022, Volume and Issue: 9(6), P. 849 - 849

Published: June 8, 2022

Yoga is used widely as a therapeutic tool for physical and mental well-being. The mind-body activity could be an inclusive cost-effective intervention within schools to help tackle the health crisis in youth populations. To date, research has focused on mainly neurotypical However, greater acknowledgement of impact neurodiverse populations warranted. Therefore, aim this scoping review understand what known about relationships between yoga cognition Methods: This followed O’Malley Arskey’s methodological framework. A comprehensive database search using fundamental keywords index terms was conducted. Screening carried out CovidenceTM software. Results: Substantial evidence support use school-based programmes improvement anxiety, self-concept, resilience, depression, self-esteem, subjective psychological well-being, executive function, inhibition, working memory, attention academic performance found. Evidence with improvements also Conclusions: findings provision improve whilst creating clear pathways future development.

Language: Английский

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The effect of the COVID‐19 pandemic and school closures on self‐harming and suicidal behaviors in adolescents: A comprehensive meta‐analysis

Suicide and Life-Threatening Behavior, Journal Year: 2025, Volume and Issue: 55(1)

Published: Jan. 21, 2025

Abstract Introduction The COVID‐19 pandemic has significantly affected adolescents' mental health, raising concerns about the potential increase in self‐harming and suicidal behaviors (SIB). This study aimed to evaluate pandemic's impact on SIB among adolescents explore effects of school closures psychiatric vulnerabilities inform future interventions. Methods A systematic review meta‐analysis were conducted using PubMed, resulting 420 studies, which 36 studies (comprising 53 samples) met inclusion criteria, encompassing 1,754,106 adolescents. Effect sizes calculated proportion effect size. Heterogeneity across was assessed Q‐statistics I², while Egger's test applied publication bias. Differences between clinical community samples, as well influence symptoms or disorders, examined. Results Clinical samples demonstrated higher rates compared with having disorders being more vulnerable. Overall, associated a decline pre‐pandemic levels. Suicidal ideation decreased by 4.14% combined 7.13% samples. Self‐harm fell 5.38% 6.62% respectively. In contrast, showed distinct trend, decreasing 29.39%, self‐harm increased 32.51% suicide attempts rose 22.41%. Conclusion varied population types levels vulnerability. While general declines observed, pronounced increases highlight need for tailored health Addressing these disparities is essential strategies crisis preparedness.

Language: Английский

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Psychological Impact of COVID-19 on Children and Adolescents: A Narrative Review of Mental Health Challenges, Interventions, and Long-Term Trajectories

Cureus, Journal Year: 2025, Volume and Issue: unknown

Published: April 7, 2025

The COVID-19 pandemic has significantly impacted the mental health and well-being of children adolescents globally. This comprehensive narrative review synthesizes current research on pandemic's psychological effects young people, examining emotional distress, behavioral changes, sleep disturbances, educational disruptions, exacerbation pre-existing conditions. A systematic literature search was conducted using PubMed, MEDLINE, PsycINFO, CINAHL, Web Science, covering articles published from January 2020 to December 2024. Studies focusing (aged 0-18 years) that examined outcomes related were included. Data extraction performed a standardized form, synthesis approach employed analyze integrate findings. Key findings reveal substantial increase in anxiety, depression, post-traumatic stress disorder among during pandemic. School closures, social isolation, disrupted routines have contributed these challenges. Sleep patterns been notably affected, with delayed bedtimes, increased higher prevalence insomnia nightmares. widened disparities, particularly affecting disadvantaged backgrounds. Individuals conditions experienced exacerbated symptoms faced challenges accessing care. Various interventions, including cognitive therapy, social-emotional learning programs, digital support, shown promise mitigating impact people. Children more as they global crisis for first time limited coping skills. Disruptions routine, family stressors heightened issues, making them affected. emphasizes need continued research, targeted policy development address long-term consequences adolescents.

