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Children and COVID-19 Research Library

UNDER DEVELOPMENT UNICEF Innocenti's curated library of COVID-19 + Children research

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Adolescents' perceived socio-emotional impact of COVID-19 and implications for mental health: results from a U.S.-based mixed-methods study

AUTHOR(S)
Adam A. Rogers; Thao Ha; Sydney Ockey

Published: November 2020   Journal: Journal of Adolescent Health
COVID-19 has disrupted many aspects of adolescents' lives, yet little data are available that document their subjective experiences of the pandemic. In a mixed-methods study of U.S. adolescents, this study examines (1) adolescents' perceptions of how their social and emotional lives had changed during COVID-19; and (2) associations between these perceived changes and indices of their mental health, above and beyond their prepandemic mental health status.
COVID-19 and multisystem inflammatory syndrome in children and adolescents

AUTHOR(S)
Li Jiang; Kun Tang; Mike Levin (et al.)

Published: November 2020   Journal: The Lancet Infectious Diseases
As severe acute respiratory syndrome coronavirus continues to spread worldwide, there have been increasing reports from Europe, North America, Asia, and Latin America describing children and adolescents with COVID-19-associated multisystem inflammatory conditions. However, the association between multisystem inflammatory syndrome in children and COVID-19 is still unknown. This article reviews the epidemiology, causes, clinical features, and current treatment protocols for multisystem inflammatory syndrome in children and adolescents associated with COVID-19. It also discusses the possible underlying pathophysiological mechanisms for COVID-19-induced inflammatory processes, which can lead to organ damage in paediatric patients who are severely ill. These insights provide evidence for the need to develop a clear case definition and treatment protocol for this new condition and also shed light on future therapeutic interventions and the potential for vaccine development.
Cite this research | Open access | Vol.: 20 | Issue: 11 | No. of pages: 276-288 | Language: English | Topics: Health | Tags: adolescent health, child health, respiratory diseases, COVID-19
Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic

AUTHOR(S)
Natasha R. Magson; Justin Y. A. Freeman; Ronald M. Rapee (et al.)

Published: October 2020   Journal: Journal of Youth and Adolescence
The restrictions put in place to contain the COVID-19 virus have led to widespread social isolation, impacting mental health worldwide. These restrictions may be particularly difficult for adolescents, who rely heavily on their peer connections for emotional support. However, there has been no longitudinal research examining the psychological impact of the COVID-19 pandemic among adolescents. This study addresses this gap by investigating the impact of the COVID-19 pandemic on adolescents mental health, and moderators of change, as well as assessing the factors perceived as causing the most distress.
Multisystem inflammatory syndrome associated with COVID-19 in children in Pakistan

AUTHOR(S)
Masood Sadiq; Omeir Ali Aziz; Uzma Kazmi (et al.)

Published: October 2020   Journal: The Lancet Child & Adolescent Health
The knowledge of COVID-19 is evolving with new aspects of the disease continuing to emerge. Children and adolescents younger than 20 years of age constitute 10·6% of the total reported confirmed cases of COVID-19 in Pakistan as of July 8, 2020, with a mortality of 0·3% for those aged 10 years or younger and 0·5% for those aged 11–20 years. Multisystem inflammatory syndrome in children (MIS-C), also known as paediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome coronavirus 2 (PIMS-TS) is being reported primarily from Europe and the USA. Many of these children meet the criteria for complete or incomplete Kawasaki disease, but different clinical presentations of this inflammatory disorder are being reported. The ethnic origin of reported cases show that Black, Hispanic, and Asian children might be disproportionally affected. Similarly, unlike Kawasaki disease, these cases have occurred in older children and adolescents.
When adolescents are in school during COVID-19: coordination between school-based health centers and education is key

AUTHOR(S)
Sara Anderson; Simon Haeder; Kelli Caseman (et al.)

Published: October 2020   Journal: Journal of Adolescent Health
Schools and School-based Health Centers (SBHC) play complementary roles in adolescent’s lives. The intersection between health care, notably SBHCs, and education has never seemed as pronounced as during the COVID-19 pandemic. Amidst the rapidly changing landscapes for both education and healthcare lie ample opportunities for better alignment of strategies to ensure that, once children return to the classroom (whether in person or virtual), all have access to a comprehensive, culturally appropriate, affordable healthcare delivery systems. This study provides recommendations related to SBHCs that could benefit adolescent health during the return to school. 
Health-related behaviors among school-aged children and adolescents during the Spanish Covid-19 confinement

AUTHOR(S)
Rubén López-Bueno; Guillermo F. López-Sánchez; José A. Casajús (et al.)

