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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 164
Intimate partner violence during pregnancy and maternal and child health outcomes: a scoping review of the literature from low-and-middle income countries from 2016 - 2021

AUTHOR(S)
Thao Da Thi Tran; Linda Murray; Thang Van Vo

Published: April 2022   Journal: BMC Pregnancy and Childbirth

Intimate partner violence (IPV) during pregnancy is significantly associated with negative outcomes for both mother and child. Current evidence indicates an association between low levels of social support and IPV, however there is less evidence from low-and-middle income countries (LMIC) than high-income countries. Globally, the COVID-19 pandemic has radically altered how women can access social support. Hence since 2020, studies investigating IPV and pregnancy have occurred within the changing social context of the pandemic. This scoping review summarizes the evidence from LMICs about the effects of IPV during pregnancy on maternal and child health. The review includes the impact of the COVID-19 pandemic on social support as mentioned in studies conducted since 2020.

Children’s human rights in the contexts of domestic abuse and COVID-19

AUTHOR(S)
Fiona Morrison; Claire Houghton

Published: April 2022   Journal: The International Journal of Human Rights
Domestic abuse is a simultaneous attack on children’s and women’s human rights. Research underlines the relationality of domestic abuse, unveiling the entwined experiences of children and women. While these experiences may be connected, their rights are distinct and there are risks in viewing mothers as proxies for their children. Policy measures introduced to address COVID-19 had profound impacts on the lives of children and women experiencing domestic abuse. Drawing on an independent Children’s Rights Impact Assessment (CRIA) in Scotland, the article explores the impacts such policy measures had on children’s human rights in the context of domestic abuse. It offers insight on the opportunities and limitations of CRIAs when considering the issue of domestic abuse. CRIAs make visible and prioritise children’s human rights; however, they risk masking the relationality of rights and therefore the implementation of children’s human rights. By integrating human rights instruments – the UNCRC and the Istanbul Convention – the article offers ways to recognise children as victims of domestic abuse, while supporting connections between their rights and the women’s rights. It concludes that a Joint Protocol between the UNCRC and the Istanbul Convention is needed to integrate children’s human rights with the relationality of domestic abuse.
Child maltreatment-related children's emergency department visits before and during the COVID-19 pandemic in Connecticut

AUTHOR(S)
Michael Amick; Kathryn Bentivegna; Amy A. Hunter (et al.)

Published: April 2022   Journal: Child Abuse & Neglect

Previous studies of national emergency department (ED) data demonstrate a decrease in visits coded for physical abuse during the pandemic period. However, no study to date has examined the incidence of multiple child maltreatment types (physical abuse, sexual abuse, and neglect), within a single state while considering state-specific closure policies. Furthermore, no similar study has utilized detailed chart review to identify cases, nor compared hospital data to Child Protective Services (CPS) reports. This study aims to determine the incidence of child maltreatment-related ED visits before and during the COVID-19 pandemic, including characterizing the type of maltreatment, severity, and CPS reporting.

The unheld child: social work, social distancing and the possibilities and limits to child protection during the COVID-19 pandemic

AUTHOR(S)
Harry Ferguson; Sarah Pink; Laura Kelly

Published: March 2022   Journal: The British Journal of Social Work
The COVID-19 pandemic changed dramatically the ways social workers engaged with children and families. This article presents findings from our research into the effects of COVID-19 on social work and child protection in England during the first nine months of the pandemic. Its aim is to provide new knowledge to enable realistic expectations of what it was possible for social workers to achieve and particularly the limits to child protection. Such perspective has become more important than ever due to knowledge of children who died tragically from abuse despite social work involvement during the pandemic.
The short- and long-term impact of COVID-19 lockdown on child maltreatment

AUTHOR(S)
Mengqing Long; Jia Huang; Yishun Peng (et al.)

Published: March 2022   Journal: International Journal of Environmental Research and Public Health
The COVID-19 pandemic has brought a new threat to child health and safety. Some studies suggest that social isolation and economic stress have exacerbated child abuse and neglect, whereas other studies argue that orders to stay at home are likely to promote parent–child relationships during this stressful time. Due to a lack of prospective studies including before–during–after lockdown assessments, the impacts of lockdown measures on child maltreatment are unclear. This study retrospectively investigated child maltreatment of 2821 Chinese children and adolescents from 12 to 18 (female, 59%) before, during and after lockdown, and identified risk factors. Potential predictors including socio-economic and individual mental health status were collected.
Incidence of child abuse with subdural hemorrhage during the first year of the COVID-19 pandemic: a nationwide study in France

AUTHOR(S)
Fiorella Caron; Pierre Tourneux; Hyppolite Tchidjou Kuekou (et al.)

