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Children and COVID-19 Research Library

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

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1 - 15 of 348
Experiences and support needs of parents/caregivers of children with cancer through the COVID-19 pandemic in the UK: a longitudinal study

Nicole Collaço; Ashley Gamble; Jessica Elizabeth Morganhley Gamble (et al.)

Published: December 2022   Journal: Archives of Disease in Childhood

This paper aimed to explore the experiences, information and support needs of parents/caregivers of children with cancer and how these changed as the COVID-19 pandemic evolved. Online surveys containing closed and free-text questions on experiences, information and support needs were completed at four time points (between April 2020 and October 2021) during the COVID-19 pandemic. Descriptive statistics of closed items and content analysis of qualitative data were conducted.

Socio-demographic disparities in receipt of clinical health care services during the COVID-19 pandemic for Canadian children with disability

Miriam Gonzalez; Jinan Zeidan; Jonathan Lai (et al.)

Published: November 2022   Journal: BMC Health Services Research

Little is known about the experience of receiving in-person and virtual clinical health care services during the COVID-19 pandemic for Canadian children with developmental disabilities and delays facing multiple layers of vulnerability (e.g., low income, low educational attainment families). It examined the relationship between socio-demographic factors and the receipt of these services (physical and mental health services) during COVID-19 for Canadian children with these conditions. Data collected in Canada for the Global Report on Developmental Delays, Disorders and Disabilities were used. The survey: (1) was developed and disseminated in collaboration with caregivers of children with disabilities, (2) included topics such as response to the pandemic and receipt of services and supports, and (3) documented the experiences of a non-random convenience sample of caregivers of children (any age) with these conditions during and prior to the pandemic.

Impacts of the COVID-19 pandemic exposure on child dental caries: difference-in-differences analysis

Yusuke Matsuyama; Aya Isumi; Satomi Doi (et al.)

Published: November 2022   Journal: Caries Research
The impact of the coronavirus disease 2019 (COVID-19) pandemic on dental caries is unknown. We investigated the effect of the pandemic on child dental caries in Japan by comparing the increase in dental caries from fourth to sixth grade between two cohorts, COVID-19 exposed cohort and COVID-19 unexposed cohort, using difference-in-differences analysis. Longitudinal data that followed elementary school children in Adachi City, Tokyo, were analyzed. The analysis consisted of two cohorts: those who were in fourth grade in 2016 and sixth grade in 2018 (COVID-19 unexposed cohort, N = 399) and those who were in fourth grade in 2018 and sixth grade in 2020 (COVID-19 exposed cohort, N = 3,082). Children’s dental caries were examined by school dentists.
Cite this research | Open access | No. of pages: 9 | Language: English | Topics: Health | Tags: child health, COVID-19 response, health services, lockdown, social distance | Countries: Japan
Addressing social context in adverse childhood experience screening policy: implications for children with special health care needs

Lilian G. Bravo; Charisse Ahmed; Kristen Choi

Published: November 2022   Journal: Journal of Pediatric Health Care
Adverse childhood experiences (ACEs) disproportionately affect children with special health care needs, especially racial and ethnic minority children whose ACEs may be less likely to be identified. As awareness and understanding of the health impacts of ACEs have increased, heightened by the COVID-19 pandemic, several areas of the United States have initiated policy efforts to screen for and address ACEs. However, these policies do not always include mechanisms to account for context-specific adversity or contemporary stressors in the lives of children. Stressors most significant in a child's life may include adversities beyond those included in common ACE screening instruments. ACE policy in California will be discussed relative to addressing the social context in ACEs screening. By taking a holistic view of ACEs and thinking beyond deriving ACE scores alone, clinicians can ensure that ACE-related policies are implemented with maximum benefit to diverse children with special health care needs.
Effect of tele nursing on health outcomes of children with rheumatic arthritis and satisfaction of their caregivers during Covid-19 pandemic

Hemat Mostafa Amer; Elham S. Elzyen; Doaa A. Zayed (et al.)