Language: Английский

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Socioeconomic conditions and children's mental health and quality of life during the COVID-19 pandemic: An intersectional analysis

SSM - Population Health, Journal Year: 2023, Volume and Issue: 23, P. 101472 - 101472

Published: July 23, 2023

Children and adolescents are highly vulnerable to the impact of sustained stressors during developmentally sensitive times. We investigated how demographic characteristics intersect with socioeconomic dimensions shape social patterning quality life mental health in children adolescents, two years into COVID-19 pandemic.We used data from prospective SEROCoV-KIDS cohort study living Geneva (Switzerland, 2022). conducted an intersectional Multilevel Analysis Individual Heterogeneity Discriminatory Accuracy by nesting participants within 48 strata defined intersecting sex, age, immigrant background, parental education financial hardship Bayesian multilevel logistic models for poor health-related (HRQoL, measured PedsQL) difficulties (measured Strengths Difficulties Questionnaire).Among aged 2-17 years, 240/2096 (11.5%, 95%CI 10.1-12.9) had HRQoL 105/2135 (4.9%, 4.0-5.9) difficulties. The predicted proportion ranged 3.4% 6-11 old Swiss girls educated parents no 34.6% 12-17 non-Swiss hardship. Intersectional involving showed substantially worse than their counterparts. Between-stratum variations frequency were limited (range 4.4%-6.5%).We found considerable differences adverse outcomes across strata. Our results suggest that, post-pandemic, interventions address inequities should focus on specific families experiencing hardship, while those aiming improve target all adolescents.

Language: Английский

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A Systematic Literature Review of Strategies Implemented in Extended Education Settings to Address Children’s Mental Health and Wellbeing

Clinical Child and Family Psychology Review, Journal Year: 2024, Volume and Issue: 27(3), P. 863 - 877

Published: July 14, 2024

Mental health and wellbeing problems in middle childhood are increasing worldwide which needs more support than just clinical services. Early intervention has been explored other settings, but not extended education care settings such as outside school hours (OSHC). A systematic literature review was undertaken to determine what interventions have tested address or promote emotional, behavioural, social children, assess how effective they been. PRISMA guided search found seven peer reviewed articles from an initial pool of 458. Data the were extracted mixed method appraisal tool (MMAT) applied methodological quality studies design, data collection, analyses. The final selections methodologically heterogeneous with average MMAT rating 71%. All one delivered children small group a mix activities. Studies that trained educators deliver limited no collected for them. two content seen promising. This showed overall paucity research examining improve children's wellbeing. Given variations services absence formal qualifications required educators, further is needed understand may be role could play supporting education.This protocol prospectively registered PROSPERO . Registration ID: CRD42023485541 on 03/12/2023.

Language: Английский

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Social Media Interventions Strengthened COVID-19 Immunization Campaign

Frontiers in Pediatrics, Journal Year: 2022, Volume and Issue: 10

Published: April 5, 2022

Background Since The Italian Medicines Agency (AIFA) has recommended the COVID-19 vaccine Comirnaty in children aged 5–11, immunization campaign faced hesitancy parents. Social media are emerging as leading information source that could play a significant role to counteract hesitancy, influencing parents' opinions and perceptions. Our aim was evaluate coverage of cohort 5–11 whose families have been counseled use Media hesitancy. Methods All parents primary care setting were instructed by their pediatrician get accurate about from Facebook page. Active calls vaccinate also scheduled through messaging services Pediatotem Whatsapp . Vaccination rates study assessed with an electronic database compared both regional national child vaccination rates. Results Coverage 277 analyzed 16 December 2021 31 January 2022. A total 62.4% (173/277) enrolled received 1st dose 39.7% (110/277) 2nd dose. higher population (1st dose: 48.8%, 24.6%; p = 0.001) 32.1%, 13.8%; &lt; 0.001). Conclusion Increasing confidence using interventions positive impact on acceptance

Language: Английский

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