Published: September 2020   Journal: Frontiers in Pediatrics
In response to the coronavirus disease 2019 (Covid-19) world pandemic, affected countries such as Spain enacted measures comprising compulsory confinement as well as restrictions regarding free movement. Such measures likely influence children's and adolescents' lifestyles. Our study aimed to investigate the impact that the Covid-19 confinement has on health-related behaviors among Spanish children and adolescents. An online survey was administered to 516 parents to collect data about 860 children and adolescents (49.2% girls) aged between 3 and 16 years in relation to physical activity, screen exposure, sleep time, and fruit and vegetable consumption during the Covid-19 confinement.
Anxiety in older adolescents at the time of COVID-19

AUTHOR(S)
Pietro Smirni; Gioacchino Lavanco; Daniela Smirni

Published: September 2020   Journal: Journal of Clinical Medicine
The current study investigated the state of anxiety and emotional awareness in a sample of healthy older adolescents, 84 females and 64 males, aged 17 to 19, during the pandemic lockdown, using the Self-Rating Anxiety Scale and the Italian Emotion Awareness Questionnaire. An unexpected anxious phenomenology was found, affecting anxiety and the ideo-affective domain, while somatic symptomatology appeared to be less severe. The highest anxiety symptoms were breathing difficulties. These findings supported the hypothesis that the COVID-19 pandemic may be a risk condition for an increased state of anxiety in older adolescents and suggested the need to provide (1) an effective, empathic communication system with direct participation of older adolescents, (2) a psychological counseling service for the stress management of adolescents.
COVID-19 pandemic: the impact on vulnerable children and young people in Australia

AUTHOR(S)
Benjamin Jones; Susan Woolfenden; Sandra Pengilly (et al.)

Published: September 2020   Journal: Journal of Paediatrics and Child Health
This article aims to present the reasons for vulnerability of children and young people (CYP) during the pandemic, and to focus on actions by health professionals that mitigate additional challenges to their health and well-being. Using a rapid review of the literature and team-based discussions, eight vulnerable groups were identified: CYP with disabilities, mental health conditions and chronic diseases; CYP facing financial hardship; within the child protection system; Aboriginal; migrant and refugee; in residential care; rural; and isolated CYP. Recommendations for action are required at the level of governments, health professionals and researchers and include enhancing access to health and social supports, prioritising vulnerable CYP in resuming health activity and elevating the voice of CYP in designing the response.
This
article aims to present the reasons for vulnerability of CYP during the pandemic, and to focus on actions by health professionals that mitigate
additional challenges to their health and well-being. Using a rapid review of the literature and team-based discussions, eight vulnerable groups
were identied: CYP with disabilities, mental health conditions and chronic diseases; CYP facing nancial hardship; within the child protection sys-
tem; Aboriginal; migrant and refugee; in residential care; rural; and isolated CYP.
Cover
Protect the progress: rise, refocus, recover
Institution: *UNICEF, World Health Organisation
Published: September 2020 UNICEF Publication
Since the Every Woman Every Child movement was launched 10 years ago, there has been remarkable progress in improving the health of the world’s women, children, and adolescents, including reducing maternal and child mortality and improving child nutrition and education. However, conflict, climate instability, and the COVID-19 pandemic are putting all children and adolescents at risk . In particular, the COVID-19 crisis is exacerbating inequities, with reported disruptions in essential health interventions disproportionately impacting the most vulnerable women and children.
This report notes that the COVID-19 pandemic has made clear how fundamental good data are across sectors; that greater investments are needed to build resilient systems to provide high-quality and integrated services consistently; and COVID-19 recovery efforts  require multilateral action and continued investment in development.
The impact of COVID-19 lockdown on social network sites use, body image disturbances and self-esteem among adolescents and young women

AUTHOR(S)
Helena Vall-Roqué; Ana Andrés; Carmina Saldaña

Published: September 2020
This study aimed to determine the impact of COVID-19 lockdown on social network sites (SNS) use and to explore whether SNS use is associated with body image disturbances and low self-esteem. The results suggest that lockdown has had an impact on SNS use, and this might be linked to increased drive for thinness and eating disorder risk among adolescents and young women.
Cite this research | Open access | No. of pages: 16 | Language: English | Topics: Health, Mental Health | Tags: adolescent health, adolescent psychology, mental stress | Countries: Spain
Healthy movement behaviours in children and youth during the COVID-19 pandemic: exploring the role of the neighbourhood environment

AUTHOR(S)
Raktim Mitra; Sarah A. Moore; Meredith Gillespie (et al.)

