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Children and COVID-19 Research Library

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

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16 - 30 of 202
Association of economic recession and social distancing with pediatric non-accidental trauma during COVID-19

AUTHOR(S)
Ruth A. Lewit; Meera Kotagal; Vincent P. Duron (et al.)

Published: February 2022   Journal: Journal of Surgical Research

There has been concern that the incidence of non-accidental trauma (NAT) cases in children would rise during the COVID-19 pandemic due to the combination of social isolation and economic depression. This study aimed to evaluate NAT incidence and severity during the pandemic across multiple US cities. Multi-institutional, retrospective cohort study comparing NAT rates in children <18 years old during the COVID-19 pandemic (March-August 2020) with recent historical data (January 2015-February 2020) and during a previous economic recession (January 2007-December 2011) at level 1 Pediatric Trauma Centers. Comparisons were made to local and national macroeconomic indicators.

Child abuse and the COVID-19 pandemic

AUTHOR(S)
Christina M. Theodorou; Erin G. Brown; Jordan E. Jackson (et al.)

Published: February 2022   Journal: Journal of Surgical Research

The COVID-19 pandemic had widespread effects, including enhanced psychosocial stressors and stay-at-home orders which may be associated with higher rates of child abuse. This study aimed to evaluate rates of child abuse, neglect, and inadequate supervision during the COVID-19 pandemic. Patients ≤5 years old admitted to a level one pediatric trauma center between 3/19/20-9/19/20 (COVID-era) were compared to a pre-COVID cohort (3/19/19-9/19/19). The primary outcome was the rate of child abuse, neglect, or inadequate supervision, determined by Child Protection Team and Social Work consultations. Secondary outcomes included injury severity score (ISS), mortality, and discharge disposition.

Impact of “Stay-at-home” orders on non-accidental trauma: a multi-institutional study

AUTHOR(S)
Amelia T. Collings; Manzur Farazi; Kyle Van Arendonk (et al.)

Published: February 2022   Journal: Journal of Pediatric Surgery

It is unclear how Stay-at-Home Orders (SHO) of the COVID-19 pandemic impacted the welfare of children and rates of non-accidental trauma (NAT). This study hypothesized that NAT would initially decrease during the SHO as children did not have access to mandatory. A multicenter study evaluating patients <18 years with ICD-10 Diagnosis and/or External Cause of Injury codes meeting criteria for NAT. “Historical” controls from an averaged period of March-September 2016-2019 were compared to patients injured March-September 2020, after the implementation of SHO (“COVID” cohort). An interrupted time series analysis was utilized to evaluate the effects of SHO implementation.

Child maltreatment during school and childcare closure due to the COVID-19 pandemic

AUTHOR(S)
Samantha Vermeulen; Lenneke R. A. Alink; Sheila R. van Berkel (et al.)

Published: February 2022   Journal: Child Maltreatment
The aim of the present study was to examine child maltreatment prevalence rates during the first COVID-19 related national closure of schools and childcare settings (the lockdown) in the Netherlands. Based on reports of childcare professionals and primary and secondary school teachers (N = 444) the prevalence of child maltreatment during the 3 months of this first lockdown was estimated at almost 40,000 children, or 14 per 1,000 children. The prevalence of emotional neglect was found to be three times higher during the lockdown compared to a period without lockdown. This significant difference was reflected in overall emotional neglect as well as for two main subtypes of emotional neglect: educational neglect and witnessing domestic violence. No significant differences were found for other types of child maltreatment. Most of the reported cases of maltreatment were already problematic before the lockdown and became worse during the lockdown.
The unprotected: annual spotlight on child protection funding in humanitarian action - 2021

Children make up 50% of those affected in humanitarian crises and are disproportionately impacted by conflict and crisis. Throughout 2020 and 2021, COVID-19, conflict and climate change have been impacting children at unprecedented scale, putting them at risk and driving displacement, poverty and violence. Whilst funding for child protection is increasing, child protection consistently remains one of the most underfunded sectors in humanitarian action and funds not meeting increasing needs. Closing this gap will require collective action to change the way we think about children’s protection and its centrality to crisis response. This report highlights key areas associated with funding for child protection in humanitarian crises, including both cluster and refugee responses in 2020. A snapshot is also given for 2021 with data available as of October 2021

Mental health & maltreatment risk of children with special educational needs during COVID-19

AUTHOR(S)
Winnie W. Y. Tso; Ko Ling Chan; Tatia M. C. Lee (et al.)