Published: November 2022   Journal: Egyptian Journal of Health Care
Rheumatoid arthritis (RA) is autoimmune illness which mostly affects the joints. Access to care and rheumatic arthritis outcomes and satisfaction may be improved by utilizing the tele-nursing especially during the outbreak of COVID-19. This study aims to investigate the effect of tele nursing on health outcomes of children with rheumatic arthritis and satisfaction of their caregivers during Covid 19 pandemic. Three out patients’ clinics of rheumatology were selected from; Menoufia University hospital, Teaching hospital and school health insurance clinics. A purposive sample of 120 students were selected and divided equally to study and control group. Data was collected using The Arabic form of The Juvenile Arthritis Multidimensional Assessment Report & Client Satisfaction Questionnaire.
Cite this research | Open access | Vol.: 14 | Issue: 1 | No. of pages: 19 | Language: English | Topics: Health | Tags: child health, COVID-19 response, disabled children, health services, lockdown, social distance, teleworking | Countries: Egypt
The impact of COVID-19 on the monitoring of pregnancy and delivery of pregnant women in the Dominican Republic

Mar Requena-Mullor; Jessica García-González; Ruqiong Wei (et al.)

Published: November 2022   Journal: Healthcare
Pregnancy monitoring is vital to guaranteeing that both the foetus and the mother are in optimal health conditions. WHO protocols recommend at least eight medical examinations during the pregnancy period. While the cancellation or reduction of appointments during pregnancy due to the pandemic may help reduce the risk of infection, it could also negatively influence perinatal outcomes and the birthing process. The aim of this research was to analyse the differences in perinatal outcomes and birth characteristics in two groups of pregnant women: women who gave birth before and during the pandemic, and whether these differences are due to changes in pregnancy monitoring because of the COVID-19 situation. A retrospective study was carried out from July 2018 to December 2021, at the Santo Domingo Hospital (Dominican Republic). A total of 1109 primiparous pregnant women were recruited for this study during the birthing process and perinatal visits.
Impact of COVID-19 on pregnancy and maternal-neonatal outcomes: a narrative review

Sweta Sahu; Guddi Laishram; Asmita Rannaware (et al.)

Published: November 2022   Journal: Medical Journeys
The pandemic coronavirus disease (COVID-19) has caused an unprecedented worldwide health emergency. The pandemic increased the susceptibility of pregnant women to maternal and fetal complications. Elderly and patients with comorbidities were also at high risk during the pandemic times. Further evidence supports that COVID-19 is not only a respiratory infection but possibly affects other organ systems, including the placenta. The key objective of this review is to explore the literature on COVID-19-affected pregnancies and study the pandemic's impacts on maternal, perinatal, and neonatal outcomes. Google Scholar and PubMed (Medline) were used for relevant literature searches. The clinical manifestations in pregnant women, fetus outcome, vertical transmission, and early and late pregnancy impacts are combined in database studies. Women should receive special attention for COVID even though most of the COVID-19-positive pregnant women had no symptoms or had minor ones. It was found that most pregnant women with COVID-19 had mild and few symptoms and that the effect on the fetus was insignificant. However, in some women, miscarriage and fetal growth retardation were seen as a consequence of the infection.
Speaking truth to power: Legal scholars as survivors and witnesses of the Covid-19 maternal mortality in Brazil

