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Children and COVID-19 Research Library

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

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"Wearing a mask won't protect us from our history": the impact of COVID‐19 on black children and families

AUTHOR(S)
Erin Bogan; Valerie N. Adams-Bass; Lori A. Francis (et al.)

Published: July 2022   Journal: Social Policy Report
The data on COVID-19 show an irrefutable and disturbing pattern: Black Americans are contracting and dying from COVID-19 at rates that far exceed other racial and ethnic groups. Due to historical and current iterations of racism, Black Americans have been forced into conditions that elevate their risk for COVID-19 and consequently place Black children at the epicenter of loss across multiple domains of life. The current paper highlights the impact of the pandemic on Black children at the individual, family, and school levels. Based on an understanding of the influence of structural racism on COVID-19 disparities, policy recommendations are provided that focus on equitable access to quality education, home ownership, and employment to fully address the needs of Black children and families during and after the pandemic. Research, practice, and policy recommendations are made to journal editors, funding agencies, grant review panels, and researchers regarding how research on COVID-19 should be framed to inform intervention efforts aimed at improving the situation of Black children and families.
Spatial clusters, social determinants of health and risk of COVID-19 mortality in Brazilian children and adolescents: a nationwide population-based ecological study

AUTHOR(S)
Victor Santana Santos; Thayane Santos Siqueira; Ana I. Cubas Atienzar (et al.)

Published: July 2022   Journal: The Lancet Regional Health - Americas

Data regarding the geographical distribution of cases and risk factors for COVID-19 death in children and adolescents are scarce. We describe the spatial distribution of COVID-19 cases and deaths in paediatric population and their association with social determinants of health in Brazil. This is a population-based ecological study with a spatial analysis of all cases and deaths due to COVID-19 in Brazil among children and adolescents aged 0–19 years from March 2020 to October 2021. The units of analysis were the 5570 municipalities. Data on COVID-19 cases and deaths, social vulnerability, health inequities, and health system capacity were obtained from publicly available databases. Municipalities were stratified from low to very high COVID-19 incidence and mortality using K-means clustering procedures, and spatial clusters and relative risks were estimated using spatial statistics with Poisson probability models. The relationship between COVID-19 estimates and social determinants of health was explored by using multivariate Beta regression techniques.

Outcomes and risk factors of death among hospitalized children and adolescents with obesity and COVID-19 in Brazil: An analysis of a nationwide database

AUTHOR(S)
Ana Cristina Simões e Silva; Mariana A. Vasconcelos; Enrico A. Colosimo (et al.)

Published: April 2022   Journal: Pediatric Obesity

Obesity is a well-recognized risk factor for critical illness and death among adult patients with SARS-CoV-2 infection. This study aimed to characterize the clinical outcomes and risk factors of death related to obesity in a cohort of hospitalized paediatric patients with COVID-19. It performed an analysis of all paediatric patients with obesity and COVID-19 registered in SIVEP-Gripe, a Brazilian nationwide surveillance database, between February 2020 and May 2021. The primary outcome was time to death, which was evaluated by using cumulative incidence function.

Effectiveness of instructional program on women knowledge about infant protection during breast feeding by infected woman with COVID-19 in Kirkuk city

AUTHOR(S)
Rabab Hamoudy Hanon; Rabea Mohsen Ali

Published: April 2022   Journal: https://garuda.kemdikbud.go.id/documents/detail/2614659

In women affected by other coronavirus infections such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV), the mortality rate appeared higher in women affected in pregnancy compared with non-pregnant women. COVID-19 prompted implementation of public health protocols to control the transmission of the virus, many of them required social distancing, hand washing, and lockdown procedures, but has also resulted in creating public anguish and massive fear, especially among the unaffected persons. Objectives: To assess pregnant women's knowledge about who can protect the baby during Brest feeding when mother infected by corona virus before and after implementation of instruction program and to determine the effectiveness of instruction program on pregnant women knowledge about protection methods of neonate during pandemic.

Cite this research | Open access | Vol.: 2022 | Issue: 4 | No. of pages: 12 | Language: English | Topics: Health | Tags: COVID-19, disease transmission, infectious disease, maternal and child health, mortality rate, pandemic, pregnancy, pregnant women | Countries: Iraq
Children with SARS-CoV-2 infection during the novel coronaviral disease (COVID-19) outbreak in Iran: an alarming concern for severity and mortality of the disease

AUTHOR(S)
Setareh Mamishi; Babak Pourakbari; Mehrzad Mehdizadeh (et al.)

