EQ-5D-5L or EQ-HWB-S: Which is the Better Instrument for Capturing Spillover Effects in Parental Carers of Children with COVID-19?
PharmacoEconomics,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 5, 2025
Язык: Английский
Effects of COVID-19-targeted non-pharmaceutical interventions on pediatric emergency department use: a quasi-experimental study interrupted time-series analysis in North Italian hospitals, 2017 to 2022
Frontiers in Public Health,
Год журнала:
2024,
Номер
12
Опубликована: Июль 31, 2024
Background
The
use
of
Non-Pharmaceutical
Interventions
(NPIs)
during
the
COVID-19
pandemic
is
debated.
Understanding
consequences
these
measures
may
have
on
vulnerable
populations
including
children
and
adolescents
important.
Methods
This
a
multicenter,
quasi-experimental
before-after
study
involving
12
hospitals
North
Italian
Emilia-Romagna
Region,
with
NPI
implementation
as
intervention
event.
3
years
preceding
(in
March
2020)
constituted
pre-pandemic
phase.
subsequent
2
were
further
subdivided
into
school
closure
phase
(SC)
mitigation
(MM)
milder
restrictions.
Interrupted
Time
Series
(ITS)
regression
analysis
was
used
to
calculate
PED
Standardized
Incidence
Rate
Ratios
(SIRR)
diagnostic
categories
exhibiting
greatest
frequency
and/or
variation.
Results
In
60
months
there
765,215
visits.
Compared
rate,
overall
presentations
dropped
by
58
39%
SC
MM,
respectively.
“Symptoms,
signs
Ill-defined
conditions,”
“Injury
poisoning”
“Diseases
Respiratory
System”
accounted
for
74%
reduction.
A
different
pattern
instead
seen
“Mental
Disorders,”
which
exhibited
smallest
decrease
SC,
only
category
rose
already
at
end
SC.
ITS
confirmed
strong
(level
change,
IRR
0.17,
95%CI
0.12–0.27)
significant
increase
in
MM
(slope
1.23,
1.13–1.33),
sharpest
decline
(−94%)
rise
(+36%)
observed
category.
Mental
Disorders
showed
increasing
trend
1%
monthly
over
whole
period
exceeding
levels
MM.
Females
higher
rates
both
Conclusion
NPIs
appear
influenced
attendance
ways
according
categories,
mirroring
mechanisms
action.
These
effects
are
beneficial
some
cases
harmful
others,
establishing
clear
balance
between
pros
cons
difficult
task
public
health
decision
makers.
role
appropriateness
deserves
investigation.
pediatric
mental
disorders
independent
makes
interventions
addressing
issues
urgent.
Язык: Английский
Financial hardship and caregiver and child mental health during the 3 years of the COVID-19 pandemic in Australia
Journal of Developmental Origins of Health and Disease,
Год журнала:
2024,
Номер
15
Опубликована: Янв. 1, 2024
Abstract
Household
income
and
caregiver
mental
health
are
important
drivers
of
children’s
development.
The
COVID-19
pandemic
created
huge
economic
disruptions.
This
study
examines
financial
hardship
its
relationship
with
child
using
Australia’s
only
representative
data
spanning
three
years
the
pandemic.
Analysis
repeated,
cross-sectional
National
Child
Health
Poll
included
12,408
caregivers
20,339
children
over
six
waves
(June
2020–April
2023).
Caregivers
reported
their
(dichotomised
into
low
versus
not)
deprivation
(missing
one
or
more
eight
essential
items,
for
themselves
(Kessler-6,
poor
each
(Self-Rated
Mental
Health,
poor/fair
good/very
good/excellent).
Binary
logistic
models
were
fitted
to
predict
marginal
probabilities
measures
by
deprivation,
time.
Results
show
that
while
decreased
from
41%
34%
period,
increased
30%
35%.
Poor
peaked
stay-at-home
orders
in
2021
before
recovering.
experiencing
had
higher
rates
throughout
slower
recovery
compared
those
without
hardship.
Children
families
slightly
proportions
2021–2022,
but
they
mostly
equivalent
June
2020
April
2023
(range
6–8%).
Addressing
may
offer
an
avenue
improving
health.
has
implications
post-pandemic
addressing
contemporary
issues
increasing
cost
living
limited
supports
services.
Язык: Английский