Gabriela Rondon; Debora Diniz; Juliano Zaiden Benvindo

Published: November 2022   Journal: International Journal of Constitutional Law
The Covid-19 health emergency has placed special demands on legal scholars, particularly on those based in the Global South. Brazil has been one of the epicenters of the pandemic, with over 680,000 deaths as of August 2022. Our narrative emerges from the duality of our positions amid a national tragedy—we are at the same time survivors of the collective threat of a would-be autocrat and a Covid-19-denialist government, and witnesses to how our preexisting privileges put us in a position of readiness “to speak truth to power.” Speaking truth to power means not only to exercise an independent spirit of analysis and judgment with respect to power, but also to interpellate power openly about its wrongdoings. We understand that our responsibility as legal scholars is to embrace the urgency of the moment—to expand our research agendas beyond our previous academic trajectories and work to mitigate situations of rights violations. It also means that our work as legal scholars has had to transcend the traditional academic spaces. We have positioned ourselves as advocates and litigators for those most affected by the pandemic, in particular vulnerable women. In this article, we share one of our key initiatives during the pandemic—a constitutional lawsuit to demand the right of pregnant and postpartum people to access Covid-19 vaccines.
Impact of Covid-19 pandemic on children with special needs requiring general anaesthesia for the treatment of dental disease: the experience of the Brescia Children's Hospital, Lombardy, Italy

K. Tewfik; C. Peta; M. C. De Giuli (et al.)

Published: November 2022   Journal: European Archives of Paediatric Dentistry

Special needs children presenting with dental problems were penalised during the Covid-19 pandemic due to the reduction of clinical activity and the risks of nosocomial infection. The aim of this study is to evaluate the impact of the pandemic on oral healthcare in paediatric special needs patients. It retrospectively assessed and compared the outpatient clinic activity and dental procedures performed under general anaesthesia in children with special needs at Brescia Children’s Hospital (Italy) in 2019, 2020, and 2021. Any delay between expected waiting time based on assigned priority and surgery was recorded. The efficacy of the protocol adopted to reduce the spread of Covid-19 was evaluated by reporting any infections in patients, parents, and health care providers.

Cite this research | Open access | Issue: 11 | No. of pages: 6 | Language: English | Topics: Health | Tags: child health, COVID-19 response, health services, hospitalization, lockdown, social distance | Countries: Italy
Effects of COVID-19 on children with autism

Mohammed Al-Beltagi; Nermin Kamal Saeed; Adel Salah Bediwy (et al.)

Published: November 2022   Journal: World Journal of Virology
The pandemic of coronavirus disease 2019 (COVID-19) has dramatically impacted children with special needs. Besides the COVID-19-related high morbidity and mortality, other changes associated with the pandemic negatively impacted the educational and health-related issues of children with autism. The lockdown adversely affected sensory-motor development, cognitive abilities, sleep, morale, behavior, and social interactions in a large proportion that may reach 50% of children with special needs. Children with autism should be prioritized for testing and proper management of COVID-19 and other infectious diseases.
Social and economic factors related to healthcare delay among low-income families during COVID-19: results from the ACCESS observational study

Mekhala Hoskote; Rita Hamad; Wendi Gosliner (et al.)

Published: November 2022   Journal: Journal of Health Care for the Poor and Underserved

Delayed medical care is a negative consequence of the COVID-19 pandemic for families with young children. This study used data from the Accessing California Communities' Experiences with Safety net Supports (ACCESS) survey, a cross-sectional study that assessed experiences with safety-net programs among working families with low incomes (n=491). From August 2020 to May 2021, it conducted interviewer-administered surveys of low-income families with young children (ages zero to eight) in California and asked questions about whether participants had delayed medical care for their children or themselves.

Clinical features of infants with SARS-CoV-2 infection: a systematic review and meta-analysis

Feifan Xiao; Meiling Tang; Kai Yan (et al.)

Published: November 2022   Journal: Annals of Palliative Medicine

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) leads to coronavirus disease 2019 (COVID-19) and is a public health problem. This meta-analysis reviewed the clinical features of SARS-CoV-2 infection among infants. PubMed, Scopus, Web of Science, and the Cochrane Library were searched for studies on clinical features of infants with SARS-CoV-2 published before May 1, 2022. Two authors screened and extracted data on the number of infants with SARS-CoV-2 infection, clinical features, and number of clinical features. The proportion of asymptomatic infection, mild symptoms, moderate symptoms, severe symptoms, and the clinical features were analyzed.