Published: September 2020   Journal: Health & Place
This paper explores patterns of increased/ decreased physical activity, sedentary and sleep behaviours among Canadian children and youth aged 5-17 years during the COVID-19 pandemic, and examines how these changes are associated with the built environment near residential locations.
Cite this research | Open access | Vol.: 65 | No. of pages: 9 | Language: English | Topics: Health | Tags: adolescent health, child health, lockdown, physical activity | Countries: Canada
Contextualizing parental/familial influence on physical activity in adolescents before and during COVID-19 pandemic: a prospective analysis

AUTHOR(S)
Barbara Gilic; Ljerka Ostojic; Marin Corluka (et al.)

Published: September 2020   Journal: Children
Parental and familial factors influence numerous aspects of adolescents’ lives, including their physical activity level (PAL). The purpose of this study was to evaluate the changes in PAL which occurred during the COVID-19 pandemic, and to evaluate influence of sociodemographic and parental/familial factors on PAL levels before and during pandemic in adolescents from Bosnia and Herzegovina.
Cite this research | Open access | No. of pages: 24 | Language: English | Topics: Health | Tags: adolescent health, parent-child relationship | Countries: Bosnia And Herzegovina
Gender, work-family conflict and depressive symptoms during the COVID-19 among Quebec graduate students

AUTHOR(S)
Jaunathan Bilodeau; Nancy Beauregard; Amélie Quesnel-Vallée (et al.)

Published: September 2020
This study aims to document the gendered experience of the lockdown and its association with depressive symptoms among graduate students in Quebec. The policy measures taken after the COVID-19 were not gender- neutral. This study demonstrates the importance of taking gendered effects of policies into consideration, and points to mitigating actions that can forestall the exacerbation of gendered inequalities in mental health.
The COVID-19 pandemic and rapid implementation of adolescent and young adult telemedicine: challenges and opportunities for innovation

AUTHOR(S)
Angela Barney; Sara Buckelew; Veronika Mesheriakova (et al.)

Published: August 2020   Journal: Journal of Adolescent Health
This study describes the rapid implementation of telemedicine within an adolescent and young adult (AYA) medicine clinic in response to the Coronavirus Disease 2019 (COVID-19) pandemic. While there are no practice guidelines specific to AYA telemedicine, observations made during this implementation can highlight challenges encountered and suggest solutions to some of these challenges.
Cite this research | Open access | Vol.: 67 | Issue: 2 | No. of pages: 164-171 | Language: English | Topics: Health | Tags: adolescent health, adolescent psychology, health care, teleworking | Countries: United States
COVID-19 and refugee and immigrant youth: a community-based mental health perspective

AUTHOR(S)
Tarik Endale; Nicole St. Jean; Dina Birman

Published: August 2020   Journal: Psychological Trauma: Theory, Research, Practice, and Policy
This article is acomment on the experience of the Kovler Center Child Trauma Program (KCCTP) following the March 21, 2020, shelter at home order in Chicago due to COVID-19. The KCCTP is a program of Heartland Alliance International that was founded in 2018 to provide community-based mental health and social services to immigrant and refugee youth and families who have experienced trauma. COVID-19 temporarily closed the doors of the center, suspending provision of in-person services in the community, and the program was forced to become remote overnight. The KCCTP rapidly transitioned to providing accessible information, active outreach, extensive case management, and flexible delivery of teletherapy and online psychosocial support, finding that attending to structural barriers and basic needs was crucial to family engagement and therapeutic success. Ongoing challenges include technological proficiency and access to computers, Internet, and private spaces.
following the March 21, 2020, shelter at home order in Chicago due to COVID-19. The KCCTP is a
program of Heartland Alliance International that was founded in 2018 to provide community-based
mental health and social services to immigrant and refugee youth and families who have experienced
trauma. COVID-19 temporarily closed the doors of the center, suspending provision of in-person services
in the community, and the program was forced to become remote overnight. The KCCTP rapidly
transitioned to providing accessible information, active outreach, extensive case management, and
flexible delivery of teletherapy and online psychosocial support, finding that attending to structural
barriers and basic needs was crucial to family engagement and therapeutic success. Ongoing challenges
include technological proficiency and access to computers, Internet, and private spaces.
1 - 15 of 22
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UNICEF Innocenti's Children and COVID-19 Library is a database collecting research from around the world on COVID-19 and its impacts on children and adolescents.

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COVID-19 & Children: Rapid Research Response

UNICEF Innocenti is mobilizing a rapid research response in line with UNICEF’s global response to the COVID-19 crisis. The initiatives we’ve begun will provide the broad range of evidence needed to inform our work to scale up rapid assessment, develop urgent mitigating strategies in programming and advocacy, and preparation of interventions to respond to the medium and longer-term consequences of the COVID-19 crisis. The research projects cover a rapid review of evidence, education analysis, and social and economic policies.