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Children and COVID-19 Research Library

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

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When a school is more than just a school: Improving school-based health in the wake of COVID-19

AUTHOR(S)
Simon F. Haeder; Emily Maxfield; Kara Ulmen (et al.)

Published: March 2022   Journal: World Medical & Health Policy
The ongoing COVID-19 pandemic has posed tremendous challenges for economies and individuals around the world. At the same time, it has also laid bare the blatant and growing inequities that many individuals, particularly children, are confronted with on a daily basis. With communities in lockdowns and schools going virtual in many parts of the United States, the important role that schools and school-based services play in the lives of many children have gained new attention. Nonetheless, only 3% of American schools have school-based health centers on campus, and they remain relegated to the fringes of both health care and education. One key limitation has been the lack of appropriately trained health-care professionals. Over the past 2 years, dozens of individuals have been interviewed about their experiences in school-based health centers. Based on this study, this study explores what it means for a health-care professional to work in school-based health care and how it differs from more traditional health-care settings. This analysis particularly focuses on training and education, work environments, and their unique demands that come from being embedded within the educational setting. It concludes by addressing the important role that governmental policies could play in augmenting this crucial workforce.
The effect of the COVID-19 pandemic on pediatric physician wellness: a cross-sectional study

AUTHOR(S)
Joshua Belfer; Lance Feld; Sophia Jan (et al.)

Published: March 2022   Journal: International Journal of Environmental Research and Public Health
The COVID-19 pandemic has provided challenges to all healthcare workers. While the brunt of treating COVID-19 patients fell upon adult providers, pediatricians also experienced significant stressors and disruptions. Academic pediatricians and trainees (fellows and residents) were redeployed to manage adult patients in hospitalist and intensive care settings and/or had major changes to their clinical schedules. This study aimed to describe levels of self-reported depression, anxiety, and burnout in pediatric physicians following the initial wave of the pandemic at the largest integrated health system in New York State. A cross-sectional study was conducted among pediatric physicians who cared for patients during the COVID-19 pandemic within the Northwell Health System as part of the Northwell Wellbeing Registry, a longitudinal registry assessing the psychological impact of COVID-19 on healthcare providers.
Health care providers’ perspectives on COVID-19 and medical neglect in children with life-threatening complex chronic conditions

AUTHOR(S)
Ross W. Cleveland; Rachel S. Deming; Gabriel Helton (et al.)

Published: January 2022   Journal: Journal of Child & Adolescent Trauma

Little is known regarding medical neglect in children with Life-Threatening Complex Chronic Conditions (LT-CCCs). This study examined the impact of COVID-19 on concern for medical neglect in this population. Qualitative interview study of multi-disciplinary health care providers (HCPs) from critical care, palliative care, and complex care services on the topic of medical neglect in children with LT-CCCs. It used inductive thematic analysis to generate themes. Findings presented herein are derived from a sub-analysis of the larger study that focused specifically on discussion of COVID-19 by HCPs.

Impact of COVID-19 on carers of children with tracheostomies

AUTHOR(S)
Nicola Hall; Nikki Rousseau; David W. Hamilton (et al.)

Published: December 2021   Journal: Archives of Disease in Childhood
This study aims to explore the impact of the COVID-19 pandemic on the experiences of caregivers of children with tracheostomies. All participants were currently, or had previously cared for, a tracheostomised child who had attended a tertiary care centre in the North of England. Health professionals were purposively sampled to include accounts from a range of professions from primary, community, secondary and tertiary care.
Predictors of medical mistrust among urban youth of color during the COVID-19 pandemic

AUTHOR(S)
Marcia J. Ash; Jannette Berkley-Patton; Kelsey Christensen (et al.)

Published: June 2021   Journal: Translational Behavioral Medicine
The COVID-19 pandemic has disproportionately impacted communities of color and highlighted longstanding racial health inequities. Communities of color also report higher rates of medical mistrust driven by histories of medical mistreatment and continued experiences of discrimination and systemic racism. Medical mistrust may exacerbate COVID-19 disparities. This study utilizes the Behavior Model for Vulnerable Populations to investigate predictors of medical mistrust during the COVID-19 pandemic among urban youth of color. Minority youth (N = 105) were recruited from community organizations in Kansas City, Missouri to complete an online survey between May and June 2020. Multiple linear regressions were performed to estimate the effect of personal characteristics, family and community resources, and COVID-19 need-based factors on medical mistrust.
The impact of personal protective equipment and social distancing on communication and relation between nurses, caregivers and children: a descriptive qualitative study in a maternal and child health hospital

AUTHOR(S)
Giada Ferrari; Raffaella Dobrina; Sara Buchini (et al.)

Published: May 2021   Journal: Journal of Clinical Nursing

The main objective was to explore the impact of personal protective equipment and social distancing on nurses, caregivers and children's communication and relationship in a maternal and child health hospital. The spread of COVID-19 pandemic made it necessary to apply infection prevention and control measures, including interpersonal distancing and the use of personal protective equipment. These measures may impact communication and relationship between nurses, patients and caregivers especially in a complex environment, such as a paediatric setting.

Have the sleep habits in children of health workers been more affected during the COVID-19 pandemic?

AUTHOR(S)
Ibrahim Hakan Bucak; Habip Almis; Songül Okay Tasar (et al.)

Published: May 2021   Journal: Sleep Medicine

Changes have occurred in children’s sleep habits during the coronavirus disease 2019 (COVID-19) pandemic. The purpose of this study was to compare the sleep patterns during the COVID-19 pandemic of school age children of health worker parents (Group 1) and non-health worker parents (Group 2). One hundred twenty-two participants were included in Group 1 and 250 in Group 2. The families’ sociodemographic characteristics (education levels and occupations of mothers and fathers, parental shift-working status, monthly family income, number of children in the family, and place of residence), general information for the children taking part (diagnosis of COVID-19 or COVID-19 related isolation, distance education, participation in sporting activities, time spent watching TV, time devoted to reading, time spent on telephones/tablets/computers, and time spent on indoor activities), and the responses given to the Children’s Sleep Habits Questionnaire (CSQH)-abbreviated form were all examined.

Child-rearing during postgraduate medical training and its relation to stress and burnout: results from a single-institution multispecialty survey

AUTHOR(S)
Marguerite W. Spruce; Alicia A. Gingrich; Amanda Phares (et al.)

Published: February 2021   Journal: Military Medicine
Child-rearing is difficult for medical trainees during the Covid-19 era, but much of the available evidence is limited to individual specialties or lacks an analysis of well-being. In light of this, this study sought to examine current perspectives across a wide range of medical specialties, determine associations with stress and burnout, and identify potential supportive solutions. After Institutional Review Board approval, a voluntary and anonymous survey was sent to all residents and fellows at a large academic medical center with a U.S. Air Force joint training agreement in 2019. Frequency tables were generated for survey responses, using χ 2 test for analysis between groups.
Viral time capsule: a global photo-elicitation study of child and adolescent mental health professionals during COVID-19

AUTHOR(S)
Olivia D. Herrington; Ashley Clayton; Laelia Benoit (et al.)

Published: February 2021   Journal: Child and Adolescent Psychiatry and Mental Health
This paper aims to examine, through photo-elicitation, the personal and professional impact of the COVID-19 pandemic on mental health professionals working with children and adolescents around the globe.
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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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Read the latest quarterly digest on children and disabilities.

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The first digest covers children and youth mental health under COVID-19.

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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.