Published: April 2022   Journal: BMC Infectious Diseases

The rapid worldwide spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections led to public health crises globally and the number of pediatric patients with Coronavirus Disease 2019 (COVID-19) is still rising. The aim of this study was to describe the epidemiological, clinical, laboratory, and imaging features of hospitalized patients with COVID-19 at an Iranian referral pediatrics hospital and to compare these parameters between hospitalized patients with and without severe disease, multisystem inflammatory syndrome in children (MIS-C) and children with acute COVID-19, as well as deceased and discharged cases. This study included hospitalized children and adolescents (≤ 18 years) with suspected COVID-19 who had positive results for SARS-CoV-2.

Risk factors for COVID-19-related mortality in hospitalized children and adolescents with diabetes mellitus: an observational retrospective cohort study

AUTHOR(S)
Eduardo A. Oliveira; Robert H. Mak; Enrico A. Colosimo (et al.)

Published: March 2022   Journal: Pediatric Diabetes

Diabetes has been recognized as a major comorbidity for COVID-19 severity in adults. This study aimed to characterize the clinical outcomes and risk factors for COVID-19-related death in a large cohort of hospitalized pediatric patients with diabetes. It performed an analysis of all pediatric patients with diabetes and COVID-19 registered in SIVEP-Gripe, a Brazilian nationwide surveillance database, between February 2020 and May 2021. The primary outcome was time to death, which was evaluated considering discharge as a competitive risk by using cumulative incidence function.

Cite this research | Open access | Vol.: 23 | Issue: 3 | No. of pages: 10 | Language: English | Topics: Health | Tags: adolescent health, child health, COVID-19, diabetes, hospitalization, infectious disease, mortality rate, pandemic | Countries: Brazil
Assessment of clinical outcomes among children and adolescents hospitalized with COVID-19 in 6 Sub-Saharan African countries

AUTHOR(S)
Jean B. Nachega; Nadia A. Sam-Agudu; Rhoderick N. Machekano (et al.)

Published: January 2022   Journal: JAMA Pediatrics

What are the clinical outcomes and associated factors among children and adolescents hospitalized with COVID-19 in sub-Saharan Africa?  In this cohort study of 469 children and adolescents hospitalized with COVID-19 in 6 sub-Saharan African countries, morbidity and mortality were substantially higher than reported among those in non-African settings and were independently associated with age younger than 1 year and select noncommunicable disease comorbidities.

Coping strategies and health-related quality of life in pregnant women with SARS-CoV-2 infection

AUTHOR(S)
Madalina Timircan; Felix Bratosin; Iulia Vidican (et al.)

Published: October 2021   Journal: Medicina
As maternal deaths associated with the SARS-CoV-2 infection remain at several times greater than the general population, significant factors that might contribute to the higher mortality and morbidity rate are the psychological impact of the disease and pregnancy itself. Therefore, the current study’s main objective was to assess how pregnant women react and cope with the stress of COVID-19 disease and how it influences their overall health and quality of life in healthcare facilities.
Examining the role of psychosocial influences on black maternal health during the COVID-19 pandemic

AUTHOR(S)
Keri Carvalho; Anna Kheyfets; Blessing Lawrence (et al.)

Published: August 2021   Journal: Maternal and Child Health Journal

Due to the disproportionate impact of COVID-19 on communities of color, racial disparities in maternal mortality and morbidity are likely to increase. However, neighborhood and social support factors have yet to be discussed as potential mechanisms by which COVID-19 can exacerbate racial disparities. This study examined literature on the role of neighborhood factors and social support on maternal health outcomes and provided analytical perspective on the potential impacts of COVID-19 on Black birthing people.

Characteristics and outcomes of women with COVID-19 giving birth at US academic centers during the COVID-19 pandemic
Published: August 2021   Journal: JAMA Network Open

What are the characteristics and outcomes associated with giving birth with COVID-19 over the first year of the pandemic in the US? This cohort study examines 869 079 adult women, including 18 715 women with COVID-19, who underwent childbirth at 499 US medical centers between March 1, 2020, and February 28, 2021. Women with COVID-19 had increased mortality, need for intubation and ventilation, and intensive care unit admission. These findings suggest that COVID-19 was associated with increased risk of morbidity and mortality for women giving birth.