Cite this research | Open access | Vol.: 11 | Issue: 11 | No. of pages: 20 | Language: English | Topics: Health | Tags: child health, COVID-19, early childhood, health services, infectious disease, pandemic
Barriers to health-care access amid the coronavirus disease 2019 pandemic in children with non-coronavirus disease illnesses from India

Abhineet Mathur; Priyanka Meena; Jerin C. Sekhar (et al.)

Published: November 2022   Journal: Journal of Applied Sciences and Clinical Practice
Coronavirus disease 2019 (COVID-19) and the nationwide lockdown have resulted in profound disruptions in health care. Thus, the study was done to assess the barriers faced by caregivers of children with chronic diseases in accessing healthcare services due to the lockdown. A questionnaire-based telephonic survey was performed after 2 months of nationwide lockdown in children with chronic diseases at a tertiary hospital in India. Barriers faced were recorded and compared with the place of residence and socioeconomic status (SES).
Changes in dental and medical visits before and during the COVID-19 pandemic among U.S. children aged 1-17 years

Sharvari Karande; Gabriel Tse Feng Chong

Published: November 2022   Journal: Community Dentistry and Oral Epidemiology

The COVID-19 pandemic has tremendously impacted the U.S. healthcare system, but no study has examined the impact of the pandemic on utilization of dental care among U.S. children. Changes in past-year dental versus medical visits and perceived unmet health needs between 2019 and 2020 among U.S. children aged 1–17 years were examined. National and state representative, cross-sectional data from the National Survey of Children's Health conducted during June 2019–January 2020 (i.e. pre-pandemic, n = 28 500) and July 2020–January 2021 (i.e. intra-pandemic, n = 41 380) were analysed. Any past-year visit and perceived unmet needs (i.e. delay or inability to receive needed care) were reported by the parent proxy. Weighted prevalence estimates were compared using two-tailed chi-squared tests at p < .05. Poisson regression analyses were used to explore the relationship between having dental and/or medical unmet needs during the pandemic and indicators of poor health and social wellbeing.

Challenges and adaptations for a cluster-randomized control trial targeting parents of pediatric cancer survivors with obesity during the COVID-19 pandemic

Acadia W. Buro; Heewon L. Gray; Kathy Ruble (et al.)

Published: November 2022   Journal: Translational Behavioral Medicine
Although the COVID-19 pandemic has increased the importance of digital technology in clinical trial implementation, there is a dearth of literature reporting on challenges and strategies related to multi-site randomized controlled trials (RCTs) among pediatric cancer survivors during the pandemic. This paper discusses challenges faced in the implementation of the NOURISH-T+ trial so far (December 2019–March 2022) and describes adaptations made as a result of these disruptions in the areas of recruitment, data collection, and overall engagement. This refection is based on a multisite cluster-RCT that aims to examine whether an intervention targeting parents as agents of change to promote healthy eating and physical activity in pediatric cancer survivors, NOURISH-T+ (Nourishing Our Understanding of Role modeling to Improve Support and Health for Healthy Transitions), reduces body mass and improves health behaviors compared to Brief NOURISH-T (Enhanced Usual Care/EUC). The COVID-19 pandemic has created and exacerbated challenges for our trial related to participant recruitment and engagement, technology access and literacy, and data collection and management, as well as COVID-related challenges (e.g., Zoom fatigue). Strategies used to address these challenges might prove helpful in future virtual or hybrid RCTs, including developing trust and rapport with participants, providing support through multiple routes of dissemination, and using data management applications (e.g., REDCap™) for automation and project management. Extra efforts to build families’ trust and rapport, offering multiple routes of support, and automating as many tasks as possible are critical to ensuring the continuation of high-quality clinical trials during the COVID-19 pandemic.
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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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