Published: January 2022   Journal: Child Abuse & Neglect

Children with special educational needs (SEN) are more vulnerable during the COVID-19 pandemic with risk of poor mental wellbeing and child maltreatment. To examine the impact of COVID-19 on the mental health of children with SEN and their maltreatment risk. 417 children with SEN studying at special schools and 25,427 children with typical development (TD) studying at mainstream schools completed an online survey in April 2020 in Hong Kong during school closures due to COVID-19.

In their own words: child and adolescent perceptions of caregiver stress during early COVID-19

AUTHOR(S)
Yuan He; Robin Ortiz; Rachel Kishton (et al.)

Published: January 2022   Journal: Child Abuse & Neglect

The coronavirus disease 2019 (COVID-19) pandemic has exacerbated multiple stressors for caregivers of children in the United States, raising concern for increased family conflict, harsh parenting, and child maltreatment. Little is known regarding children's perceptions and experiences of caregiver stress during the COVID-19 pandemic. This study aimed to examine how children and adolescents identify and experience caregiver stress during the early COVID-19 pandemic. It analyzed 105 de-identified helpline text and online chat transcripts from children under age 18 who submitted inquiries to the Childhelp National Child Abuse Hotline from March to June of 2020, with COVID-19 as a presenting issue. Inductive, thematic analysis was used to identify how child helpline users: 1) perceived and experienced drivers of caregiver stress and 2) used words to describe manifestations of caregiver stress during the COVID-19 pandemic.

Evaluating child maltreatment and family violence risk during the COVID-19 pandemic: using a telehealth home visiting program as a conduit to families

AUTHOR(S)
Lindsey Rose Bullinger; Stevan Marcus; Katherine Reuben (et al.)

Published: December 2021   Journal: Infant Mental Health Journal
The COVID-19 pandemic has affected many child maltreatment risk factors and may have affected maltreatment among vulnerable families. This study surveyed 258 certified providers of an evidence-based home visiting program, SafeCare, about their perception of the impact of the pandemic on the families they serve. It examined if the providers perceived an overall change in child maltreatment and family violence risk among the families with young children they served and factors that may have contributed to changes. Regressions estimated the relationship between providers’ assessment of families’ ability to social distance, emotional struggles, and access to public resources/services with providers’ perception of child maltreatment and family violence risk in the home.
COVID-19 distress, negative parenting, and child behavioral problems: the moderating role of parent adverse childhood experiences

AUTHOR(S)
Katherine A. Hails; Rachel A. Petts; Cody A. Hostutler (et al.)

Published: December 2021   Journal: Child Abuse & Neglect

Heightened familial stress and distress during the COVID-19 pandemic may lead to increased negative parenting practices, particularly for parents with substantial adverse childhood experiences (ACES). To determine whether families' COVID-19-related distress is associated with young children's emotional/behavioral functioning via negative parenting, and whether these relationships vary based on parents' ACEs. Participants were 267 parents of children ages 1.5–5 years recruited from five primary care sites across the United States. Participants completed internet questionnaires including measures of demographics, parent ACES, negative parenting, parent mental health, and COVID-19 distress. We used regression analyses to test a moderated mediation model in which the relationship between COVID-19 distress and child emotional/behavioral problems is mediated by negative parenting, and both the direct and indirect effects of COVID-19 distress on child emotional/behavioral problems is moderated by parents' ACEs.

COVID-19 patient care predicts nurses' parental burnout and child abuse: mediating effects of compassion fatigue

AUTHOR(S)
Margaret C. Stevenson; Cynthia T. Schaefer; Vaishnavi M. Ravipati (et al.)

Published: December 2021   Journal: Child Abuse & Neglect

Nurses who are also parents may be at risk not only for professional compassion fatigue, but also parental burnout – a reliable and valid predictor of child abuse and neglect. In support, recent research reveals that parents' COVID-19 related stressors predicted elevated potential for child abuse (Katz and Fallon, 2021). This study explored the harmful effects of the COVID-19 pandemic on nurses' parental burnout, child abuse, and child neglect, as mediated by compassion fatigue (i.e., a combination of job burnout and secondary traumatic stress). Participants were 244 nurses (M age = 32.4; 87% female) who were parents of young children (age 12 or under) recruited via chain referral sampling.