Race, ethnicity, poverty and the social determinants of the coronavirus divide: U.S. county-level disparities and risk factors

AUTHOR(S)
Laura J. Samuel; Darrell J. Gaskin; Antonio, J. Trujillo (et al.)

Published: June 2021   Journal: BMC Public Health

Communities with more Black or Hispanic residents have higher coronavirus rates than communities with more White residents, but relevant community characteristics are underexplored. The purpose of this study was to investigate poverty-, race- and ethnic-based disparities and associated economic, housing, transit, population health and health care characteristics. Six-month cumulative coronavirus incidence and mortality were examined using adjusted negative binomial models among all U.S. counties (n = 3142). County-level independent variables included percentages in poverty and within racial/ethnic groups (Black, Hispanic, Native American, Asian), and rates of unemployment, lacking a high school diploma, housing cost burden, single parent households, limited English proficiency, diabetes, obesity, smoking, uninsured, preventable hospitalizations, primary care physicians, hospitals, ICU beds and households that were crowded, in multi-unit buildings or without a vehicle.

Impact of COVID-19 pandemic on time series of maternal mortality ratio in Bahia, Brazil: analysis of period 2011–2020

AUTHOR(S)
Rita de Cássia Oliveira de Carvalho‑Sauer; Maria da Conceição N. Costa; Maria Gloria Teixeira (et al.)

Published: June 2021   Journal: BMC Pregnancy and Childbirth
Most studies on the effects of SARS-CoV-2 infection have been conducted with adults and non-pregnant women. Thus, its impacts on maternal health are not yet fully established. This study aimed to verify the relationship between the maternal mortality ratio and the incidence of COVID-19 in the State of Bahia, Brazil, 2020.
Pregnant in the United States in the COVID-19 pandemic: a collision of crises we cannot ignore

AUTHOR(S)
Pamela Stratton; Elena Gorodetsky; Janine Clayton

Published: April 2021   Journal: Journal of the National Medical Association

The COVID-19 pandemic and call for social justice is occurring when the United States, unlike its peer countries, has already experienced a steady 20-year rise in maternal morbidity and mortality with pregnant women today facing a 50 percent higher risk of mortality than their mothers.  Most vulnerable are women of color, black and American Indian/Alaska Native women, who have experienced longstanding disparities in access to and quality of healthcare and may begin pregnancy with hypertension, diabetes, and obesity, complications known to be more common in women enduring segregation. Initially, the race-related health disparities and resultant disproportionately higher rates of COVID-19 cases and mortality in indigenous communities and black, latins, or other communities of color were mistakenly considered innate racial differences. More recently, these higher rates have been attributed to underlying social, structural, and environmental determinants of health including resource inequities, inadequate housing, and occupational and environmental hazards that result in greater exposure to and less protection from COVID-19.

SARS-CoV-2 prevalence associated to low socioeconomic status and overcrowding in an LMIC megacity: a population-based seroepidemiological survey in Lima, Peru

AUTHOR(S)
Mary F. Reyes-Vega; M.Gabriela Soto-Cabezas; Fany Cardenas (et al.)

Published: March 2021   Journal: EClinicalMedicine
Worldwide, Peru has one of the highest infection fatality rates of COVID-19, and its capital city, Lima, accumulates roughly 50% of diagnosed cases. Despite surveillance efforts to assess the extent of the pandemic, reported cases and deaths only capture a fraction of its impact due to COVID-19′s broad clinical spectrum. This study aimed to estimate the seroprevalence of SARS-CoV-2 in Lima, stratified by age, sex, region, socioeconomic status (SES), overcrowding, and symptoms.
Assessment of midwifery care providers intrapartum care competencies, in four sub-Saharan countries: a mixed-method study protocol

AUTHOR(S)
Ann‑Beth Moller; Joanne Welsh; Mechthild M. Gross (et al.)

Published: February 2021   Journal: Reproductive Health
This study aims to assess competencies (knowledge, skills and attitudes) of midwifery care providers as well as their experiences and perceptions of in-service training in the four study countries; Benin, Malawi, Tanzania and Uganda as part of the Action Leveraging Evidence to Reduce perinatal mortality and morbidity in sub-Saharan Africa project (ALERT). While today more women in low- and middle-income countries give birth in health care facilities, reductions in maternal and neonatal mortality have been less than expected. This paradox may be explained by the standard and quality of intrapartum care provision which depends on several factors such as health workforce capacity and the readiness of the health system as well as access to care.
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