Children and COVID-19 Research Library

This policy brief draws on a qualitative study that uses a gender perspective to investigate the notion of resilience among a cohort of young women and young men who grew up in poverty in five rural and urban communities in Ethiopia, and who are part of the broader Young Lives longitudinal study of 3000 children and young people in the country.  It asks why some children seem to fare well as they transistion to adulthood, despite the challenges and obstacles they had faced, whilst others do less well.

Public health measures necessary to  counteract the  coronavirus disease 2019 (COVID-19) pandemic have resulted in dramatic changes in the physical and social environments within which children grow and develop. As our understanding of the pathways for viral exposure and associated health outcomes in children evolves, it is critical to consider how changes in the social, cultural, economic, and physical environments resulting from the pandemic could affect the development of children. This review article considers the environments and settings that create the backdrop for children’s health in the United States during the COVID-19 pandemic, including current threats to child development that stem from: A) change in exposures to environmental contaminants such as heavy metals, pesticides, disinfectants, air pollution and the built environment; B) changes in food environments resulting from adverse economic repercussion of the pandemic and limited reach of existing safety nets; C) limited access to children’s educational and developmental resources; D) changes in the social environments at the  individual and household levels, and their interplay with family stressors and mental health; E)  social injustice and racism. The environmental changes due to COVID-19 are overlaid onto existing environmental and social disparities. This results in  disproportionate effects among children in  low-income settings and among populations experiencing the effects of structural racism.

This paper introduces the special issue on race, child welfare, and child well-being. In doing so, I summarize the evidence of racial/ethnic disparities in child well-being after the onset of the COVID-19 pandemic. Recent findings demonstrate that, compared to white children, black and Latino children are more likely to have experienced poverty and food insufficiency, to have had parents lose their jobs, and to be exposed to distance learning and school closures during the pandemic. I argue that though COVID-19 has indeed worsened racial/ethnic disparities in child well-being, it has also served to place a spotlight on the American welfare state’s historical mistreatment of low-income families and black and Latino families in particular. Consider that around three-fourths of black and Latino children facing food insufficiency during the pandemic also experienced food insufficiency prior to the onset of the pandemic. Moving forward, analyses of racial/ethnic disparities in child well-being during the pandemic, I argue, must not only consider the economic shock and high unemployment rates of 2020, but the failure of the American welfare state to adequately support jobless parents, and black and Latino parents in particular, long before the COVID-19 pandemic arrived.

The degree to which children experience unmet need for dental care during the COVID-19 pandemic, and its association with pandemic-related household job or income loss, is unknown. The authors performed a cross-sectional household survey of 348 families in Pittsburgh, PA during the week June 25 to July 2, 2020. Unmet need for child dental care and pandemic-related household job or income loss were assessed using caregiver self-report.

This paper provides some of the first evidence on the socioeconomic impacts of and responses to the pandemic among households in Sub-Saharan Africa. Econometric methods are applied to longitudinal household survey data from Ethiopia, Malawi, Nigeria, and Uganda. Results show that 256 million individuals are estimated to live in households that have lost income due to the pandemic. Attempts to cope with this loss are exacerbated by the inability to access medicine and staple foods among 20 to 25 percent of the households in each country, and food insecurity is disproportionately borne by households that were already impoverished prior to the pandemic. Finally, student-teacher contact has dropped from a pre-COVID-19 rate of 96 percent to just 17 percent among households with school-age children. These findings can help inform decisions by governments and international organizations on measures to mitigate the effects of the COVID-19 pandemic and reveal the need for continued monitoring.

This report is one in a series presenting findings from the Global COVID-19 Research Study. Findings from this report focus on implications for child poverty, drawing on data from our representative sample of 17,565 parents/caregivers and 8,069 children. The research presents differences in the impacts on and needs of children by region, age, gender, disability, minority group, indicators of poverty and more. This research was implemented in 46 countries and resulted in the largest and most comprehensive survey of children and families during the COVID-19 crisis to date, with 31,683 parents and caregivers and 13,477 children aged between 11 and 17 participating in the research.

This case study explores the role of technology in education among low-income Latino residents living in a mobile park in Silicon Valley. Through surveys and in-person interviews with parents and children, qualitative data on home Internet access and availability of technological devices utilized for school-related purposes are reported. The results of this study indicate that despite having a baseline level of access to technology as well as an understanding of its importance in the context of a child’s education, our study population currently faces significant barriers to having adequate access to technology at home due to socioeconomic barriers.

Reduced access to school meals during public health emergencies can accelerate food insecurity and nutritional status, particularly for low-income children in urban areas. To prevent the exacerbation of health disparities, there is a need to understand the implementation of meal distribution among large urban school districts during emergencies and to what degree these strategies provide equitable meal access. This case study of four large urban school districts during the COVID-19 pandemic aims to address these knowledge gaps. Guided by the Getting to Equity (GTE) framework, this mixed-methods study evaluates emergency meal distribution and strategy implementation in four large urban school districts (Chicago Public Schools, Houston Independent School District, Los Angeles Unified School District, and New York City Department of Education).

This research focuses on risks and mitigation strategies for 3 at-risk subpopulations of children: (1) children with behavioral health needs, (2) children in foster care or at risk for maltreatment, and (3) children with medical complexity (CMC). Mitigation strategies delineated for these at-risk populations are also likely beneficial for any child and family. Importantly, children not already in these groups are at risk for facing new medical, behavioral, or social challenges that develop during the pandemic. In particular, children in households of low socioeconomic status are likely at the highest risk for new or worsening issues, underscoring the critical leadership role of Medicaid programs in these risk mitigation strategies.

Women, the elderly, adolescents, youth, and children, persons with disabilities, indigenous populations, refugees, migrants, and minorities experience the highest degree of socioeconomic marginalization. Marginalized people become even more vulnerable in emergencies. This is due to factors such as their lack of access to effective surveillance and early-warning systems, and health services. The COVID-19 outbreak is predicted to have significant impacts on various sectors.