Unemployment and child maltreatment during the COVID-19 pandemic in the Republic of Korea

AUTHOR(S)
Young Eun Kim

Published: December 2021   Journal: Child Abuse & Neglect

Risk factors for child maltreatment have been exacerbated during the COVID-19 pandemic, especially due to economic downfalls leading to parental job losses and poor mental health. This study aimed to examine the association between child maltreatment and unemployment rate in the Republic of Korea. Nationally representative data at the province level were used. The monthly excess number of hotline calls related to child maltreatment during the COVID-19 pandemic was estimated for each province. Fixed effects regressions was used to examine the relationship between the excess number of hotline calls and unemployment rate.

One year into COVID-19: What have we learned about child maltreatment reports and child protective service responses?

AUTHOR(S)
Ilan Katz; Sidnei Priolo-Filho; Carmit Katz (et al.)

Published: December 2021   Journal: Child Abuse & Neglect

A year has passed since COVID-19 began disrupting systems. Although children are not considered a risk population for the virus, there is accumulating knowledge regarding children's escalating risk for maltreatment during the pandemic. The current study is part of a larger initiative using an international platform to examine child maltreatment (CM) reports and child protective service (CPS) responses in various countries. The first data collection, which included a comparison between eight countries after the pandemic's first wave (March–June 2020), illustrated a worrisome picture regarding children's wellbeing. The current study presents the second wave of data across 12 regions via population data (Australia [New South Wales], Brazil, United States [California, Pennsylvania], Colombia, England, Germany, Israel, Japan, Canada [Ontario, Quebec], South Africa).

Weaponizing COVID-19: how the pandemic influenced the behavior of those who use violence in domestic and family relationships

AUTHOR(S)
Shane Warren; Christine Morley; Jo Clarke (et al.)

Published: December 2021   Journal: Violence Against Women
COVID-19 has increased threats to women's safety in Australia and globally. This research is based on a 2020 nationwide survey about the impacts of COVID-19 on domestic and family violence (DFV) services and allied sectors throughout Australia. This study focuses on how perpetrator behaviors—coercion, control, and violence—changed and intensified during the COVID-19 pandemic. Two central themes identified from this qualitative analysis were the increase in complexity and severity of DFV during COVID-19. The analysis highlights how perpetrator behavior reflects the weaponizing of COVID-19 against women and children. The article concludes with a discussion about the theoretical, practice, and policy implications.
Child maltreatment prevention service cases are significantly reduced during the COVID-19 pandemic: a longitudinal investigation into unintended consequences of quarantine

AUTHOR(S)
Kelly M. Whaling; Alissa Der Sarkissian; Natalie Larez (et al.)

Published: December 2021   Journal: Child Maltreatment
Unprecedented financial and emotional stress, paired with measures to slow the spread of COVID-19 (e.g., school closures), place youth at risk for experiencing increased rates of abuse. This study analyzed data from New York City’s Administration for Children’s Services to investigate the frequency of child maltreatment prevention service case openings during this time. Longitudinal counts of case openings were compiled for January through June of the years 2014–2020. An independent samples Kruskal–Wallis H-test suggested that pre-quarantine case openings were significantly larger than case openings during quarantine. To account for the possible influence of other historical events impacting data, a secondary Kruskal–Wallis H-test was conducted comparing only the 4 months of quarantine data available to the 4 months immediately preceding quarantine orders. The second independent samples Kruskal–Wallis H-test again suggested that pre-quarantine case openings were significantly larger than case openings during quarantine. A Poisson regression model further supported these findings, estimating that the odds of opening a new child maltreatment prevention case during quarantine declined by 49.17%.
A profile analysis of COVID-19 stress-related reactions: the importance of early childhood abuse, psychopathology, and interpersonal relationships

AUTHOR(S)
Ateret Gewirtz-Meydan; Dana Lassri

Published: December 2021   Journal: Child Abuse & Neglect

There is little argument that COVID-19 is potentially highly stressful for many people, however, little research has broken down COVID-19-related distress into different aspects clustering together, and how these clusters differ in terms of the vulnerability of the individuals. The primary aim of the present study was to identify distinct profiles of individuals' reactions to COVID-19-related stress, and analyze potential differences and risk and protective factors associated with these profiles in relation to childhood abuse, psychopathology, and interpersonal relationships. Data was collected online among a convenience sample of 914 men and women in Israel. A Latent Profile Analysis (LPA) for estimating distinct profiles in people's COVID-19-related distress was applied. Next, profiles were compared in childhood abuse, psychopathology, perceived social support and relationship satisfaction.

16 - 30 of 202

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.