Published: March 2022   Journal: European Journal of Pediatrics
The global COVID-19 pandemic prompted governments to impose unprecedented sanitary measures, such as social distancing, curfews, and lockdowns. In France and other countries, the first COVID-19 lockdown raised concerns about an increased risk of child abuse. Abusive head trauma (AHT) is one of the most serious forms of child abuse in children aged 0–24 months and constitutes the leading cause of death in children under 2 years of age. Subdural hemorrhage (SDH) is present in 89% of cases of AHT and constitutes one of the most specific, objective clinical presentations in the diagnosis of child abuse. This French nationwide study sought to evaluate the potential impact of the first year of the COVID-19 pandemic on the incidence of hospital admissions for child abuse with SDH, relative to the two previous years. This study conducted a nationwide, retrospective study of data in the French national hospital discharge summary database by applying the International Classification of Diseases (10th Revision) codes for SDH and for child abuse.
Supporting children experiencing family violence during the COVID-19 pandemic: IPV and CPS provider perspectives

AUTHOR(S)
Lauren Risser; Rachel P. Berger; Veronica Renov (et al.)

Published: March 2022   Journal: Academic Pediatrics

Children experiencing family violence (child abuse and neglect and exposure to intimate partner violence) are at a particularly elevated risk for compounding challenges during the COVID-19 pandemic. In this study, intimate partner violence (IPV) advocates, child protective services (CPS) caseworkers, and IPV and CPS administrators on the needs of children experiencing family violence during the pandemic were interviewed. Semi-structured interviews with IPV advocates, CPS caseworkers, and IPV and CPS administrators were conducted. Recruitment occurred through emails to national and state listservs, networks of the study team, and word of mouth. Interviews were completed through Zoom, took 45 to 60 minutes and were audio recorded. A mixed deductive-inductive content analysis approach was used.

Rate and severity of radiological features of physical abuse in children during the first UK-wide COVID-19 enforced national lockdown

AUTHOR(S)
Stavros Stivaros; Michael Paddock; Azita Rajai (et al.)

Published: February 2022   Journal: Archives of Disease in Childhood

This paper aims to assess the number, type and outcome of radiological investigations for children presenting to hospital with suspected physical abuse (SPA; including abusive head trauma) during the first national COVID-19 enforced lockdown compared with the prelockdown period. Rate and severity of radiological features of physical abuse in children during the first UK-wide COVID-19 enforced national lockdown.

Gender-based violence during COVID-19 among adolescent girls and young women in Nairobi, Kenya: a mixed-methods prospective study over 18 months

AUTHOR(S)
Michele R. Decker; Kristin Bevilacqua; Shannon N. Wood (et al.)

Published: February 2022   Journal: BMJ Global Health

Adolescent girls and young women (AGYW) disproportionately experience gender-based violence (GBV), which can increase during emergencies like the COVID-19 pandemic. A cohort of youth ages 15–24 in Nairobi, Kenya was surveyed at three time points over an 18-month period prior to and during the COVID-19 pandemic: June–August 2019 (prepandemic), August–October 2020 (12-month follow-up) and May 2021 (18-month follow-up). This study characterised (1) prevalence, relative timing and help-seeking for leading forms of GBV, (2) GBV trajectories over 18 months and (3) associations of individual, dyad and COVID-related factors on GBV trajectories among AGYW (n=612) in Nairobi, Kenya. Virtual focus group discussions (n=12) and interviews (n=40) contextualise quantitative results.

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.

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.
Responding to women experiencing domestic and family violence during the COVID-19 pandemic: exploring experiences and impacts of remote service delivery in Australia
Published: January 2022   Journal: Child & Family Social Work
The COVID-19 health pandemic has increased women's vulnerability to all forms of domestic and family violence (DFV). In the first weeks of March 2020, most Australian states and territories, like many other jurisdictions, entered into a period of government-directed restrictions including stay-at-home orders, physical distancing limitations and closure of a significant number of community services. With more people confined to their homes, the risk of DFV increased at the same time as access to support services was reduced. This article presents the findings of two surveys conducted in the Australian states of Victoria and Queensland to explore the professional experiences of practitioners supporting women experiencing violence during the pandemic. This analysis offers new insights into the ways in which practitioners pivoted their services to respond remotely to women experiencing violence and the challenges of effectively undertaking safety planning and risk assessment without face-to-face contact. The second half of this article examines the implications of remote service delivery on practitioner mental health and well-being.
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 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.

16 - 30 of 164

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Each quarterly thematic digest features the latest evidence drawn from the Children and COVID-19 Research Library on a particular topic of interest.
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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.